Journal of Burn Care & Research最新文献_第8页

Trace Element Supplementation in Burn Patients: Exploring the Relationship Between Burn Size and Mineral Needs 烧伤患者的微量元素补充：探索烧伤面积与矿物质需求之间的关系

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-12 DOI: 10.1093/jbcr/irae175

Alexander Kurjatko, Colette Galet, Isaac Weigel, Justin Suarez, Lucy Wibbenmeyer

引用次数: 0

Venous Thromboembolism Incidence, Risk Factors, and Prophylaxis in Burn Patients: a National Trauma Database Study 烧伤患者的静脉血栓栓塞症发病率、风险因素和预防措施：国家创伤数据库研究

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-11 DOI: 10.1093/jbcr/irae171

Eloise W Stanton, Artur Manasyan, Callie M Thompson, Gourang P Patel, Alexandra M Lacey, Taryn E Travis, Sebastian Q Vrouwe, Clifford C Sheckter, Justin Gillenwater

{"title":"Venous Thromboembolism Incidence, Risk Factors, and Prophylaxis in Burn Patients: a National Trauma Database Study","authors":"Eloise W Stanton, Artur Manasyan, Callie M Thompson, Gourang P Patel, Alexandra M Lacey, Taryn E Travis, Sebastian Q Vrouwe, Clifford C Sheckter, Justin Gillenwater","doi":"10.1093/jbcr/irae171","DOIUrl":"https://doi.org/10.1093/jbcr/irae171","url":null,"abstract":"Comprehensive studies on the incidence, risk factors, and prophylactic measures related to venous thromboembolism (VTE) are lacking in burn care. This study characterizes VTE risk and existing prevention measures to improve and inform overall patient care in the field of burn care on a national scale. The US National Trauma Data Bank (NTDB) was queried from 2007 to 2021 to identify burn-injured patients. Descriptive statistics and multivariate regression analyses were used to explore the association between demographic/clinical characteristics and VTE risk as well as compare various VTE chemoprophylaxis types. There were 326,614 burn-injured patients included for analysis; 5,642 (1.7%) experienced a VTE event during their hospitalization. Patients with VTE were significantly older, had greater BMIs and %TBSA, and were more likely to be male (p&lt;0.001). History of smoking, hypertension or myocardial infarction, and/or substance use disorder were significant predictors of VTE (p&lt;0.001). Patients who received low molecular weight heparin (LMWH) were less likely to have VTE compared to patients treated with heparin when controlling for other VTE risk factors (OR: .564 95% CI .523-.607, p&lt;0.001). Longer time to VTE chemoprophylaxis (&gt;6 hours) initiation was significantly associated with VTE (OR=1.04 95% CI 1.03=1.07, p&lt;0.001). This study sheds light on risk factors and chemoprophylaxis in VTE to help guide clinical practice when implementing prevention strategies in burn patients. This knowledge can be leveraged to refine risk stratification models, inform evidence-based prevention strategies, and ultimately enhance the quality of care for burn patients at risk of VTE.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"26 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199639","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 Fractured Insurance Landscape of Laser Therapy for Scar Revision 激光疗法用于疤痕修复的保险格局支离破碎

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-11 DOI: 10.1093/jbcr/irae173

Matthew J Heron, Tyler R Reinoso, Julia M Dane, Siam K Rezwan, Sylvia Mack, Kristen P Broderick, Carisa M Cooney, Julie A Caffrey

{"title":"The Fractured Insurance Landscape of Laser Therapy for Scar Revision","authors":"Matthew J Heron, Tyler R Reinoso, Julia M Dane, Siam K Rezwan, Sylvia Mack, Kristen P Broderick, Carisa M Cooney, Julie A Caffrey","doi":"10.1093/jbcr/irae173","DOIUrl":"https://doi.org/10.1093/jbcr/irae173","url":null,"abstract":"Fractional laser therapy improves skin texture, range of motion, and quality of life for patients with traumatic scars. Nevertheless, anecdotal evidence suggests declining insurance coverage for laser therapy. We aimed to characterize the landscape of insurance coverage for fractional laser therapy present our six-year reimbursement trends. We cross-sectionally analyzed the 60 largest American health insurers by enrollee size and market share. For each, we identified their laser therapy policy for scar revision and extracted their documentation, prior, and continuing authorization requirements and treatment guidelines. We also collected retrospective institutional claims data from 2017 to 2022 to investigate trends in reimbursement. Of the 60 largest health insurers, we identified 11 (18.3%) policies on scar revision and 40 policies (66.7%) on reconstructive surgery, including scar revision. Nineteen policies considered laser therapy medically necessary with evidence of functional impairment refractory to prior treatment. Three insurers denied laser coverage under any circumstance. Of the 1,531 claims submitted by our institution for burn scar laser therapy, 13.8% were denied. Patients with Medicare (ORadj, 3.78) or Medicaid (ORadj, 2.80) had significantly greater odds of coverage than privately insured patients (p&lt;0.01). There was a 14.5% annual reduction in the odds of reimbursement during the study period (ORadj, 0.86, p &lt; 0.01). Laser therapy is a powerful treatment that is not widely available to patients with traumatic scars. Our institutional data suggest this access may be further eclipsed by decreasing trends in coverage since 2017. Strategies are needed to protect patient access to this life-changing treatment.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"87 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260985","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

Bromelain-Based Enzymatic Debridement Versus Standard of Care in Deep Burn Injuries: A Systematic Review and Meta-Analysis 基于菠萝蛋白酶的酵素清创与标准护理在深度烧伤中的应用：系统回顾与元分析

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-11 DOI: 10.1093/jbcr/irae172

Lucas Rezende de Freitas, Ofonime Chantal Udoma-Udofa, Pedro Henrique Reginato, Henrique Costa Mitsui, Henrique Provinciatto, Fabricio Carvalho Torres

{"title":"Bromelain-Based Enzymatic Debridement Versus Standard of Care in Deep Burn Injuries: A Systematic Review and Meta-Analysis","authors":"Lucas Rezende de Freitas, Ofonime Chantal Udoma-Udofa, Pedro Henrique Reginato, Henrique Costa Mitsui, Henrique Provinciatto, Fabricio Carvalho Torres","doi":"10.1093/jbcr/irae172","DOIUrl":"https://doi.org/10.1093/jbcr/irae172","url":null,"abstract":"Deep burn injuries necessitate effective debridement to promote healing and reduce complications. Traditional surgical debridement is the standard of care; however, it can lead to significant tissue loss, excessive bleeding and delayed healing. Bromelain-based enzymatic debridement offers a potential less invasive alternative that aims to selectively remove necrotic tissue while preserving viable ones. Therefore, this systematic review and meta-analysis comprehensively compares bromelain debridement versus standard care in the management of partial and full-thickness burns. Cochrane Library, Embase, and Medline were searched until May 30th, 2024 for studies comparing bromelain debridement versus standard care. R version 4.4.0 was used to pooled risk ratio and mean difference in a random-effects model. We included seven studies, comprising 484 participants, of whom 238 (49%) were treated with enzymatic debridement. Bromelain significantly reduced time to eschar removal (MD - 7.60 days 95% CI [-9.76, -5.44]; I² = 70%) in comparison with standard care. Additionally, bromelain group presented a significant reduction in the risk of surgical excision (RR 0.17; 95% CI [0.06, 0.47]; I² = 79%) and need for autografts (RR 0.40; 95% CI [0.18, 0.93]; I² = 76%) in comparison with standard group. No differences were found in behalf of time to wound closure (MD -7.64; 95% CI [-18.46]-[3.18]; I2 = 86%), nor in Modified Vancouver Scar Scale (MD -0.36; 95% CI [-0.96]-[0.23]; I2 = 0%). Bromelain-based enzymatic debridement may accelerate eschar removal and reduce the need for surgical excision and autografts, without adversely affecting wound closure time or long-term scar quality.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"10 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199638","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

'Hydrate While You Wait': A QI Intervention to apply pre-procedural oral hydration in burn surgery. 等待时补充水分"：在烧伤手术中进行术前口服补水的 QI 干预。

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-11 DOI: 10.1093/jbcr/irae169

J Cahill,A Van Osch,D Wallace,A D Rogers

引用次数: 0

Letter to the Editor: Multidrug-Resistant Organisms: The Silent Plight of Burn Patients. 致编辑的信耐多药生物：烧伤患者的无声困境。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-06 DOI: 10.1093/jbcr/irae120

Lindey C Lane, Lorraine A Todor, David M Hill

引用次数: 0

Recombinant Human Collagen Type III Improves Hypertrophic Scarring by Regulating the Ratio of Type I/III Collagen. 重组人Ⅲ型胶原蛋白通过调节Ⅰ型/Ⅲ型胶原蛋白的比例改善肥厚性瘢痕。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-06 DOI: 10.1093/jbcr/irae040

Li Lin-Hui, Zha Yuan-Yuan, Liu Ming-Yu, Hong Xu-Dong, Ding Yin-Jia, Zhou Yue, Fei Yang-Hong-Hong, Chen Ai-Fen, Zhang Xu-Dong, Chen Zheng-Li, Jin Jian

{"title":"Recombinant Human Collagen Type III Improves Hypertrophic Scarring by Regulating the Ratio of Type I/III Collagen.","authors":"Li Lin-Hui, Zha Yuan-Yuan, Liu Ming-Yu, Hong Xu-Dong, Ding Yin-Jia, Zhou Yue, Fei Yang-Hong-Hong, Chen Ai-Fen, Zhang Xu-Dong, Chen Zheng-Li, Jin Jian","doi":"10.1093/jbcr/irae040","DOIUrl":"10.1093/jbcr/irae040","url":null,"abstract":"Hypertrophic scar development is a complication associated with wound healing, impacting local appearance and function. The type I/III collagen ratio affects the extent of hypertrophic scarring; a reduced ratio can ameliorate this. In this study, recombinant human collagen type III was developed. Liquid chromatography-tandem mass spectrometry was used to determine its amino acid sequence and confirm its high level of homology with natural human type III collagen. Recombinant human collagen type III displayed no cytotoxicity and did not confer skin irritation and sensitization. Immunofluorescence and western blot analyses of histidine following incubation with fibroblasts suggested cell entry of recombinant human collagen type III. Furthermore, recombinant human collagen type III promoted the synthesis of the natural type III collagen in fibroblasts, resulting in a more obvious increase of type III collagen content in fibroblasts than that of type I collagen, and then decreased the ratio of type I/III collagen. The results of 5-ethynyl-2'-deoxyuridine staining assay suggested enhanced fibroblast proliferation. Following local injection of recombinant human collagen type III, rabbit ear scarring was significantly reduced after 60 days. Vancouver Scar Scale evaluation showed that all index scores were significantly reduced. Western blotting and Picro-Sirius red staining showed that the natural type III collagen increase in scar tissue was greater than that of type I collagen, decreasing the type I/III ratio. In summary, recombinant human collagen type III can be taken up by fibroblasts and promote natural collagen synthesis-especially that of type III-thereby reducing the type I/III ratio and improving hypertrophic scarring.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1269-1273"},"PeriodicalIF":1.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110348","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

Fascia Iliaca Catheters for Donor Site Pain After Split-Thickness Skin Grafting for Acute Burn Injury: A Retrospective Review. 髂筋膜导管治疗急性烧伤分层植皮术后供皮部位疼痛：回顾性研究。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-06 DOI: 10.1093/jbcr/irae052

Usha Saldanha, Robin Aldwinkle, Amy Chen, Snehal Raut, Deepthi Penta, Yakelin Arroyo Valazquez, Soman Sen

{"title":"Fascia Iliaca Catheters for Donor Site Pain After Split-Thickness Skin Grafting for Acute Burn Injury: A Retrospective Review.","authors":"Usha Saldanha, Robin Aldwinkle, Amy Chen, Snehal Raut, Deepthi Penta, Yakelin Arroyo Valazquez, Soman Sen","doi":"10.1093/jbcr/irae052","DOIUrl":"10.1093/jbcr/irae052","url":null,"abstract":"The management of acute burn pain poses significant challenges. Regional techniques have become increasingly popular in perioperative burn pain management. Continuous nerve block catheters are particularly useful for split-thickness skin grafts where donor site pain can exceed that of the burn-injured site. Donor skin is frequently harvested from the anterolateral thigh. The fascia iliaca (FI) compartment block provides blockade of both the lateral femoral cutaneous nerve and the femoral nerve, and thus, it is a useful modality for burn donor pain. Our institution initiated a protocol in which continuous FI catheters were placed in patients undergoing split-thickness skin grafting of the anterolateral thigh. This retrospective review seeks to assess the impact of this modality on postoperative pain scores and opioid requirements. Oral morphine equivalent (OME) administration was significantly lower in the FI group than the control group, starting with POD 0, which is the day of the FI catheter insertion (188 vs 327 mg, P < .001). Over the next 4 postoperative days (PODs), OME administration remained lower in the FI group compared to control patients, although not statistically significant on PODs 3-4. There was a significant difference in OME administered between the FI group and the control group on POD 5 (159.5 vs 209.2 mg, P < .05). Our retrospective study evaluating the role of FI catheters in burn patients undergoing split-thickness skin grafting surgery showed significantly lower opioid consumption on PODs 1-5 compared to patients without an FI catheter.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1302-1309"},"PeriodicalIF":1.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174863","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 Current Pattern of Pediatric Burn Injuries in an Australian Major Burns Center. 澳大利亚一家主要烧伤中心目前的小儿烧伤模式。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-06 DOI: 10.1093/jbcr/irae015

Sophie Yi Yu Mok, Susan Elizabeth Adams, Andrew John Anderson Holland

{"title":"The Current Pattern of Pediatric Burn Injuries in an Australian Major Burns Center.","authors":"Sophie Yi Yu Mok, Susan Elizabeth Adams, Andrew John Anderson Holland","doi":"10.1093/jbcr/irae015","DOIUrl":"10.1093/jbcr/irae015","url":null,"abstract":"Burns are a common mechanism of pediatric injury worldwide and a notable cause of disability-adjusted life-years. Burns in children represent a unique challenge due to the differences from adults regarding physical characteristics, physiology, and psychology. This retrospective cohort study examined trends of pediatric burns in New South Wales (NSW), Australia, from 2010 to 2022. It specifically focused on the changes in burn etiology and patient characteristics, body area affected, TBSA, first aid, location, and management. It also compared a \"Pre-COVID-19\" and \"Peri-COVID-19\" era to analyze the impact of COVID-19 on the pattern of pediatric burns, as children are at higher risk of injury during times of social disruption. The study found that burns in children continue to be concentrated in the toddler and preschooler age group, and the main mechanisms of injury remain as scald and contact burns. In recent years, there has been a rising trend of friction burns, alongside a fall in flame burns and severe burns. Management of pediatric burns has also evolved, with predominant use of ambulatory care and low rates of admission and operative intervention. Trends in burn injury continue to evolve with time, and over the last decade in NSW, key changes in the pattern of pediatric burns have been observed, with evolving mechanisms of injury, reduced severity of burns, and a shift toward ambulatory care.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1207-1216"},"PeriodicalIF":1.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139642205","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

Epilepsy as a Cause of Burns: Our Experience in Ain Shams University Burn Unit. 癫痫是烧伤的诱因：艾因夏姆斯大学烧伤科的经验。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-06 DOI: 10.1093/jbcr/irae045

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

{"title":"Epilepsy as a Cause of Burns: Our Experience in Ain Shams University Burn Unit.","authors":"Amr Mabrouk, Mai Raafat Hammad, Adel Mabrouk, Mohamed Samir Badawy","doi":"10.1093/jbcr/irae045","DOIUrl":"10.1093/jbcr/irae045","url":null,"abstract":"Lack of patient education, and unaffordable or inaccessible medications, especially in low- and middle-income countries such as Egypt, leave patients with epilepsy at a higher risk of suffering burn-related injuries, especially with the unpredictable nature of seizures, which leads to accidental burns. We present this study to investigate all epileptic patients whose seizures were involved in the burn injury who presented to the Ain Shams University Burn Unit from January 2019 to July 2022, examining the epidemiology and outcome. A total of 369 burn patients were admitted to out unit during the study period (1st of January 2019 to 31st of July 2022), 5 (1.35%) of which sustained the burn during an epileptic seizure. The parameters assessed were patient demographics, location where burn injury occurred, type and extent of burns, treatment and hospital stay, and morbidity/ mortality rates. The mean age was 24.6 years. A total of 80% lived in low-income areas. Scalding was the most common cause followed by flame. The mean total body surface area and full-thickness burned surface area were 16.2% and 8.6%, respectively. The mean hospital stay was 34.4 days. None of the patients died. However, 1 case had to have an above-elbow amputation.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1279-1280"},"PeriodicalIF":1.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140140313","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