The Journal of burn care & rehabilitation最新文献_第4页

The association between sex and mortality among burn patients as modified by age. 性别与烧伤患者死亡率之间的关系随着年龄的变化而改变。

The Journal of burn care & rehabilitation Pub Date : 2005-09-01 DOI: 10.1097/01.bcr.0000176888.44949.87

Richard L George, Gerald McGwin, Martin G Schwacha, Jesse Metzger, James M Cross, Irshad H Chaudry, Loring W Rue

{"title":"The association between sex and mortality among burn patients as modified by age.","authors":"Richard L George, Gerald McGwin, Martin G Schwacha, Jesse Metzger, James M Cross, Irshad H Chaudry, Loring W Rue","doi":"10.1097/01.bcr.0000176888.44949.87","DOIUrl":"https://doi.org/10.1097/01.bcr.0000176888.44949.87","url":null,"abstract":"Although an increased risk of death among female patients suffering thermal injury has been noted, the differential influence of age has received little attention. Because experimental evidence suggests that sex hormones influence the immune response to thermal injury, an age-related sex influence on patient mortality is biologically plausible as the hormone milieu changes with the onset of menopause. The goal of this study was to estimate the association between sex and mortality after thermal injury in a large, population-based sample. The National Trauma Data Bank yielded data for more than 6200 burn patients 20 years of age or older. Logistic regression was used to calculate mortality odds ratios (OR) with 95% confidence intervals (CIs) for men relative to women, both overall and by age. Adjustments for age, race, burn etiology, percent body surface area burned, comorbid conditions, and inhalation injury were performed. For the overall study population, the adjusted risk of death was approximately 30% lower for males (OR 0.67, 95% CI 0.52-0.87). Within age strata, the adjusted association was statistically significant only in those aged 20 to 34 years (OR 0.45; 95% CI 0.24-0.87); 35 to 49 years (OR 0.71; 95% CI 0.39-1.30); 50 to 64 years (OR 0.55; 95% CI 0.31-1.00); and 65 years or older (OR 0.85; 95% CI 0.57-1.27). The results of the present study not only indicate that women have an increased odds of mortality after thermal injury but also demonstrate a differential effect of age on the association between sex and mortality. On the basis of the findings of the present study as well as the results of experimental studies, further clinical research is needed to investigate the impact of sex hormones on mortality among burn patients.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 5","pages":"416-21"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000176888.44949.87","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25291766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 69

A cross-cultural study of perceived stress among parents of children with large burn injuries: a comment on Rose et al. 大面积烧伤患儿父母感知压力的跨文化研究:对Rose等人的评论。

The Journal of burn care & rehabilitation Pub Date : 2005-09-01 DOI: 10.1097/01.bcr.0000176884.02091.d0

Brett D Thombs, James A Fauerbach

引用次数: 1

Adult campfire burns: two avenues for prevention. 成人营火烧伤:两种预防途径。

The Journal of burn care & rehabilitation Pub Date : 2005-09-01 DOI: 10.1097/01.bcr.0000176880.48371.6a

Matthew B Klein, David M Heimbach, Shari Honari, Loren H Engrav, Nicole S Gibran

引用次数: 18

Outpatient firefighter burn injuries: a 3-year review. 门诊消防员烧伤:3年回顾。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169898.48655.7f

Angela Rabbitts, Nicole E Alden, Marie Scalabrino, Roger W Yurt

{"title":"Outpatient firefighter burn injuries: a 3-year review.","authors":"Angela Rabbitts, Nicole E Alden, Marie Scalabrino, Roger W Yurt","doi":"10.1097/01.bcr.0000169898.48655.7f","DOIUrl":"https://doi.org/10.1097/01.bcr.0000169898.48655.7f","url":null,"abstract":"Previously, our Burn Center at the New-York Presbyterian/Weill Cornell Medical Center reported a decline during a 10-year period in the number of firefighters requiring hospitalization for burn injuries, from 53 patients per year to 15 patients per year. Because the incidence of structural fires continued at a constant rate of 26,240 to 30,841 per year during this time, it was postulated that an improvement in protective gear accounted for the decrease in injuries. However, it also was possible that more firefighters were being treated on an outpatient basis. Therefore, our Burn Center's outpatient treatment of firefighter burn injuries was reviewed to determine the epidemiology of firefighter burn injuries. On the basis of this study, the overall incidence of burn injuries in firefighters has continued at a constant level. These findings, however, demonstrate that the extent of injury has decreased in this population and suggest that the protective gear used by firefighters has contributed to these findings. These injuries, although minor to moderate, preclude the use of personal protective equipment until the burns are completely healed and contribute to a delayed return to full-duty status. These findings are consistent with nationally reported findings.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"348-51"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000169898.48655.7f","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

An unusual burn injury caused by a car battery. 由汽车电池引起的不寻常的烧伤。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000170277.57444.2c

Mustafa Nisanci, Mustafa Sengezer, Muzaffer Durmuş

引用次数: 6

Epidemiology of scalds in vulnerable groups in New South Wales, Australia, 1998/1999 to 2002/2003. 1998/1999年至2002/2003年澳大利亚新南威尔士州弱势群体烫伤流行病学研究

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000170501.03520.ac

Soufiane Boufous, Caroline Finch

引用次数: 10

Social support correlates with survival in patients with massive burn injury. 社会支持与大面积烧伤患者的生存相关。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169894.37249.4d

Pornprom Muangman, Stephen R Sullivan, Shelley Wiechman, Gregory Bauer, Shari Honari, David M Heimbach, Loren H Engrav, Nicole S Gibran

{"title":"Social support correlates with survival in patients with massive burn injury.","authors":"Pornprom Muangman, Stephen R Sullivan, Shelley Wiechman, Gregory Bauer, Shari Honari, David M Heimbach, Loren H Engrav, Nicole S Gibran","doi":"10.1097/01.bcr.0000169894.37249.4d","DOIUrl":"https://doi.org/10.1097/01.bcr.0000169894.37249.4d","url":null,"abstract":"Large burn size, inhalation injury, age, and associated trauma increase the rate of mortality after burns. However, not all patients with large burns and significant risk factors die. In this study, we wanted to determine other presenting factors that might indicate a survival benefit for burn patients with large burns. We reviewed charts of 36 patients with burns > or =60% TBSA that were aggressively resuscitated at the University of Washington Burn Center from 1990 to 2000 to determine whether survivors of large burns exhibit presenting variables that predict survival. Patients who had comfort care measures initiated at admission were excluded from this analysis. Survivors (n = 16) and nonsurvivors (n = 20) had no significant differences in age, total burn size, inhalation injury, or need for escharotomy. Full-thickness burn size was significantly smaller for survivors (58%) than for nonsurvivors (73%; P = .02). Survivors (81%) were more likely than nonsurvivors to have social support (35%; P = .007). A full-thickness burn > or =80 % TBSA was the only variable uniformly associated with mortality, suggesting that patients who survive large burns have a partial-thickness component that heals without surgery. The difference in degree of social support was one unique distinction that may impact patient survival and is worth further investigation.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"352-6"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000169894.37249.4d","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 37

Comparison of positive pressure gloves on hand use in uninjured persons. 正压手套在未受伤人员手部使用的比较。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169888.47327.00

Kimberly A O'Brien, Gwen Weinstock-Zlotnick, Juan Sanchez, Delia Gorga, Roger Y W Yurt

{"title":"Comparison of positive pressure gloves on hand use in uninjured persons.","authors":"Kimberly A O'Brien, Gwen Weinstock-Zlotnick, Juan Sanchez, Delia Gorga, Roger Y W Yurt","doi":"10.1097/01.bcr.0000169888.47327.00","DOIUrl":"https://doi.org/10.1097/01.bcr.0000169888.47327.00","url":null,"abstract":"The purpose of this study was to examine functional hand use in uninjured adults when wearing a standard, custom-made pressure glove (SPG) as compared with a glove with select placement of suede, The New York-Presbyterian Dexterity Glove (NYPDG) (patent pending). Thirty-four participants received a custom SPG and NYPDG in a randomized order. Gloves were worn for one day during all activities of daily living (ADL). Hand function, difficulty of fine and gross motor ADL, and participant glove preference were assessed. The process was repeated approximately 1 week later with the remaining glove incorporating a quasi-experimental, repeated measure design. Data were analyzed using a crossover design. Results were significant in favor of the NYPDG in all of the four outcome categories: time to complete the Jebsen, the Jebsen Likert scale, fine motor ADL, and gross motor ADL. In conclusion, this study demonstrated that functional tasks were faster and easier to perform when using the NYPDG.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"363-8; discussion 362"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000169888.47327.00","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Preinjury behavioral and emotional problems among pediatric burn patients. 儿童烧伤患者伤前行为和情绪问题。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169890.84175.dd

Carrie Piazza-Waggoner, Christa Dotson, C D Adams, K Joseph, I W Goldfarb, H Slater

{"title":"Preinjury behavioral and emotional problems among pediatric burn patients.","authors":"Carrie Piazza-Waggoner, Christa Dotson, C D Adams, K Joseph, I W Goldfarb, H Slater","doi":"10.1097/01.bcr.0000169890.84175.dd","DOIUrl":"https://doi.org/10.1097/01.bcr.0000169890.84175.dd","url":null,"abstract":"Standardized behavior rating scales have been used in the routine care of children during medical visits because they provide an objective, norm-based index for the child's behavioral functioning. The purpose of this study was to examine behavior problems among children (aged 2.5-18 years) with burn injuries using the Behavioral Assessment System for Children, a multi-informant system of standardized rating scales that assesses clinical and adaptive behavior areas. Parents and youth (ages 8-18) completed the Behavioral Assessment System for Children with reference to the pediatric patient's behavioral functioning before hospital admission for a burn injury. In total, data were collected on 94 children. Results suggested that a substantial portion of the sample endorsed significantly elevated levels of behavioral difficulties across a broad range of problem behaviors. On the basis of parent report, preschoolers exhibited concerns related to hyperactivity, anxiety, aggression, and attention problems, whereas school-aged children were reported to have these same concerns as well as depression and conduct problems. Twenty percent of our adolescent sample (ages 12-18 years) were described to be experiencing even more internalizing and externalizing behavior problems relative to the two groups of their younger counterparts. Boys were found to contribute to the cause of their burn injury significantly more often than girls. The strengths, limitations, and clinical implications of our findings are discussed.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"371-8; discussion 369-70"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000169890.84175.dd","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25180387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Review of Preinjury Behavioral and Emotional Problems Among Pediatric Burn Patients 儿童烧伤患者伤前行为和情绪问题研究综述

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.BCR.0000169892.54444.04

Brad Jackson

引用次数: 0