Journal of Burn Care & Research最新文献

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A Single Institution's Surgical Care Model for Pediatric Burns With ≤10% Body Surface Area Involvement. 一家医疗机构对体表面积≤10%的小儿烧伤采用的手术护理模式。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae185
Jennifer Zuccaro, David Lee, Charis Kelly, Hawwa Chakera, Evan Turner, Eduardo Gus, Joel S Fish
{"title":"A Single Institution's Surgical Care Model for Pediatric Burns With ≤10% Body Surface Area Involvement.","authors":"Jennifer Zuccaro, David Lee, Charis Kelly, Hawwa Chakera, Evan Turner, Eduardo Gus, Joel S Fish","doi":"10.1093/jbcr/irae185","DOIUrl":"10.1093/jbcr/irae185","url":null,"abstract":"<p><p>Small burn injuries are extremely prevalent in the pediatric population and continue to pose a challenge for clinicians. Despite their high incidence, a standardized algorithm for treating small burns does not currently exist, and care is often guided by clinical judgement and resource availability. The aim of this study was to explore the utility of a two-stage grafting technique, involving allograft and autograft, for treating small burns (≤10% total body surface area) in pediatric patients. A retrospective review of patients aged 0-18 years who had a small burn and underwent a two-stage grafting procedure between September 1, 2018 and September 1, 2022 was conducted. One hundred and seventy-five patients with 220 wounds met the inclusion criteria for this study. The mean time from presentation to allograft surgery was 11.4 days (SD 5.2) followed by autograft surgery approximately one week later. Most patients were discharged within 24 hours following allograft surgery (87.4%) and autograft surgery (81.1%). Mean autograft take was 97.7% (SD 11.8) with only four patients experiencing significant graft loss requiring subsequent re-grafting. These positive outcomes demonstrate that the two-stage technique can be successfully utilized for treating smaller pediatric burns. Moreover, these findings help to address the significant knowledge gap regarding the optimal approach to treating small burn wounds. Further research is warranted to learn more about aesthetic outcomes following two-stage grafting and determine how it compares to other techniques for treating small burns.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"22-27"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347368","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
Clinical Characteristics and Treatment of Marjolin's Ulcer at a Major Burn Center in Northwest China: A Retrospective Review of 126 Cases. 中国西北某大型烧伤中心马若林溃疡的临床特征与治疗:126 例病例的回顾性研究。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae139
Yuming Luo, Mengdong Liu, Siyu Zhang, Qiying Yang, Xiaowen Gao, Juntao Han, Liang Zhu, Jun Li
{"title":"Clinical Characteristics and Treatment of Marjolin's Ulcer at a Major Burn Center in Northwest China: A Retrospective Review of 126 Cases.","authors":"Yuming Luo, Mengdong Liu, Siyu Zhang, Qiying Yang, Xiaowen Gao, Juntao Han, Liang Zhu, Jun Li","doi":"10.1093/jbcr/irae139","DOIUrl":"10.1093/jbcr/irae139","url":null,"abstract":"<p><p>Marjolin's ulcer (MU) is a rare, aggressive skin tumor. There are numerous case reports but large long-term studies are lacking, necessitating further exploration of its treatment. This study aimed to summarize and analyze the characteristics, treatment methods, and prognosis of MU. We retrospectively analyzed the clinical data of 126 patients with MU, treated between January 2013 and January 2023 at the burn center. Demographic data, clinical characteristics, treatment, and prognosis were statistically analyzed. Of the 126 included patients, 104 were followed up for 0.1-10.2 years. The most common cause of the primary injury was flame burn (50.8%). Lesions were commonly observed on the lower limbs (47.6%). The predominant histopathological type was squamous cell carcinoma (92.8%). Among the 126 patients, 35 (27.8%) presented with bone invasion, 37 (29.4%) presented with enlarged lymph nodes, and 9 (7.1%) had lymph node metastasis. Extensive local excision (83.3%) was the most common surgical procedure; the defect was repaired using skin grafting (41.9%), free flaps (37.1%), and local flaps (21.0%). Multivariate analysis revealed that bone invasion and lymph node involvement were risk factors for postoperative recurrence. Survival analysis showed that age, latency period, pathological type, and recurrence were significant risk factors for survival. Extensive local resection is necessary to eradicate tumors, and patient follow-up should be more frequent within 1 year postoperatively. As MU is preventable, it is essential to reach a quick diagnosis and avoid delayed management before the occurrence of deadly metastases.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"208-217"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590424","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 Efficacy of Onion Extract on the Prevention or Treatment of Scars: A Systematic Review. 洋葱提取物对预防或治疗疤痕的功效:系统综述。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae116
Paul Won, Deborah Choe, Joshua Abu-Ghazaleh, Rendell Bernabe, T Justin Gillenwater
{"title":"The Efficacy of Onion Extract on the Prevention or Treatment of Scars: A Systematic Review.","authors":"Paul Won, Deborah Choe, Joshua Abu-Ghazaleh, Rendell Bernabe, T Justin Gillenwater","doi":"10.1093/jbcr/irae116","DOIUrl":"10.1093/jbcr/irae116","url":null,"abstract":"<p><p>Scars are common and debilitating outcomes of burn injury, with no current consensus regarding the gold standard in scar management. Noninvasive interventions such as silicone gels are popular adjuvant treatments due to ease of application. Onion extract (OE) has been proposed as a potential scar treatment modality due to its antimicrobial and anti-inflammatory properties. A systematic search of the literature was conducted using PubMed, Scopus, and Cochrane for articles published between January 2000 and December 2021. Inclusion criteria were studies (1) involved OE gel or OE treatment and (2) those assessing scar prevention or treatment outcomes. Patient and physician reported scar outcomes after treatment and adverse effects were recorded. A total of 21 articles were included in the final review. Five studies found statistically significant improvements in overall scores and individual Vancouver Scar Scale components in the OE treatment group compared to the silicone groups. Several studies found that combined treatment of OE with other topical treatment modalities such as triamcinolone or silicone gel produced significant improvements in scar symptoms. In this review, reported adverse effects were minimal, often consisting of self-resolving pruritus, irritation, and erythema. This review supports OE's potential utility in scar prevention and treatment. Most studies reported minimal adverse events with OE application and significant benefits in specific scar characteristics. Further research is needed to investigate scar outcomes after treatment with OE with larger sample sizes and a follow-up period greater than a year.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"145-153"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141419271","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
Exoskeleton Robot Training in Two Patients with an Electrical Burn and Septic Arthritis: A Case Report.
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae205
Seung Yeol Lee, Cheong Hoon Seo, Yoon Soo Cho, Youngmin Kim, Youngsuh Yoon, So Young Joo
{"title":"Exoskeleton Robot Training in Two Patients with an Electrical Burn and Septic Arthritis: A Case Report.","authors":"Seung Yeol Lee, Cheong Hoon Seo, Yoon Soo Cho, Youngmin Kim, Youngsuh Yoon, So Young Joo","doi":"10.1093/jbcr/irae205","DOIUrl":"https://doi.org/10.1093/jbcr/irae205","url":null,"abstract":"<p><p>Septic arthritis (SA) are rare in patients with burns, but delayed treatment can result in irreversible joint destruction. Early diagnosis and immediate treatment are necessary to prevent joint destruction. Robot training in patients with musculoskeletal diseases and burns, can improve joint range of motion (ROM), muscle strength, and lower extremity function. The aim of this report is to present robot training utility in patient with lower extremity electrical burns and associated SA. Rebless® (H-ROBOTICS, KOREA) for ROM and strength training, can operate in passive or active modes in knee or ankle flexion and extension. Rebless® works by providing visual feedback on angles during flexion and extension training. Two participants, diagnosed with SA after burns, and unable to walk before training because of joint pain, limited ROM, and muscle weakness, underwent 30 min of robot training using Rebless® with 30 min conventional therapy, 5 days a week for 8 weeks. After training, the gait function, muscle strength, and pain scores of the participants improved without adverse effects on joint ROM. This report is the first to demonstrate that robot training has a positive effect on gait function, pain, muscle strength with no soft tissue contractures or other complications in a patient with burn injury and SA.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028807","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
An Evaluation of Burn Fellowship Program Websites' Presence and Content. 对烧伤研究金计划网站的存在和内容进行评估。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae079
Danielle Mayorga-Young, Jonnby LaGuardia, Callista Zaronias, Won Park, Derek Bell
{"title":"An Evaluation of Burn Fellowship Program Websites' Presence and Content.","authors":"Danielle Mayorga-Young, Jonnby LaGuardia, Callista Zaronias, Won Park, Derek Bell","doi":"10.1093/jbcr/irae079","DOIUrl":"10.1093/jbcr/irae079","url":null,"abstract":"<p><p>Fellowship program websites pertaining to various subspecialties have been evaluated according to the amount and type of content they communicate to prospective applicants. This study aimed to evaluate what information specifically burn fellowship programs communicate through their websites and to what extent, if at all. In total, 10 of the 30 unique burn fellowship programs, American Burn Association (ABA)-verified or otherwise, identified through the ABA website did not have official websites which could be readily located at the time of data collection. Thus, 20 burn fellowship program websites were included in the analysis. Burn fellowship program websites were assessed according to 23 criteria relating to recruitment, education, and social life. On average, each website contained an average of 8.5 ± 2.6 criteria (range, 2-13), with all of them listing a program contact email/phone, and 95% containing a program description. Only 35% of programs listed the faculty, and a single program advertised alumni job placement. Neither the total number of fellows, the total number of clinical faculty, nor the Accreditation Council for Graduate Medical Education accreditation status were significantly associated with the amount or type of content. Geographic region was associated with a significant difference in the amount of education-related content. Fellowship program websites are important to prospective applicants when comparing programs and deciding where to apply. These results show where burn fellowship programs can increase the amount of publicly available information that applicants tend to find helpful in order to hopefully both diversify and tailor their applicant pool to those whose goals align with the programs'.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"90-93"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891635","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
A Quantitative Review of Certified Burn Therapist's Involvement in the JBCR Publications and ABA Leadership. 对认证烧伤治疗师参与 JBCR 出版物和 ABA 领导工作的定量审查。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae136
Renée Warthman, Audrey M O'Neil, Derek Murray, Bernadette Nedelec, Claudia Islas, Kevin N Foster
{"title":"A Quantitative Review of Certified Burn Therapist's Involvement in the JBCR Publications and ABA Leadership.","authors":"Renée Warthman, Audrey M O'Neil, Derek Murray, Bernadette Nedelec, Claudia Islas, Kevin N Foster","doi":"10.1093/jbcr/irae136","DOIUrl":"10.1093/jbcr/irae136","url":null,"abstract":"<p><p>The Burn Therapist Certification (BT-C) was introduced in 2018 to acknowledge occupational therapists (OT) and physical therapists (PT) with specialized knowledge, skill, and experience in the promotion of quality burn rehabilitation. Currently, BT-Cs make up 11.7% of therapists working in burn rehabilitation (n = 39/333). The purpose of this review is to report on the contributions of BT-Cs to organizational leadership of the American Burn Association (ABA) and in the generation of new knowledge through peer-reviewed publications. Despite the small percentage of burn therapists who are certified, they have a disproportionately large involvement in leadership within the ABA and burn research in the Journal of Burn Care and Rehabilitation (JBCR). From 2018 to 2023, BT-Cs have contributed to nearly one-half (n = 26/56) of therapy authored publications in the JBCR and almost one-third (n = 65/202) of accepted abstracts at the ABA annual meeting. Certified burn therapists demonstrate substantial involvement throughout the ABA, including maintaining an 85% membership rate and, on average, serve in 53% (n = 31/59) of the therapy allotted committee positions. Therapist pursuit of certification can have a profound impact on the burn community through publication, leadership, and development of care standards. Although therapists have indicated a desire to pursue certification, barriers related to a lack of association and center support have been identified. The burn community has endorsed certification as a mark of excellence for nurses and physicians. Maximizing the value of a transdisciplinary approach to burn care is also dependent on the excellence of therapies. If the burn community desires improved engagement and contribution from therapies, it should support therapist certification.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"189-196"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468229","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
Rare but Relevant: Characterizing Self-Inflicted Burn Injuries in the United States. 罕见但相关:美国自我烧伤的特点。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae192
Artur Manasyan, Brigette Cannata, Nicolas Malkoff, Eloise W Stanton, Sarah A Stoycos, Haig A Yenikomshian, T Justin Gillenwater
{"title":"Rare but Relevant: Characterizing Self-Inflicted Burn Injuries in the United States.","authors":"Artur Manasyan, Brigette Cannata, Nicolas Malkoff, Eloise W Stanton, Sarah A Stoycos, Haig A Yenikomshian, T Justin Gillenwater","doi":"10.1093/jbcr/irae192","DOIUrl":"10.1093/jbcr/irae192","url":null,"abstract":"<p><p>Self-inflicted burns (SIBs) represent a distinct entity in burn care often associated with an underlying psychiatric etiology. In this review, we summarize the existing evidence on SIBs in North America to inform targeted prevention and interventions for patients afflicted with SIBs. The following databases were queried to identify relevant articles used for literature review: PubMed, Embase, and Scopus. The main outcome measures were burn characteristics and risk factors of SIBs in the American population. A total of 14,189 patients were included across 13 included studies. The percent of total body surface area burned ranged from less than 1% to 100%, with a mean of 29.6% ± 20.7%. Depressive disorders were the most reported overall; however, among mood disorders, bipolar disorder was also reported frequently, while anxiety was reported least. Motives for self-inflicting burn injury included premeditated self-injury as a coping mechanism, escape or response to delusions, impulsive self-injury, and most commonly, suicidal intention. The majority of the studies reported that preadmission drug and alcohol abuse were associated with the occurrence of SIBs. Other identified risk factors for SIB injury included female sex, younger age, unemployment, and unmarried status. From this, it is imperative that targeted interventions are developed to address the complex interplay of psychiatric disorders, drug use, and other demographic risk factors among the American population. It is crucial for initiatives to emphasize early identification of individuals at risk of self-harm, better access to mental health services, and stronger drug abuse programs to target SIB occurrence in the United States.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"241-246"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501090","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
A Randomized Controlled Trial of Home-based Virtual Rehabilitation to Improve Adherence to Prescribed Home Therapy After Burn Injury: A Northwest Regional Burn Model System Trial. 基于家庭虚拟康复的随机对照试验,以提高烧伤后家庭治疗处方的依从性:西北地区烧伤模型系统试验》。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae166
Stephen H Sibbett, Gretchen J Carrougher, Caitlin M Orton, Jody I Sabel, Tonya Terken, Andrew Humbert, Aaron Bunnell, Nicole S Gibran, Tam N Pham, Barclay T Stewart
{"title":"A Randomized Controlled Trial of Home-based Virtual Rehabilitation to Improve Adherence to Prescribed Home Therapy After Burn Injury: A Northwest Regional Burn Model System Trial.","authors":"Stephen H Sibbett, Gretchen J Carrougher, Caitlin M Orton, Jody I Sabel, Tonya Terken, Andrew Humbert, Aaron Bunnell, Nicole S Gibran, Tam N Pham, Barclay T Stewart","doi":"10.1093/jbcr/irae166","DOIUrl":"10.1093/jbcr/irae166","url":null,"abstract":"<p><p>Daily rehabilitation after burn injury is vital for the prevention of function-limiting contractures. However, adherence to prescribed therapy following acute burn hospitalization has historically been low and not well-studied. Studies involving virtual reality technology have demonstrated an association with improved functional outcomes in burn therapy. We conducted a 5-year randomized controlled trial comparing 12 weeks of a home-based virtual rehabilitation (HBVR) system with standard burn therapy. Our primary outcome was adherence to prescribed home therapy, measured by e-diary self-report. Secondary outcomes included steps walked daily and patient-reported outcomes regarding stiffness, upper extremity function, and mobility. We enrolled 50 subjects, of which 48 provided data for analysis (23 HBVR, 25 control). Overall adherence to prescribed home therapy was low, 37.2% in the HBVR group and 60.0% in the control group. Reasons for nonadherence in the HBVR group included lack of time, engagement, and replacement of therapy with other physical activity. However, some subjects enjoyed HBVR and believed it aided their recovery. There was no difference in daily steps walked between the 2 groups. Daily walking gradually improved from 3500 steps per day in the first week after baseline and plateaued at 6000 steps per day at week 5. There were no differences in stiffness, upper extremity function, and mobility between the 2 groups at baseline and 3-, 6-, and 12-month follow-up. Subjects demonstrated improved upper extremity function and mobility in the first year after discharge, which coincided with increasing stiffness.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"197-207"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072932","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
Letter to the Editor: The Potential Role of Cannabidiol (CBD) in Burn Care: Evidence and Future Directions. 大麻二酚(CBD)在烧伤护理中的潜在作用:证据与未来方向。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae188
Alan D Rogers
{"title":"Letter to the Editor: The Potential Role of Cannabidiol (CBD) in Burn Care: Evidence and Future Directions.","authors":"Alan D Rogers","doi":"10.1093/jbcr/irae188","DOIUrl":"10.1093/jbcr/irae188","url":null,"abstract":"","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"247"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390747","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 Influence of Muscle Wasting on Patient Outcomes among Burn Patients: A Burn Care Quality Platform Study. 肌肉萎缩对烧伤患者预后的影响:烧伤护理质量平台研究。
IF 1.5 4区 医学
Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae190
Elizabeth Blears, Andrew Murton, Julie Caffery
{"title":"The Influence of Muscle Wasting on Patient Outcomes among Burn Patients: A Burn Care Quality Platform Study.","authors":"Elizabeth Blears, Andrew Murton, Julie Caffery","doi":"10.1093/jbcr/irae190","DOIUrl":"10.1093/jbcr/irae190","url":null,"abstract":"<p><p>The hypermetabolism that occurs after large burns leads to muscle wasting that can result in weakness, difficulty fighting infections, and other challenges to healing. Overall, rates of muscle wasting are not well established across burn centers. The Burn Care Quality Platform (BCQP), the largest available dataset on burn patients globally, was used to explore the rate of Muscle Wasting using data collected from more than 100 burn centers. \"Muscle Wasting\" was defined from relevant ICD codes (sarcopenia, muscle cachexia, protein malnutrition). Binomial and logistic regression were used to analyze the role of Muscle Wasting in burn mortality and other outcomes after controlling for demographic and comorbid characteristics. In total, the BCQP provided data from 84 438 adult and pediatric burn patients injured between 2000 and 2018. Only 2.6% (N = 2159) of the patients in the BCQP were diagnosed with having Muscle Wasting at some point during their admission. While Muscle Wasting was not associated with a statistically significant impact on mortality, it remained an independent predictor of inability to discharge to independent living, longer inpatient days, as well as an average of 10 additional surgical procedures (P < .001 for all) as compared to patients who did not have Muscle Wasting. Muscle Wasting is an independent risk factor for several adverse outcomes in burn patients, but not mortality in the BCQP. Confidence in these findings would be improved with more accurate data collection, as the diagnosis of Muscle Wasting is likely under-reported, under-diagnosed, or both.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"75-81"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501092","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
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