Journal of Burn Care & Research最新文献_第7页

Burn Injury Severity in Adults: Proposed Definitions Based on the National Burn Research Dataset. 成人烧伤严重程度：基于国家烧伤研究数据集的拟议定义。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-25 DOI: 10.1093/jbcr/irae186

Jason Heard, Yuni Ren, Sandra L Taylor, S Sen, T Palmieri, K Romanowski, D Greenhalgh

{"title":"Burn Injury Severity in Adults: Proposed Definitions Based on the National Burn Research Dataset.","authors":"Jason Heard, Yuni Ren, Sandra L Taylor, S Sen, T Palmieri, K Romanowski, D Greenhalgh","doi":"10.1093/jbcr/irae186","DOIUrl":"https://doi.org/10.1093/jbcr/irae186","url":null,"abstract":"Previous iterations of burn severity (mild, moderate, and severe) were not data-driven and were outdated. Clustering analyses have gained popularity for identifying homogenous subgroups from heterogeneous medical conditions, such as asthma, sepsis, and lung disease. There is no consensus in burn literature regarding what constitutes massive burns. The current classification includes a 20% total body surface area (TBSA) burn and a 95% TBSA burn as severe. Latent class and hierarchical clustering analyses were applied to the American Burn Association National Burn Research Dataset. Cluster variables included length of stay, length of stay, intensive care unit length of, number and type of procedures, and number and type of complications. Non-clustering variables were evaluated after clustering, including burned TBSA, inhalation injury, mortality, discharge disposition, age, sex, and race. Latent class analysis suggested three clusters. Hierarchical clustering analysis was applied to the most severe latent class, creating four total burn severity groups. In total, 112,297 patients were included in the final analysis. The mean TBSA burned for each class is 4.26±4.91 for minor, 8.07±8.39 for moderate, 22.76±17.31 for severe and 36.72±21.61 for massive. The age and sex proportions were similar among all clusters. The clustering variables steadily increased for each severity cluster. Mortality was the highest in the massive cluster (18.2%). Data informed categories of burn severity were formed using clustering analyses, which will be helpful for triage, data-benchmarking, and class-specific research.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Body Image on Physical Function and Return to Work After Burn: A Burn Model System Study. 身体形象对烧伤后身体功能和重返工作岗位的影响：烧伤模型系统研究。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-20 DOI: 10.1093/jbcr/irae182

Mashal Ali, Kara McMullen, Kyra Solis-Beach, Kimberly Roaten, Colleen M Ryan, Maiya I Pacleb, Gretchen J Carrougher, Haig A Yenikomshian, Karen Kowalske

{"title":"The Impact of Body Image on Physical Function and Return to Work After Burn: A Burn Model System Study.","authors":"Mashal Ali, Kara McMullen, Kyra Solis-Beach, Kimberly Roaten, Colleen M Ryan, Maiya I Pacleb, Gretchen J Carrougher, Haig A Yenikomshian, Karen Kowalske","doi":"10.1093/jbcr/irae182","DOIUrl":"https://doi.org/10.1093/jbcr/irae182","url":null,"abstract":"Burn injury can have a lasting impact on quality of life beyond the initial injury. The aim of this study was to examine the recovery process through analyzing the relationship between body image, physical function, and return to work. This study uses data from the Burn Model System (BMS) National Longitudinal Database and includes 1,001 participants injured between 2015 and 2023 who were measured using Patient-Reported Outcomes Measurement Information System (PROMIS-29) Physical Function, Employment Status, and the Body Image subscale. Associations were explored using multivariate linear and logistic regression analyses. Physical function was positively associated with body image and negatively associated with burn size, age, and amputation. Employment was positively correlated with body image and employment at injury, while negatively correlated with age. Other variables including burn etiology, burn center site, race, and ethnicity were significant at different time points. By understanding how these factors change and are associated with outcomes across recovery, the healthcare team can make more tailored efforts to improve the psychosocial and physical well-being of burn survivors.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burns During Pregnancy: Is the outcome still Gloomy? A follow-up case series 孕期烧伤：结果仍然悲观吗？后续病例系列

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae177

Adel Mabrouk, Alaa Elfeky, Mohamed Samir Badawy, Mai Raafat Hammad, Amr Mabrouk

{"title":"Burns During Pregnancy: Is the outcome still Gloomy? A follow-up case series","authors":"Adel Mabrouk, Alaa Elfeky, Mohamed Samir Badawy, Mai Raafat Hammad, Amr Mabrouk","doi":"10.1093/jbcr/irae177","DOIUrl":"https://doi.org/10.1093/jbcr/irae177","url":null,"abstract":"Background Despite the incidence of burns in pregnancy not being high, its occurrence leads to high morbidity and mortality for both mother and fetus. In 1997, we published a series of 27 cases of pregnant women who were managed and followed up for fetal and maternal outcomes at Ain Shams University's burn unit and Maternity Hospital during the period from October 1995 to September 1996. Now, two decades later, we report on seven cases of burns admitted to the Burn unit and the Maternity Hospital at Ain Shams University, during the period from January 2019 through June 2022. Methods Pregnant patients admitted to the Burn unit and the Maternity Hospital at Ain Shams University during the period from January 2019 through June 2022 were included in this case series. Demographic data and obstetric history were documented for each patient as well as total body surface area burned, degree, cause and type of burn, maternal mortalities, fetal mortalities, obstetric interventions, and surgical interventions. Conclusion The total burned surface area ranged from 12-40%; No maternal mortalities occurred in this series, three miscarriages, one preterm labor and three term pregnancies with four surviving neonates.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"29 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fighting A New Front On An Old Battlefield: Examining the Development of Topical Antimicrobial Care to Control Burn Wound Sepsis 在老战场上开辟新战线：研究开发局部抗菌护理以控制烧伤伤口败血症

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae178

Shawn Tejiram, Jeffrey W Shupp

{"title":"Fighting A New Front On An Old Battlefield: Examining the Development of Topical Antimicrobial Care to Control Burn Wound Sepsis","authors":"Shawn Tejiram, Jeffrey W Shupp","doi":"10.1093/jbcr/irae178","DOIUrl":"https://doi.org/10.1093/jbcr/irae178","url":null,"abstract":"Recognition of invasive burn wound sepsis as a major cause of morbidity and mortality in burn injured patients has profoundly changed the management of burn wounds and its associated complications. The development of effective topical antimicrobial therapy is one of the last major developments of modern burn care and has been driven by major world events and scientific breakthroughs. Topical antimicrobial burn care has evolved from the use of anecdotal remedies to scientific breakthroughs such as Moyer’s successful dilution of silver nitrate solution, Fox’s described benefit of silver sulfadiazine use in animal models, and Pruitt’s dramatic improvement in post-burn mortality using topical mafenide acetate in burn wounds. The objective of this manuscript is to review the definition of burn wound sepsis and highlight the major developments and breakthroughs in topical burn wound care throughout history. This includes historical events like major wars or domestic fires that have influenced or impacted the understanding and treatment of burn wounds. Newer advances in topical antimicrobial care such as nanosilvers and dressing technologies that improve the morbidity and mortality associated with burn wound sepsis and novel approaches to management will also be discussed. To improve burn care, it is prudent to look to the past and learn from the experiences of those who contributed to the control of burn wound sepsis.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Acute Hand Burns: A Survey of American Burn Association-Verified Burn Centers 急性手部烧伤的处理：美国烧伤协会认证烧伤中心调查

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae184

Hilary Y Liu, Mario Alessandri-Bonetti, Siddhi Shockey, Alain C Corcos, Jenny A Ziembicki, Guy M Stofman, Francesco M Egro

{"title":"Management of Acute Hand Burns: A Survey of American Burn Association-Verified Burn Centers","authors":"Hilary Y Liu, Mario Alessandri-Bonetti, Siddhi Shockey, Alain C Corcos, Jenny A Ziembicki, Guy M Stofman, Francesco M Egro","doi":"10.1093/jbcr/irae184","DOIUrl":"https://doi.org/10.1093/jbcr/irae184","url":null,"abstract":"Hand burns have a significant impact on the long-term function of burn patients. Recently, new protocols and technologies, such as dermal substitutes, have been introduced for the treatment of hand burns. This cross-sectional study investigates the preferred current management of acute hand burns and the role of dermal substitutes in treatment. A 10-question survey related to acute hand burns management was sent to 64 directors of American Burn Association (ABA)-verified burn centers. A total of 51.6% (n=33) directors of ABA-verified burn centers responded to the survey. For the treatment of superficial partial-thickness hand burns, 90.9% preferred a non-operative approach. Conversely, most respondents chose a single-stage excision and skin graft for deep partial-thickness hand burns (75.8%) and full-thickness hand burns (51.5%). However, for full-thickness hand burns, some surgeons prefer a two-stage reconstruction involving excision and placement of a skin substitute (27.3%) or allograft (9.1%), followed by a skin graft. Only 6.1% would utilize a three-stage reconstruction involving excision and allograft, excision and skin substitute, followed by skin grafting. Among surgeons who used skin substitutes (n=26), Integra (42.3%) and Novosorb Biodegradable Temporising Matrix (BTM) (23.1%) were preferred. The top reasons for choosing one specific dermal substitute were surgeon's preference (n=20; 76.9%) and cost (n=9; 34.6%). While a conservative non-operative approach is preferred for superficial partial-thickness hand burns, excision and skin grafting as a one-stage procedure remains the most common strategy for deep partial-thickness and full-thickness hand burns.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"26 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams 街头烧伤护理：街头医疗队提供烧伤护理的现状调查

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae183

Erin E Ross, Alexis Coulourides Kogan, Maxwell Johnson, Haig A Yenikomshian

{"title":"Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams","authors":"Erin E Ross, Alexis Coulourides Kogan, Maxwell Johnson, Haig A Yenikomshian","doi":"10.1093/jbcr/irae183","DOIUrl":"https://doi.org/10.1093/jbcr/irae183","url":null,"abstract":"People experiencing homelessness are at increased risk for serious burn injuries and face additional barriers to care such as inability to perform wound care and difficulty with follow-up. Although not burn-specific, street medicine programs provide direct medical care to people experiencing unsheltered homelessness in their own environment and may be well positioned to bridge this gap in burn care for this population. We conducted a cross-sectional survey to characterize the burn care experience of street medicine teams with providing burn care for people experiencing homelessness. The 60 respondents included 18 (30%) physicians, 15 (25%) nurse practitioners or physician assistants, 15 (25%) registered nurses, and 6 (10%) medical students, and 6 (10%) other team members. The most common reported barriers to care were prior negative experiences with emergency departments, and transportation to burn centers. There was regional variability in frequency of providing burn care, which was reflected in respondent comfort with assessing and treating burns. Burns were most often dressed with daily dressings such as a non-adherent dressing over silver sulfadiazine or bacitracin. Silver-based contact dressings were rarely used. Street medicine teams in the United States are treating burn injuries among people experiencing homelessness, though management practices and experience treating burns was variable. As street medicine programs continue to grow, burn-related education, training, and connections to local burn centers for team members is important. Through strengthened partnerships between burn centers and street medicine teams, these programs may be well positioned to bridge the gap in burn care for people experiencing homelessness.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"210 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Friction Burns: Defining the Rub of Road Rash After Motorcycle Trauma 摩擦灼伤：界定摩托车外伤后的路面擦伤

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae181

Louis A Perkins, Sadie Munter, William Johnston, Jeanne G Lee, Laura N Haines, Jay J Doucet, Alan Smith, Jarrett E Santorelli

{"title":"Friction Burns: Defining the Rub of Road Rash After Motorcycle Trauma","authors":"Louis A Perkins, Sadie Munter, William Johnston, Jeanne G Lee, Laura N Haines, Jay J Doucet, Alan Smith, Jarrett E Santorelli","doi":"10.1093/jbcr/irae181","DOIUrl":"https://doi.org/10.1093/jbcr/irae181","url":null,"abstract":"There is a paucity of literature on friction burn epidemiology, injury characteristics, and management after trauma. This study aims to characterize friction burns resulting from motorcycle accidents, evaluate the role of specialized burn surgery teams, and assess the need for operative intervention. The trauma registry of a Level 1 Trauma Center was queried for all admissions after motorcycle accidents between January 2018 and December 2022. Patients were included if there was an external cause of injury code for an abrasion. Chart review was conducted to confirm a road rash injury, identify burn consultation, wound care recommendations, need for operating room (OR) procedure and skin grafting, and outcomes. Among the 810 patients meeting inclusion criteria, the cohort was 92% male, 46% Hispanic, with median age of 33 (IQR 26-44), and median ISS 8 (IQR 5-14). The extremities were most affected by friction burn followed by the abdomen, thorax, and face. Burn surgery was consulted in 7% (n=57) of cases which had a median TBSA of 4% (IQR 2-6%); 23% (n=13) of these patients underwent excision in the OR, 16% (n=9) required autografting, and 61% (n=35) were referred for burn follow-up on discharge. On multivariable regression, consults to burn were more likely in female patients (OR 3.40, p=0.002) and those with involvement of the upper extremity, abdomen, or thorax. Friction burns are common after motorcycle-related trauma. Local wound care is sufficient for a vast majority of these injuries and the need for specialized burn care and operative intervention is rare.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"18 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of The Effectiveness of Thymoquinone, St. John Wort Oil and Silver Sulfadiazine in Experimental Burn Wounds 胸腺醌、圣约翰草油和磺胺嘧啶银对实验性烧伤的疗效比较

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-14 DOI: 10.1093/jbcr/irae174

Yasin Canbaz, Percin Karakol, Remzi Erten, Tolga Mercantepe, Hamit Hakan Alp, Esra Turan Canbaz, Idris Turel, Murat Cetin Ragbetli, Serdar Yüce

{"title":"Comparison of The Effectiveness of Thymoquinone, St. John Wort Oil and Silver Sulfadiazine in Experimental Burn Wounds","authors":"Yasin Canbaz, Percin Karakol, Remzi Erten, Tolga Mercantepe, Hamit Hakan Alp, Esra Turan Canbaz, Idris Turel, Murat Cetin Ragbetli, Serdar Yüce","doi":"10.1093/jbcr/irae174","DOIUrl":"https://doi.org/10.1093/jbcr/irae174","url":null,"abstract":"We aimed to compare the effectiveness of thymoquinone (TQ), most important bioactive component of black cumin, St. John wort (SJW) oil, a traditional medicinal plant used in burns, and silver sulfadiazine (AgSD), well-known anti-inflammatory agent used in modern medicine, in an experimental burn rat-model. 63 Wistar-Albino rats were randomly divided into 9 groups (n=7). TQ, SJW were administered topically and systemically but AgSD was applied topically. Epithelialization, inflammatory cell response, granulation tissue, vascularization, and fibrosis were evaluated. Malondialdehyde (MDA), total antioxidant status (TAS), total oxidant status (TOS), vitamin E, 8-hydroxy-deoxyguanosine (8-OHdG), coenzyme Q10 (CoQ10) were analyzed in serum. Topical TQ accelerated theepithelialization, enabled granulation, vascularization and fibrosis in wounds (P=0.001). Topical and systemic TQ increased Vitamin-E levels (P=0.003) but reduced TOS and 8-OHdG levels (P=0.001). Topical SJW reduced granulation and vascularization. Topical and systemic SJW decreased TOS, MDA and 8-OHdG levels (P=0.001), but increased TAS (P=0.001), and Vitamin-E levels (P=0.003). Topical AgSD reduced TOS, 8-OHdG, MDA levels (P=0.001). Topical and systemic TQ demonstrated significant advantages in accelerating wound healing process, while also enhancing antioxidant defenses and reducing oxidative damage. SJW oil, particularly in topical application, improved epithelialization and antioxidant status but showed less efficacy in systemic use. AgSD, while effective in reducing oxidative stress, was less successful in promoting wound healing and appeared to delay granulation and fibrosis. TQ offers superior protective and healing benefits, SJW is effective locally but less so systemically, and AgSD should be used cautiously, potentially combined with antioxidants to mitigate its negative impact on wound healing.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"30 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advanced Practice Providers in Burn Care, 2013-2022 2013-2022 年烧伤护理高级执业医师人数

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-13 DOI: 10.1093/jbcr/irae179

Rishub K Das, Puja M Jagasia, Amanda E Baily, Ronnie Mubang, Brian C Drolet

{"title":"Advanced Practice Providers in Burn Care, 2013-2022","authors":"Rishub K Das, Puja M Jagasia, Amanda E Baily, Ronnie Mubang, Brian C Drolet","doi":"10.1093/jbcr/irae179","DOIUrl":"https://doi.org/10.1093/jbcr/irae179","url":null,"abstract":"This study evaluated the prevalence characteristics of advanced practice providers, including nurse practitioners and physician assistants, who provide care related to burns in the United States from 2013 to 2022 using national claims data. Our analysis was a retrospective, large cohort study evaluating debridement, wound care, and office-based services provided by advanced practice providers from 2013 to 2022 using the Medicare Provider Utilization and Payment Data Public Use Files from the CMS. The reported provider type and billing codes were used to identify healthcare professionals providing burn care. Trends over the study period and available data about care provided were analyzed. From 2013 to 2022, burn care providers included 6,918 (43.3%) surgeons, 4,264 (26.7%) other physicians, and 4,783 (30.0%) advanced practice providers. Overall, the number of advanced practice providers who billed for burn care increased by 250.4% from 714 in 2013 to 2,502 in 2022. Compared with physicians, advanced practice providers were more likely to be female and provide care in micropolitan areas with less than 50,000 people. Based on these trends, we project that the number of APPs providing services related to burns will increase by 56.7% from 2,502 in 2022 to 3,921 (95% CI, 3,541-4,303; R2=0.97) in 2030. With a growing need for burn care and predicted shortages in the surgeon workforce, the scope of practice and integration of advanced practice providers merits further discussion and evaluation.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Burn Unit Admission is Associated with School Holidays and Lower Home Childhood Opportunity Level 小儿烧伤科入院与学校假期和较低的家庭儿童机会水平有关

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-13 DOI: 10.1093/jbcr/irae180

Erin E Ross, Elizabeth Flores, Paige K D Zachary, Haig A Yenikomshian

{"title":"Pediatric Burn Unit Admission is Associated with School Holidays and Lower Home Childhood Opportunity Level","authors":"Erin E Ross, Elizabeth Flores, Paige K D Zachary, Haig A Yenikomshian","doi":"10.1093/jbcr/irae180","DOIUrl":"https://doi.org/10.1093/jbcr/irae180","url":null,"abstract":"Burn injury can have profound detrimental effects on quality of life and mental health of children. We collected demographics, burn etiology, burn date, and home zip code for pediatric patients admitted to our burn unit from 2016-2023. Age, burn date, and etiology of burn were used to assess temporal and mechanistic patterns of injury for pre-school-age and school-age children. Home zip code was used to determine each child’s home Childhood Opportunity Index score, which is composed of sub-domains for Education, Health & Environment, and Social & Economic. We calculated the odds-ratio for odds of pediatric burn admission for each COI sub-domain quintile, using very high opportunity neighborhoods as the reference. Scald was the prevailing burn etiology (64%). In school-age children, July was the month with the most burn injuries (19%), attributable to firework injuries. School-age children were also more likely to be injured in a week without classroom instruction (p&lt;0.001). There was a dose-response relationship between Childhood Opportunity Index and odds of burn admission, with the greatest odds of burn admission observed for children from very low educational opportunity areas (OR 5.21, 95% CI 3.67-7.39). These findings support interventions for burn prevention such as increased education about the dangers of fireworks, addressing inequities in access to childcare and extracurricular activities, and reducing the default water heater temperatures in multi-unit dwellings","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"29 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0