Journal of Burn Care & Research最新文献_第9页

A Comprehensive Tool to Support Family Physicians and Burn Survivors in the Provision of Long-term Burn Survivor Care. 一个全面的工具，以支持家庭医生和烧伤幸存者提供长期烧伤幸存者护理。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf062

Anna Tian, Stephanie Chan, Marguerite Nolin, Béatrice Hébert, Zoë Edger-Lacoursière, Elisabeth Marois-Pagé, Stephanie Jean, Bernadette Nedelec

{"title":"A Comprehensive Tool to Support Family Physicians and Burn Survivors in the Provision of Long-term Burn Survivor Care.","authors":"Anna Tian, Stephanie Chan, Marguerite Nolin, Béatrice Hébert, Zoë Edger-Lacoursière, Elisabeth Marois-Pagé, Stephanie Jean, Bernadette Nedelec","doi":"10.1093/jbcr/iraf062","DOIUrl":"https://doi.org/10.1093/jbcr/iraf062","url":null,"abstract":"Healthcare professionals increasingly recognize major burn injuries as a chronic condition due to their persistent and long-term health implications. The increasing survival rates and longer lifespans of burn survivors (BS) require general practitioners (GPs) to meet their long-term, potentially complex care. This project investigated the perceived need for a Knowledge Translation (KT) tool, and the content required, to optimize long-term support for BS by making best practices resources more accessible to their GPs. This mixed-method study assessed the perceived needs of BS and the current GP practices regarding BS follow-up. Survey data was gathered from GPs and BS. Additionally, a focus group was held with expert burn care clinicians. The results were analyzed using descriptive quantitative and qualitative methods and the findings triangulated. The common themes revealed the need for information about holistic care for BS across their illness trajectory. 94% of GPs reported a lack of confidence treating BS who wanted information regarding co-morbidities, psychosocial support, and symptom management, particularly related to scars (79-94%). BS reported symptoms which interfere with their daily activities: (i.e. scar-related (75%), pain (57.5%), stiffness (52.5%), weakness (55%), fatigue (65%), psychosocial (55%) and cognitive issues (35%)). The KT tool generation was based on the amalgamated findings. This study revealed a consensus amongst BS, GPs, and expert clinicians that there was a need for a learning resource for GPs to support their role in providing BS long-term follow-up care. The resulting KT tool will enable GPs to bridge their knowledge gaps through user-friendly links to BS-relevant resources.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970511","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 and the E-scooter: an evolving trend. 摩擦烧伤和电动滑板车：一个不断发展的趋势。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf060

Dulan A Gunawardena, Jeremy M Rawlins

{"title":"Friction Burns and the E-scooter: an evolving trend.","authors":"Dulan A Gunawardena, Jeremy M Rawlins","doi":"10.1093/jbcr/iraf060","DOIUrl":"https://doi.org/10.1093/jbcr/iraf060","url":null,"abstract":"Emerging as a cost-effective, convenient, and environmentally friendly mode of transportation, electric scooters (e-scooters) have become ubiquitous across metropolitan hubs. Regulation varies between States but typically mandates helmets, complying with age-related speed limits, and not being under the influence of alcohol and illicit substances. Given the difficulty of enforcing these restrictions and the ease of manoeuvring through different road infrastructure, riders, and those around them, are vulnerable to trauma. With many e-sooters reaching speeds exceeding 25km/hour, collisions can result in friction burns when riders collide with hard surfaces such as roads. The aims of this project were to describe the profile of friction burns associated with e-scooters referred to Western Australia's burns units. A retrospective review of e-scooter related friction burns recorded within Western Australia's burns units was undertaken between January 2019 and July 2023. Data collected included demographics, injury profile, abrasion characteristics and management. Between 2019 and 2023, 30 e-scooter related burns were identified. Most friction burns resulted from non-collision events (76.7%) such as falls, with the upper limbs most commonly involved (31.8%). Ninety-three percent of burns involved a total body surface area of less than 5%, with most being mid-dermal in depth (63.3%). Friction burns are an emerging injury among e-scooter riders and, given the popularity of this method of transport, warrant targeted injury prevention countermeasures. Whilst these burns are not usually severe, further prospective research is needed to understand the nature of events leading to them.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005588","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

Development for the Teen-Aged Life Impact Burn Recovery Evaluation (TA-LIBRE12-19) Profile. 青少年生活冲击烧伤恢复评估（TA-LIBRE12-19）概况的发展。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf058

Khushbu F Patel, Madeleine B McGwin, Mary D Slavin, Kate E Surette, Jeffrey C Schneider, Michael J Murphy, Frederick J Stoddard, Lewis E Kazis, Colleen M Ryan

{"title":"Development for the Teen-Aged Life Impact Burn Recovery Evaluation (TA-LIBRE12-19) Profile.","authors":"Khushbu F Patel, Madeleine B McGwin, Mary D Slavin, Kate E Surette, Jeffrey C Schneider, Michael J Murphy, Frederick J Stoddard, Lewis E Kazis, Colleen M Ryan","doi":"10.1093/jbcr/iraf058","DOIUrl":"https://doi.org/10.1093/jbcr/iraf058","url":null,"abstract":"Advances in clinical burn management have led to emphasis on using assessments in clinics. Outcome measures are important to assess the effectiveness of interventions, and support integration back into the community. A more granular measure with advanced psychometrics capability using computer adaptive tests (CAT)) is needed. The current study developed a conceptual model as the first step in creating a new measurement tool for teen burn survivors aged 12 to 19 years, inclusively. To identify outcomes important in assessment of burn recovery, focus groups of clinicians, teens, and their parents were conducted until thematic saturation was reached. Each focus group transcript was analyzed using deductive and inductive approaches to identify and categorize content. Findings were used to validate the model and ensure adequate domain coverage. The TA-LIBRE12-19 conceptual model includes Activity (Mobility, Physical Self-care, General Tasks, Experience of Self, and Learning and Applying Knowledge) and Participation (Major Life Areas, Interpersonal Interactions and Relationships, and Engagement). Eighteen participants completed the study. Clinician's median age was 47 years, (90% female and 80% white); teens' median age was 14 years (62% female and 75% white). Burn size ranged from 0.25 - 60% total body surface area. Focus group content was coded a total of 1,138 times during the analysis. Outcome areas most impacted include Experience of Self, Interpersonal Interactions and Relationships, and Symptoms (372, 282, and 112 codes respectively). A well informed credible conceptual model was developed with a solid foundation of domains consisting of Activity and Participation.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997969","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

What You Wear Underneath Your Gear Matters. 你在你的装备下面穿什么很重要。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf056

Michael J Feldman, Gerald E Pruden, Joshua Petteway, Denise N Statham, Prabhu Senthil-Kumar

{"title":"What You Wear Underneath Your Gear Matters.","authors":"Michael J Feldman, Gerald E Pruden, Joshua Petteway, Denise N Statham, Prabhu Senthil-Kumar","doi":"10.1093/jbcr/iraf056","DOIUrl":"https://doi.org/10.1093/jbcr/iraf056","url":null,"abstract":"Protecting firefighters from burn injury risk is a top priority. Having standards ensures the different types of gear adequately meet performance requirements. The National Fire Protection Association (NFPA) standards, NFPA 1971, Standard on Protective Ensembles for Structural Firefighting and Proximity Firefighting, and NFPA 1977, Standard on Protective Clothing and Equipment for Wildland Firefighting and Urban Interface Firefighting, focus on the performance of firefighter protective clothing worn in structural and wildland scenarios respectively, but do not mandate what garments are worn next to the skin. Anecdotal evidence suggests that what firefighters wear under their gear can impact burn injury, but minimal scientific data is available to support these findings. Our study aims to test the effect of different undergarments in realistic flashover events on a test manikin. Manikins were outfitted with sensors to measure the effects of a flashover environment and underwent a review by a verified burn center team to correlate manikin damage to injuries that would occur in a real event. The study focuses on understanding how the increased use of synthetic undergarments affects firefighter safety. This research is vital as firefighters often wear synthetic undergarments without the ability to change quickly during unpredictable incidents, and previous findings may not be applicable to their experiences.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985137","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

Concerns Regarding the Use of Negative Pressure Wound Therapy After Fasciotomy for Compartment Syndrome. 筋膜切开术后负压伤口治疗筋膜间室综合征的关注。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf066

Dr Alan Rogers, Dr David Wallace

引用次数: 0

A National Multi-Center Analysis of the Epidemiology of Pediatric Facial Injuries from Fireworks. 儿童烟花面部损伤流行病学的全国多中心分析。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf065

Aidin Gharavi, Chase Lueder, Andy Tom, Sergio M Navarro

{"title":"A National Multi-Center Analysis of the Epidemiology of Pediatric Facial Injuries from Fireworks.","authors":"Aidin Gharavi, Chase Lueder, Andy Tom, Sergio M Navarro","doi":"10.1093/jbcr/iraf065","DOIUrl":"https://doi.org/10.1093/jbcr/iraf065","url":null,"abstract":"Firework injuries remain a significant public health concern, with an estimated 9,700 injuries reported in 2023. This study examines trends in pediatric facial injuries from fireworks over the past decade using the National Electronic Injury Surveillance System (NEISS). Pediatric cases from 2014-2023 were identified using the fireworks consumer code (1313) and filtered for facial injuries (body part code 76). Data was analyzed using chi-square tests to assess significance and logistic regression to evaluate trends. An estimated 4,625 pediatric facial injuries from fireworks presented to emergency departments (ED) nationwide from 2014-2023. Among cases (n = 177), 68.4% were male and 31.6% were female. Thermal burns (60.5%), lacerations (15.3%), and contusions/abrasions (11.9%) were the most common injuries. Males were more likely to be injured than females (p-value: < 0.001). Overall, 17.5% of injuries required hospitalization or transfer. Older children were significantly more likely to sustain injuries requiring hospitalization (Odds Ratio [OR]: 1.13, 95% CI: 1.04-1.23, p = 0.005). Younger children had higher odds of sparkler-related injuries, although the risk rapidly decreased with age (OR: 0.76, 95% CI: 0.68-0.86, p < 0.001). Our results show fireworks continue to cause significant pediatric facial injuries, with thermal burns being the most common diagnosis, and nearly one in five facial injuries from fireworks requiring hospitalization. Efforts to reduce facial injuries from fireworks should focus on minimizing the risk of injury in younger children while ensuring safety protocols are in place to address more significant injuries in older children.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982347","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

Response to Letter to the Editor Concerning "Caregivers and Clinic Providers View Soft Casts for Pediatric Hand Burns as Acceptable and Feasible: A Mixed Methods Survey". 关于“护理人员和诊所提供者认为小儿手部烧伤软石膏是可接受和可行的：一项混合方法调查”的致编辑的回复。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-24 DOI: 10.1093/jbcr/iraf036

Jennifer M Schuh, Leanna L Shaman, Katherine T Flynn-O'Brien

引用次数: 0

Time to Thrombolytics and Tissue Salvage: Assessing Response Following Severe Frostbite Injury. 到溶栓和组织挽救的时间：评估严重冻伤后的反应。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-22 DOI: 10.1093/jbcr/iraf051

Rachel M Nygaard, Emily Colonna, Rediat A Tilahun, Charly Vang, Gopal Punjabi, Alexandra Lacey, Kyle Schmitz, Derek C Lumbard

{"title":"Time to Thrombolytics and Tissue Salvage: Assessing Response Following Severe Frostbite Injury.","authors":"Rachel M Nygaard, Emily Colonna, Rediat A Tilahun, Charly Vang, Gopal Punjabi, Alexandra Lacey, Kyle Schmitz, Derek C Lumbard","doi":"10.1093/jbcr/iraf051","DOIUrl":"https://doi.org/10.1093/jbcr/iraf051","url":null,"abstract":"Approximately 30% of severe frostbite injuries result in amputation. Thrombolytic therapy is used to reduce tissue loss following severe frostbite injury. This study evaluates factors impacting effectiveness of thrombolytics using post-treatment perfusion imaging and amputation level as outcome measures. We hypothesize that categorizing thrombolytic-treated patients into full, partial, and non-responders enables a nuanced evaluation of treatment effectiveness. A prospectively maintained frostbite database was reviewed for patients with post-rewarming perfusion deficits measured by Tc99 scans who received IV thrombolytics. Of 131 patients, 71% were full responders, 23.7% partial responders, and 5.3% non-responders for surgical outcome. The median time to thrombolytics was 5.5 hours (range 1-14.5) for full responder; 7 hours (range 3.5-14) for partial responder; and 10 hours (range 1.5-11.5) for non-responders. Full responders exhibited smaller initial perfusion deficits. Psychosocial or comorbid factors were not significantly different across groups. Non-response was associated with longer time to thrombolytics, larger perfusion deficits, and cellulitis/infection. Using imaging outcomes to reduce confounding by infection, 93 patients were evaluated: 28% were full responders, 57% partial responders, and 15% non-responders. Full responders for imaging outcome corresponded with surgical outcomes and had no amputations, while 37.7% of partial responders and 42.9% of non-responders on imaging outcome had amputations. This study is the largest to evaluate thrombolytic outcomes in severe frostbite injured patients, proving new insight into thrombolytics responses and a novel assessment of thrombolytic treatment efficacy. These findings underscore the importance of timely thrombolytic administration and demonstrate benefits for patients treated outside the standard thrombolytics treatment windows.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001719","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 Process to add Long Term Outcomes into the American Burn Association's Burn Registry - Feasibility to Bridge the Gap. 将长期结果加入美国烧伤协会烧伤登记的过程-弥合差距的可行性。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-20 DOI: 10.1093/jbcr/iraf053

Claudia C Malic, Plastic Surgeon, Thereasa Abrams, Adam J Singer, Joan Webber, Heidi Altamirano, Farrah Parker, David T Harrington

{"title":"A Process to add Long Term Outcomes into the American Burn Association's Burn Registry - Feasibility to Bridge the Gap.","authors":"Claudia C Malic, Plastic Surgeon, Thereasa Abrams, Adam J Singer, Joan Webber, Heidi Altamirano, Farrah Parker, David T Harrington","doi":"10.1093/jbcr/iraf053","DOIUrl":"https://doi.org/10.1093/jbcr/iraf053","url":null,"abstract":"Background: Burn registries play a crucial role in enhancing the understanding of burn epidemiology and improving clinical care. However, they often lack comprehensive data on post-discharge outcomes when patients transition to outpatient care. This study aimed to initiate the expansion of the American Burn Association's registry to include long-term outcomes for patients receiving outpatient follow-up post-discharge.Materials and methods: The Quality of Burn Registry (QBR) Outpatient Work Group identified nine key long-term outcomes-five clinical and four psychosocial-to track after discharge from burn centers. An alpha pilot study was conducted with seven verified burn centers, collecting data on enrolled patients over 12 months in three-month intervals. A subsequent beta pilot involved ten centers, each monitoring five patients across five predefined cohorts.Results: The alpha pilot enrolled 29 patients, revealing variable documentation and data retrieval times of up to 15 minutes per patient. The beta pilot encompassed 200 patients and recorded 1,417 appointments, averaging 7.1 visits per patient. Notably, 25% of patients were lost to follow-up, and 22% were discharged from care within 12 months. Follow-up visits were most concentrated in the first three months (53.6%).Discussion: This study represents a pioneering effort to systematically collect long-term outcomes for major burn injury survivors during the first year post-discharge. The findings will support ongoing improvements in best practices for burn care and enhance continuity between inpatient and outpatient monitoring, ultimately benefiting quality improvement initiatives for burn-injured patients in the future.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965706","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

Physical and Psychosocial Outcome Comparisons in Similar Groups of Pediatric Burn Patients in the US and Mexico: A National Institute on Disability, Independent Living, and Rehabilitation Research Burn Model System Study. 美国和墨西哥儿童烧伤患者相似组的生理和心理结局比较：国家残疾、独立生活和康复研究所烧伤模型系统研究

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-20 DOI: 10.1093/jbcr/iraf052

Alexander Kowalske, Amanda Stubbs, Kimberly Roaten, Sarah Stoycos, Kara McMullen, Karen Kowalske

{"title":"Physical and Psychosocial Outcome Comparisons in Similar Groups of Pediatric Burn Patients in the US and Mexico: A National Institute on Disability, Independent Living, and Rehabilitation Research Burn Model System Study.","authors":"Alexander Kowalske, Amanda Stubbs, Kimberly Roaten, Sarah Stoycos, Kara McMullen, Karen Kowalske","doi":"10.1093/jbcr/iraf052","DOIUrl":"https://doi.org/10.1093/jbcr/iraf052","url":null,"abstract":"Previous research has shown that 20 percent of pediatric massive burn survivors experience impairment in long-term physical function and psychosocial distress.1 Pediatric patients from the United States and Mexico with major burns likely receive similar care during the initial hospitalization given that many US burn centers treat children with injuries from Mexico. However, follow-up care may differ, possibly impacting physical and psychosocial outcomes. This retrospective cohort study investigated differences in psychological and physical outcomes between pediatric burn patients residing in the US and those residing in Mexico. Analysis included 100 patients, aged 8-17 years, residents of the US or Mexico, who were hospitalized for burn injuries between 2015 and 2023 and enrolled in the Burn Model System database. Patient-Reported Outcomes Measures Information System measures of physical and psychological functioning were analyzed. Using univariate analyses, there was a significant difference in severity of burns, with the patients from Mexico having greater total surface area of burn and increased likelihood of amputation. Differences in mechanism of burn, length of hospital stay, and ventilator days were not statistically significant when controlled for TBSA. Linear regression analyses examining the association between physical outcomes and country of residence (controlling for age, sex, TBSA, etiology of burn, and amputation) showed a significant difference in physical function outcomes at 6 months (p=0.012) but no difference in fatigue, pain interference, or pain intensity. Analysis of psychosocial outcomes showed no significant difference in anger, depression, anxiety, or peer relationships at 6 months.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016197","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