International Journal of Burns and Trauma最新文献

{"title":"Microbial species isolation and antimicrobial resistance patterns of burn wounds infections in a tertiary care hospital.","authors":"Afsheen Naser, Abdul Wajid, Shafi Ullah, Muhammad Anwar, Quratulain Maqsood, Abeera Abid, Asif Raheem, Asma Yousafzae, Rameez Ishaq, Gohram Malghani, Andleeb Batool, Tanveer Hussain","doi":"10.62347/BROS4028","DOIUrl":"10.62347/BROS4028","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial resistance is a focus of global interest in the treatment of wound infections. The growing antimicrobial resistance, particularly in burn wound infections, poses a serious challenge, highlighting the need to understand pathogen distribution and drug susceptibility patterns.</p><p><strong>Objectives: </strong>This study aimed to identify the pathogens responsible for burn wound infections and determine their drug susceptibility pattern. This study was conducted from September 2018 to January 2020 and included 163 patients.</p><p><strong>Result: </strong>A total of 164 microorganisms were isolated from 129 burn wounds, yielding an isolation rate of 78.65%. A solitary agent was isolated in 80 (62.02%), whereas a mixed infection was detected in 49 (37.98%) patients. The most common microorganisms detected were Gram-negative bacteria (102 isolates, 62.19%), with <i>P. aeruginosa</i> being the most prevalent (39.21%). Gram-positive bacteria were detected in 55 patients (33.53%), with <i>S. aureus</i> being the most common (69.06%), while <i>Candida</i> spp were found in 4.26% of patients. For Gram-positive microorganisms, the highest resistance was reported against ampicillin (100%), followed by tetracycline (74.27%) and Imipenem (72.72%), and the highest susceptibility was reported against vancomycin and linezolid (98.19%). Gram-negative isolates showed resistance in 83.48% to ampicillin, followed by 76.14% to ceftriaxone and 72.47% to chloramphenicol, and showed the least resistance against colistin (8.25%). Multiple microorganisms exhibited a multidrug resistance (MDR) profile (79.61%). The overall MDR rate of gram-negative and gram-positive isolates were 80.40% and 78.19%, respectively.</p><p><strong>Conclusion: </strong>The findings provide valuable insight into the prevalence of microorganisms in burn wounds and suggest that antibiotic resistance patterns can be useful in guiding the development of effective treatment strategies.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 4","pages":"130-142"},"PeriodicalIF":1.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty as a predictor of discharge destination and long-term function in older adults with burn injury.","authors":"Scott J Moses, Vanessa Dellheim, Elizabeth Perreault, Pengsheng Ni, Matthew Supple, John Schulz, Jeremy Goverman","doi":"10.62347/IXOJ8046","DOIUrl":"10.62347/IXOJ8046","url":null,"abstract":"<p><strong>Background: </strong>Elderly patients are at increased risk of burn injury due to the biological, psychological, and social changes associated with aging. This population experiences higher rates of morbidity, mortality, and an increased length of stay compared to younger patients. This study examines frailty as a predictor of discharge disposition and long-term functional outcomes after burn injury.</p><p><strong>Methods: </strong>A prospective study was performed at a single U.S. ABA-verified burn center. Patients > 55 years old admitted from September 2019 to 2021 were screened for enrollment. Patient demographics, the pre-morbid Clinical Frailty Scale (CFS), Barthel Index (BI), and discharge disposition were recorded. Long-term functional status was assessed using the follow up Barthel Index and a functional questionnaire completed at 6 months to 1.5 years post-discharge.</p><p><strong>Results: </strong>Fifty patients were enrolled, with an average age of 71 (SD 10.4) years and a median percentage Total Body Surface Area of Burn Injury (TBSA) of 4 (IQR 5). The mean CFS score was 3.4 (SD 1.7). Patients discharged to a Skilled Nursing Facility (SNF) had significantly higher mean CFS scores (5.0, SD 0.9) compared to those discharged home (2.2, SD 1.2) or to an Inpatient Rehabilitation Facility (IRF) (3.0, SD 1.3), with a statistically significant difference across groups (F = 15.97; P < 0.0001). At follow-up, 50% (n = 25) of patients reported a return to baseline.</p><p><strong>Conclusions: </strong>Frailty score as assessed by the CFS is associated with disposition destination after burn injury. A higher CFS was associated with discharge to a higher level of care. The CFS may be useful after burn injury in predicting disposition and assisting with early conversations with patients and their families related to longitudinal care.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 4","pages":"161-168"},"PeriodicalIF":1.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic hip screw versus cannulated cancellous screws fixation for osteosynthesis of femoral neck fractures in adults: a retrospective comparative study.","authors":"Latif Zafar Jilani, Shubham Agarwal, Mohammad Istiyak","doi":"10.62347/KJPI8343","DOIUrl":"10.62347/KJPI8343","url":null,"abstract":"<p><strong>Objective: </strong>Femoral neck fractures in young adults are relatively rare and often present challenges in achieving optimal treatment outcomes. Several surgical techniques have been proposed for managing these fractures. This study aims to compare the clinical and radiological outcomes of femoral neck fractures treated with either a dynamic hip screw combined with an anti-rotation screw (DHS/AS) or cannulated cancellous screws (CCS).</p><p><strong>Method: </strong>This retrospective comparative study included 60 patients with a minimum follow-up period of one year. Key factors assessed included fracture union, complications such as avascular necrosis (AVN), non-union, varus collapse, femoral neck shortening, screw backout, and functional outcomes measured by the Harris Hip Score (HHS).</p><p><strong>Results: </strong>Sixty patients with a minimum follow-up of 12 months were analyzed, with 30 patients each in the DHS/AS and CCS groups. Fracture union was achieved in 87.0% of patients in the DHS/AS group and 83.3% in the CCS group (P = 0.25), with comparable mean time to union (5.1 ± 0.8 vs. 4.9 ± 0.7 months; P = 0.61). Nonunion occurred in 12.9% and 16.6% of patients, respectively (P = 0.25). Femoral neck shortening was significantly lower in the DHS/AS group (3.8 ± 2.0 mm) compared with the CCS group (10.5 ± 6.0 mm; P = 0.01). Similarly, screw backout was significantly less with DHS/AS (1.8 ± 2.2 mm vs. 9.1 ± 3.4 mm; P = 0.002). Mean varus collapse was lower in the DHS/AS group (1.6° ± 1.5° vs. 4.8° ± 5.9°), although the difference was not statistically significant (P = 0.15). Avascular necrosis developed in three patients in the CCS group and in none of the DHS/AS group. Functional outcome was significantly better following DHS/AS fixation, with a higher mean Harris Hip Score (89.5 ± 7.4 vs. 79.3 ± 10.1; P = 0.02).</p><p><strong>Conclusion: </strong>Compared to multiple cannulated screws, fixation with DHS/AS provides superior clinical outcomes and is a more effective approach for treating femoral neck fractures.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 4","pages":"143-152"},"PeriodicalIF":1.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac biomarkers in acute burn injury: a systematic review of diagnostic and prognostic utility.","authors":"Azad Mojahedi, Kumudha Ramasubbu, Moshe Gunsburg, Mustafa Abomohsen, Hal Chadow","doi":"10.62347/ATYG1182","DOIUrl":"10.62347/ATYG1182","url":null,"abstract":"<p><strong>Objective: </strong>Cardiac biomarkers offer potential for early diagnosis and prognosis; however, their utility in burn care is not well established. This systematic review aimed to evaluate the current evidence regarding the diagnostic and prognostic values of cardiac biomarkers in patients with acute burn injuries.</p><p><strong>Methods: </strong>A systematic search of PubMed and Google Scholar (July 2015-September 2025) was conducted according to the PRISMA guidelines. We included prospective and retrospective observational studies that evaluated troponin (I or T), B-type natriuretic peptide (BNP), or N-terminal pro-BNP (NT-proBNP) in patients with acute burns and reported clinical outcomes. Case reports, reviews, and studies of patients with pre-existing cardiovascular diseases were excluded.</p><p><strong>Results: </strong>Seven original studies were included in this systematic review. The findings consistently demonstrated that elevated troponin levels were associated with larger burn sizes, sepsis, and increased mortality, reflecting systemic stress rather than primary ischemic events. BNP and NT-proBNP levels are strong independent predictors of mortality, sepsis, and toxic myocarditis. Notably, BNP demonstrated superior sensitivity to troponin for the early detection of myocarditis in patients with moderate-to-severe burns.</p><p><strong>Conclusions: </strong>Cardiac biomarkers are valuable prognostic indicators in acute burn injuries, strongly associated with mortality and major complications. The integration of these factors into clinical practice could significantly enhance early risk stratification.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 4","pages":"153-160"},"PeriodicalIF":1.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel minimally invasive intubation technique.","authors":"Shengyu Jin, Chenglong Zhu, Wenyun Xu, Zui Zou","doi":"10.62347/MKCD7923","DOIUrl":"10.62347/MKCD7923","url":null,"abstract":"<p><p>In clinical practice, tracheal intubation entails flexing a tracheal tube with a stylet and inserting it into the glottis under the guidance of videolaryngoscopy. Nevertheless, this approach may trigger intense sympathetic responses and elevate the risk of intubation failure. To address these issues, our research team put forward a minimally invasive intubation technique by using SEE-VL and SEEK^flex, which is anticipated to enhance the first-pass success rate of intubation and mitigate stress reactions. This novel technology is expected to minimize the trauma associated with intubation and improve patients' comfort during medical treatment.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 3","pages":"76-77"},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bony mallet finger: a novel surgical approach to the terminal tendon insertion using a dual parallel incision - A case series study.","authors":"Wentao Zhao, Min Zhao","doi":"10.62347/FLMC4105","DOIUrl":"10.62347/FLMC4105","url":null,"abstract":"<p><p>A bony mallet finger refers to an avulsion fracture at the dorsal base of the distal phalanx. When the fracture fragment involves more than one-third of the articular surface and is accompanied by volar subluxation of the DIP joint, the joint's stability is compromised. In this setting, surgical treatment is often necessary. Open reduction and hook plate fixation provide the most rigid fixation and have become increasingly popular. However, surgical approaches - including Y-, H-, S-, and U-shaped incisions - are frequently associated with complications such as skin necrosis, nail deformity, and implant extrusion. Treating bony mallet finger with a hook plate is challenging. This retrospective case series study involved a review of 26 patients who underwent surgical treatment for bony mallet finger between May 2019 and December 2022. Our objective is to describe a novel surgical approach using double parallel dorsal longitudinal incisions for fixing mallet fractures. Additionally, we provide the preliminary results to evaluate its effectiveness.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 3","pages":"93-99"},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using artificial intelligence for distinguishing benign and malignant vertebral compression fractures by computed tomography: a scoping review.","authors":"Mobina Mohammadrezaee, Rozhin Bakhshi, Amirreza Khalaji, Imaneh Jarideh, Seyed Hamed Tooyserkani, Maryam Masjedi Esfahani, Mehrangiz Dadkhah, Hossein Badiee, Seyed Amirhossein Dormiani Tabatabaei, Farshad Riahi, Shahin Fesharaki","doi":"10.62347/ZRQA3915","DOIUrl":"10.62347/ZRQA3915","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this scoping review is to compile the evidence regarding the use of computed tomography (CT) to distinguish between benign and malignant vertebral compression fractures (VCFs) in artificial intelligence (AI) applications.</p><p><strong>Methods: </strong>We systematically searched PubMed/MEDLINE, DOAJ, and ScienceDirect through October 2025 for studies reporting AI-based diagnostic approaches (machine learning with radiomics features, deep learning with convolutional neural networks, or hybrid models) applied to CT images in adult patients with VCFs. Eligible studies required diagnostic performance metrics and definitive reference standards.</p><p><strong>Results: </strong>Six retrospective studies from Asia and Europe have been found, involving 1,767 participants with 3,408 vertebrae, including 1,257 benign and 1,442 malignant vertebral fractures. The diagnostic performance of AI algorithms is high, achieving an area under the curve (AUC) score from 0.76 to 0.99. Deep learning approaches achieved performance comparable to experienced radiologists, while radiomics-based methods provided interpretable quantitative features. Hybrid models combining both approaches showed synergistic benefits. Three studies with external validation confirmed reasonable generalizability, though with some performance reduction in independent datasets.</p><p><strong>Conclusions: </strong>AI-assisted evaluation of CT scans also has good potential in differentiating benign from malignant VCFs, which could reduce unnecessary MRI referrals and improve the initial evaluation time. However, the data regarding this are limited because of retrospective studies with variable methods and limited multicenter data, which are still required to implement this in routine clinical practice.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 3","pages":"118-129"},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the electrocardiographic abnormalities in traumatic brain injury: prevalence, severity correlation, and outcome prediction.","authors":"Azad Mojahedi, Moshe Gunsburg, Adam Friedman, Mustafa Abomohsen, Meena Farid, Iyad Idries, Hal Chadow","doi":"10.62347/DCUW4311","DOIUrl":"10.62347/DCUW4311","url":null,"abstract":"<p><strong>Background: </strong>Traumatic brain injury (TBI) induces systemic responses, including neurogenic cardiac injury via the brain-heart axis, manifesting as electrocardiographic (ECG) abnormalities that may predict outcomes.</p><p><strong>Objective: </strong>This systematic review aimed to evaluate the diagnostic and prognostic utility of ECG monitoring in patients with TBI, identify knowledge gaps, and guide future research.</p><p><strong>Methods: </strong>Following PRISMA guidelines, we searched PubMed and Google Scholar (January 2020 - March 2025) for studies on adult patients with TBI (≥ 16 years) who underwent acute ECG assessment (≤ 72 hours post-injury). The inclusion criteria focused on observational/cohort studies that reported ECG changes, severity correlations, and outcomes. The exclusion criteria were pediatric cases, pre-existing cardiac conditions, and non-English articles. Data were extracted from the eligible studies.</p><p><strong>Results: </strong>Six studies (1,642 patients) revealed ECG abnormalities in 10-88% of cases, increasing with TBI severity (e.g., prolonged QTc in 3% of mild cases vs. 15% of severe cases). Common changes included repolarization issues (QTc prolongation and ST-segment/T-wave alterations), arrhythmias, and conduction disturbances. Abnormalities often resolved within days, improved post-neurosurgery (e.g., reduced QTc), and predicted mortality (e.g., QTc prolongation/ST depression as independent factors) and cardiac dysfunction.</p><p><strong>Conclusion: </strong>ECG changes are prevalent in TBI, correlate with severity, and have prognostic value for risk stratification. Routine monitoring is recommended, and larger, standardized studies are needed to optimize management.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 3","pages":"81-92"},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel forward-deployed damage control orthopedics: Battlefield Monitoring and Stabilization (BMS).","authors":"Shu Liu, Junhao Sui, Wei Lou, Qian Xue, Lingjun Zhou, Longpo Zheng, Minghui Wang, Ning Ma, Hao Zhang","doi":"10.62347/CANV9504","DOIUrl":"10.62347/CANV9504","url":null,"abstract":"<p><p>Delayed evacuation creates a critical gap between point-of-injury care and definitive surgical management in battlefield trauma. Although Damage Control Orthopedics (DCO) is an established strategy for physiologically unstable trauma patients, it is usually implemented after evacuation and depends on higher-level medical support. We propose Battlefield Monitoring and Stabilization (BMS) as a forward-deployed conceptual framework for earlier battlefield care. BMS emphasizes temporary stabilization, hemorrhage-oriented intervention, basic physiological support, and portable monitoring before evacuation and definitive treatment. Proposed applications include point-of-injury stabilization, prolonged field care, and en-route casualty management. Several enabling components, including a rapidly assembled pelvic stabilization device, are under development. Relevant evaluation domains include fixation speed, hemostatic performance, monitoring accuracy, portability, and environmental adaptability. Further validation is warranted.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 3","pages":"78-80"},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of burn-related mortality and morbidity along with preventive strategies existing in the Arabian Peninsula over the last 5 years.","authors":"Faryal Suraya, Abdullah M Shafique, Abdurrehman M Shafique, Hussan B Shami, Santhanaraman Rajagopal, Rakan H Alalyani, Emad A Alfadhel, Faseeh U Rehman, Aseel A Alkhmeshi, Sarah W Alkhonizy","doi":"10.62347/MPFA2375","DOIUrl":"10.62347/MPFA2375","url":null,"abstract":"<p><p>This systematic review looks at burn injuries in the Gulf region over the past five years, focusing on how often they occur, their survival and complication rates, and current prevention efforts. To gather the data, two reviewers independently searched five major databases and checked article reference lists to make sure no relevant studies were missed. The team then used the Newcastle-Ottawa Scale (NOS) to evaluate the quality and potential bias of the gathered research. The following sections present these regional findings and discuss the need for better burn management systems and stronger prevention strategies across the Gulf countries.</p><p><strong>Objectives: </strong>(1) To examine burn epidemiology. (2) To assess morbidity and mortality. (3) And to cover preventative strategies in the gulf countries (Qatar, UAE, Oman, Bahrain, Saudi Arabia) over the past 5 years.</p><p><strong>Methods: </strong>(1) Data extraction was performed independently by two reviewers utilizing a standardized form. To ensure data integrity, this instrument was initially piloted on three studies, with iterative modifications implemented as necessary before full-scale deployment. (2) A systematic literature search was conducted across five major electronic databases: PubMed, Embase, Google Scholar, Web of Science, and Scopus. To ensure literature saturation, the reference lists of all relevant articles were manually screened to identify additional eligible studies.</p><p><strong>Results: </strong>(1) A quantitative meta-analysis was precluded by substantial heterogeneity in study methodologies, patient cohorts, and outcome assessments. Regarding methodological quality, twelve trials (60%) exhibited a moderate risk of bias, while two demonstrated a low risk and four presented a high risk. Evaluation via the Newcastle-Ottawa Scale (NOS) indicated that nine to ten studies maintained high transparency in both data collection and methodological reporting. (2) Highest rate of mortality was found in saudi arabia (17.6%) and second highest in Kuwait (10.9%).</p><p><strong>Conclusions: </strong>(1) There is a high degree of variation in burn epidemiology, mortality, and prognosis among various Gulf countries. Which emphasizes a need for a uniform burn management system. (2) To effectively reduce burn-related morbidity and mortality, a comprehensive escalation of current preventative strategies is required.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":"16 3","pages":"100-117"},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}