Burns最新文献

{"title":"Comment on: Interactive versus passive virtual reality on upper limb pain, function, and range of motion in pediatric thermal burns, a randomized controlled trial.","authors":"Fei-Yi Zhao, Qiang-Qiang Fu, Jia-Yi Zhu","doi":"10.1016/j.burns.2026.107981","DOIUrl":"https://doi.org/10.1016/j.burns.2026.107981","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":" ","pages":"107981"},"PeriodicalIF":2.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: \"Commonly recommended moisturizing products: Effect on transepidermal water loss and hydration in a scar model\".","authors":"Michael H Gold","doi":"10.1016/j.burns.2026.107980","DOIUrl":"https://doi.org/10.1016/j.burns.2026.107980","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":" ","pages":"107980"},"PeriodicalIF":2.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Educational impact of a cost-efficient burns excision and skin grafting porcine simulation model”","authors":"Jiuyuan Qin , Jie Deng , Yulin Zou","doi":"10.1016/j.burns.2026.107881","DOIUrl":"10.1016/j.burns.2026.107881","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107881"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: \"Characterization and analysis of the skin mycobiome in keloid: A case-control study\"","authors":"Jiuyuan Qin , Jie Deng , Yulin Zou","doi":"10.1016/j.burns.2026.107869","DOIUrl":"10.1016/j.burns.2026.107869","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107869"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acetoacetate-preconditioned adipose stem cells promote burn wound healing through enhanced cellular retention and paracrine signaling","authors":"Zihao Hu ,&nbsp;Jiefeng Huang ,&nbsp;Siyuan Chen ,&nbsp;Jun-ling Xie ,&nbsp;Shuangmeng Jia ,&nbsp;Cheng Zhao ,&nbsp;Wuyan Lu ,&nbsp;Jieshen Huang ,&nbsp;Linxiao Li ,&nbsp;Shuaijun Li ,&nbsp;Lei Cui ,&nbsp;Guangpeng Liu","doi":"10.1016/j.burns.2026.107873","DOIUrl":"10.1016/j.burns.2026.107873","url":null,"abstract":"<div><h3>Background</h3><div>In this study, we preconditioned human adipose-derived stem cells (ADSCs) with acetoacetate (AcAc) and explored whether it could improve cell survival and enhance the tissue regeneration of chemical burns in mice.</div></div><div><h3>Methods</h3><div>To evaluate the therapeutic efficacy of AcAc, human ADSCs were preconditioned with 10 mM AcAc (AcAc-hADSCs). Cell proliferation, migration, paracrine release of growth factors, and proangiogenic effects of AcAc-hADSCs were subsequently assessed. Subsequently, HCl acid burns were induced on the dorsal skin of ICR mice, and wound healing progression was monitored through macroscopic examination. The wounds were harvested for histological assessment via staining. Angiogenesis in wounds was detected via immunohistochemical staining. hADSCs were prelabeled with DiO, and their wound survival was detected via an in vivo bioluminescence imaging system.</div></div><div><h3>Results</h3><div>Pretreatment with AcAc enhanced the migration of ADSCs and the paracrine release of proangiogenic cytokines, including HIF-1α, VEGFA, HGF, FGF-2 and TGF-β, and increased the expression of SOD1. Compared with those treated with control hADSCs, the wounds that received AcAc-hADSCs presented accelerated re-epithelialization, increased extracellular matrix (ECM) deposition, and improved the microvessel density by HIF-1α-VEGFA pathway. Moreover, the DiO-labelled AcAc-hADSCs could be observed even after 72 h; while ADSCs could be only detected at 24 h. In addition, wounds treated with AcAc-hADSCs presented more Ki67 + cells. qRT<img>PCR analysis revealed a significant increase in the expression of proangiogenic factors and a decrease in the levels of IL-1, IL-6 and iNOs in wounds that received AcAc-hADSCs.</div></div><div><h3>Conclusion</h3><div>These findings demonstrate that AcAc preconditioning enhances hADSC persistence in wounds, consequently promoting both re-epithelialization and angiogenesis.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107873"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: “Skin grafting as a preventive strategy against infections in children with deep burns”","authors":"Marko Bašković,&nbsp;Katarina Čavka","doi":"10.1016/j.burns.2026.107882","DOIUrl":"10.1016/j.burns.2026.107882","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107882"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How deep does it really burn? Social and emotional implications of paediatric burn injuries and care on Aboriginal and Torres Strait Islander families","authors":"Hayley M. Williams ,&nbsp;Kate Hunter ,&nbsp;Bronwyn Griffin ,&nbsp;Roy Kimble ,&nbsp;Kathleen Clapham","doi":"10.1016/j.burns.2025.107837","DOIUrl":"10.1016/j.burns.2025.107837","url":null,"abstract":"<div><h3>Background</h3><div>Paediatric burns are highly painful and traumatic injuries that affect Aboriginal and Torres Strait Islander children at disproportionate rates, yet their experiences are often omitted from burns research. This study aimed to better understand the social and emotional impacts and unmet support needs that paediatric burn injuries and care cause Aboriginal and Torres Strait Islander families.</div></div><div><h3>Methods</h3><div>This decolonial ethnographic study followed 20 Aboriginal and Torres Strait Islander families’ experiences of paediatric burns care at a tertiary hospital in Queensland, Australia. Three methods were combined, including <em>participant observations</em> of burns care appointments/procedures (n = 54); <em>retrospective thinking aloud</em> sessions with burn specialists (n = 62); and <em>yarning sessions</em> with families (n = 14). Grounded theory analysis was conducted and triangulated for in-depth explorations of each family’s experiences.</div></div><div><h3>Results</h3><div>Paediatric burn injuries and care cause profound and prolonged social and emotional impacts for all members of Aboriginal and Torres Strait Islander families. These include, but are not limited to, panic, shock, distress, guilt, and fear; along with social isolation, family disruptions, physical implications, and financial and food insecurities. These burdens were worsened when burns care was uncollaborative, culturally unsafe, and included minimal supports.</div></div><div><h3>Discussion</h3><div>Paediatric burn specialists play vital roles in supporting Aboriginal and Torres Strait Islander families throughout burns care and beyond. However, several barriers continue to hinder their ability to provide collaborative and culturally and trauma-responsive care. There is a strong need for burns care to incorporate routine mental health screening, and cultural and mental health supports for all members of Aboriginal and Torres Strait Islander families.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107837"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and outcomes of patients who discharge against medical advice from Australian and New Zealand burns services","authors":"Marcel Chua ,&nbsp;Lindsay Damkat-Thomas ,&nbsp;Belinda J. Gabbe ,&nbsp;Bronwyn Griffin ,&nbsp;Courtney Ryder ,&nbsp;Lincoln M. Tracy","doi":"10.1016/j.burns.2026.107850","DOIUrl":"10.1016/j.burns.2026.107850","url":null,"abstract":"<div><div>Burns patients with recorded discharges against medical advice (DAMA) face potential medical and financial consequences associated with future readmissions. This study aimed to investigate the characteristics and outcomes of patients with recorded DAMA from burns services in Australia and New Zealand. In an observational study using data from individuals aged ≥ 16 years captured by the Burns Registry of Australia and New Zealand with a burn-related admission between July 2009 and June 2022, 325 patients (1.4 %) had recorded DAMA. A greater proportion of patients with recorded DAMA were aged 30–44 years, of Australian Aboriginal and Torres Strait Islander origin, from outer regional Australia, had pre-existing mental health conditions, with substance use, and sustained their injury through suspected assault or abuse. Injuries in patients with recorded DAMA were more severe. Compared to patients without DAMA, a greater proportion of patients with DAMA were readmitted within 28 days of discharge (13.8 % versus 4.9 %), with failed discharge processes (45.5 %) and infection (18.2 %) being the most frequently recorded reasons. They required readmission to the intensive care unit (20 % versus 8.6 %) with longer lengths of stay. Outcome findings remained similar in a matched cohort analysis between those with and without recorded DAMA. These findings highlight the consequences of DAMA, necessitating primary measures to address modifiable, cultural, and social factors preemptively to prevent DAMA among disadvantaged individuals, and secondary measures to minimize the impact of DAMA (e.g., adequate pain and wound discharge management, follow-up care, community-based treatments, etc.).</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107850"},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing a burns treatment protocol for paediatric patients in secondary hospital settings.","authors":"Or Givol, Michelle Cleary, Rachel Kornhaber, Erik Biros, Adi Klein","doi":"10.1016/j.burns.2026.107989","DOIUrl":"https://doi.org/10.1016/j.burns.2026.107989","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the impact of a defined treatment protocol for burns treatment in paediatric patients, who are admitted to the paediatric department and are managed by paediatricians and paediatric nurse staff, without surgical consultations.</p><p><strong>Methods: </strong>Using a retrospective cohort design, we analysed paediatric patients admitted to Hillel-Yaffe Medical Centre for partial-thickness burns from January 2019 to December 2023. The treatment protocol was established in May 2020. All patients admitted before were treated according to general surgical consultation. From May 2020, treatment was conducted according to the local protocol developed. Data were initially analysed using descriptive statistics, including year-over-year analysis, and further examined with the patient-level interrupted time-series method.</p><p><strong>Results: </strong>Patient numbers increased from 13 during the 16 months prior to May 2020 to 139 during the 44 months thereafter, with non-opioid analgesic treatment extending from 0.7 to 2.7 days. Opioid usage declined from 2.5 doses per patient in 2020 to 0.24 in 2023 as non-opioid use rose. All patients received procedural sedation according to protocol, compared to no sedation (from any type) beforehand. Burn site infections declined from 38.4% to 25.1%, while transfers to the burn centre remained similar (7.6-8.6%), and caregiver treatment refusal decreased from 38.5% to 8.6%. Patient-level interrupted time-series analysis suggested immediate increases in opioid doses, procedural sedations, and length of stay at protocol implementation (all p < 0.08), but no significant change in burn-site infection rate (adjusted OR 0.49, 95% CI 0.04-6.05, p = 0.581).</p><p><strong>Conclusion: </strong>Treatment of paediatric patients with partial-thickness burns by paediatricians in secondary hospital settings is feasible with a defined protocol, resulting in marked increases in analgesic use, and the use of mechanical debridement and advanced dressing technology. There has been no rise in the need for burn centre transfers due to complications, and parental trust has increased, as evidenced by declining treatment refusals.</p>","PeriodicalId":50717,"journal":{"name":"Burns","volume":" ","pages":"107989"},"PeriodicalIF":2.9,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: “Correlation of hemoglobin levels and mortality in burn patients”","authors":"François Thuau,&nbsp;Théodore Lahmar,&nbsp;Ugo Lancien,&nbsp;Pierre Perrot","doi":"10.1016/j.burns.2026.107865","DOIUrl":"10.1016/j.burns.2026.107865","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107865"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}