Burns最新文献

{"title":"The efficacy of cellulose dressings in burn wound management: a systematic review and meta-analysis","authors":"Tristan Hill ,&nbsp;Abdal Qadir Zafar ,&nbsp;Tal D. Ellenbogen ,&nbsp;Neil C. Mathias ,&nbsp;Neil D. Muscat ,&nbsp;Dimitrios Papakonstantinou ,&nbsp;Rokhan Yousaf Zai ,&nbsp;Asad Maqbool ,&nbsp;Shafiq Rahman","doi":"10.1016/j.burns.2024.107318","DOIUrl":"10.1016/j.burns.2024.107318","url":null,"abstract":"<div><h3>Introduction</h3><div>Burn wound management is challenging, especially in paediatric patients when optimising outcomes. Superficial burns are generally managed conservatively with dressings; however, frequent dressing changes can be a source of pain and discomfort. Cellulose dressings mitigate these problems, and current reports in the literature have demonstrated positive outcomes when compared against routine dressing types. The authors aim to report a systematic review and meta-analysis on the use of cellulose-based dressings in burn wound management.</div></div><div><h3>Methods</h3><div>This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement standards. The primary outcome measures were epithelialisation rate, duration of hospital stay, and the number of dressing changes. The electronic databases of MEDLINE, EMBASE, CINAHL, Google Scholar, PubMed and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched. OpenMeta [analyst] software was used for data synthesis.</div></div><div><h3>Results</h3><div>Eleven studies were included in the qualitative synthesis with eight articles meeting the inclusion criteria for quantitative analysis, with cellulose-based dressings showing a significantly increased rate of healing on mean difference analysis: 1.350 (0.007, 2.694), standard error; 0.685, p = 0.049. A shorter duration of hospital stay was also observed in the cellulose cohort: 6.583 (5.739, 7.428), standard error 0.431, p &lt; 0.001. Likewise the frequency of dressing changes was lower: odds ratio 0.125 (0.015, 1.062), p &lt; 0.001. There was no difference in the infection rate compared to standard dressings.</div></div><div><h3>Conclusion</h3><div>Cellulose dressings can expedite wound healing whilst reducing the duration of hospitalisation and frequency of dressing changes compared to standard dressings in burn wound management. The authors however recommend further high quality trials to enhance the current evidence base.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107318"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900182","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":"DSM-5 acute stress disorder in hospitalized burn patients: The impact and interplay of pre- and peri-trauma psychological risk factors","authors":"Yi-Jen Su","doi":"10.1016/j.burns.2024.107346","DOIUrl":"10.1016/j.burns.2024.107346","url":null,"abstract":"<div><h3>Objective</h3><div>Burn injuries can be traumatic and lead to psychological sequelae, particularly acute stress disorder (ASD). Information regarding the prevalence and risk factors of ASD following <em>DSM-5</em> criteria is relatively limited among survivors of burn and other traumas. This study aimed to investigate the prevalence of probable ASD post-burn according to <em>DSM-5</em> criteria and explore the impact and interplay of pre- and peri-trauma psychological risk factors on <em>DSM-5</em> ASD symptomatology.</div></div><div><h3>Methods</h3><div>Between February 2017 and November 2020, 118 patients admitted to the largest burn center in Taiwan were enrolled, with 100 completing assessments within 30 days of injury during acute hospitalization. Most participants were men (73 %), with a mean age of 41.9<span><math><mo>±</mo></math></span>12.5 years. The average percentage of total body surface area (TBSA) burned was 15.1<span><math><mo>±</mo></math></span>11.5 %.</div></div><div><h3>Results</h3><div>Around 9 % of the hospitalized burn patients had probable <em>DSM-5</em> ASD. The most common ASD symptoms were intrusive memories, distress triggered by trauma reminders, and distressing dreams. Pre- and peri-trauma psychological risk factors uniquely accounted for 42.4 % of the variance in <em>DSM-5</em> ASD symptomatology post-burn after adjusting for covariates. Both peritraumatic emotions and peritraumatic dissociation emerged as strong predictors with medium-to-large effect sizes (semi-partial <em>r</em>^<em>2</em> =.13 and .09). Notably, prior depression severity significantly moderated the associations between peri-trauma psychological risk factors and ASD symptoms post-burn (incremental <em>R</em>^<em>2</em> = 5.6–8.8 %).</div></div><div><h3>Conclusion</h3><div>The findings underscore the interplay of pre- and peri-trauma psychological processes in susceptibility to ASD symptomatology post-burn.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107346"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824599","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":"Identification and quantification of physical activity in critically ill burn patients: A feasibility study","authors":"Y. Dikkema ,&nbsp;L.J. Mouton ,&nbsp;K.W. Gerrits ,&nbsp;M. van der Steen-Dieperink ,&nbsp;J. Eshuis ,&nbsp;C.P. van der Schans ,&nbsp;S.M.H.J. Scholten-Jaegers ,&nbsp;A.S. Niemeijer ,&nbsp;M.K. Nieuwenhuis","doi":"10.1016/j.burns.2024.107312","DOIUrl":"10.1016/j.burns.2024.107312","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity is essential in burn care to counteract the effects of severe burns and inactivity during hospitalization. However, detailed knowledge of performed physical activities is lacking. This study evaluated the feasibility of a dual accelerometer-based method to assess type, frequency, and duration of physical activity in critically ill burn patients during hospitalization.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted at the burn center of the Martini Hospital, Groningen, The Netherlands. Eligible were patients with a total body surface area (TBSA) burned of ≥ 15 % or an indication for intensive care. Patients wore two accelerometers, one on the chest and one on the diagonally opposite thigh. An algorithm converted accelerometer data into type, frequency, and duration of activities common for intensive care patients. An activity diary was used to assess non-wear time and its content, e.g., surgery.</div></div><div><h3>Results</h3><div>Five patients (20–60 years, 13–31 % TBSA burned, LOS 30–65 days) were included. Per patient, 14–49 days (17,380–61,796 min) could be analyzed of which 7–14 % was non-wear time. During wear time, 86–95 % of activities could be identified and quantified. However, processing the data was labor-intensive.</div></div><div><h3>Conclusion</h3><div>The dual accelerometer-based method proved feasible for research purposes. For clinical application, further refinement of data processing is required.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107312"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The soldier in white: A guide to burn resuscitation?","authors":"T.S. Burge","doi":"10.1016/j.burns.2024.107342","DOIUrl":"10.1016/j.burns.2024.107342","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107342"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900183","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":"Cum Grano Salis - Irrigation of chemical burns?","authors":"Jasmine Crane ,&nbsp;Sirous Golchinheydari,&nbsp;Fatma Shariff,&nbsp;Timothy Burge","doi":"10.1016/j.burns.2024.107340","DOIUrl":"10.1016/j.burns.2024.107340","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107340"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900178","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":"Construction of an instrument to evaluate the quality of hospital care provided in burns units in Brazil: A Delphi study","authors":"Denise R. Rabelo Suzuki ,&nbsp;Levy Aniceto Santana ,&nbsp;Juliana Elvira H. Guerra Ávila ,&nbsp;Fábio Ferreira Amorim ,&nbsp;Vinicius Maldaner","doi":"10.1016/j.burns.2024.107316","DOIUrl":"10.1016/j.burns.2024.107316","url":null,"abstract":"<div><h3>Background</h3><div>Providing excellent care to patients with acute burns can result in lower mortality and disability in the long-term. There are no specific instruments to evaluate the quality of care provided at this stage of treatment. This study aims to create an instrument to evaluate the quality of hospital care provided to patients with acute burns in Brazil.</div></div><div><h3>Methods</h3><div>The Delphi technique was used to obtain a consensus among experts on which constructs should be incorporated into the instrument. The sample comprised professionals experienced in treating burn victims and subscribed to the Brazilian Society of Burns mailing lists. Each statement was judged on a 5-point Likert scale. A percentage of agreement equal to or higher than 75 % was defined as a consensus. Data were analyzed using content analysis and descriptive summary statistics.</div></div><div><h3>Results</h3><div>The first round obtained responses from 34 experts, with a mean of 11.98 (SD 9.29) years of experience. After three rounds, 106 statements reached consensus for inclusion and served as the basis for the instrument.</div></div><div><h3>Conclusion</h3><div>Our study identified key terms, and consensus was reached on 106 statements; a need to define clear outcome evaluation methods was observed.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107316"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900177","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":"Hot water bottles – Could instructions be clearer for burns prevention?","authors":"Isabella Birkby (IB),&nbsp;Karl Walsh (KW)","doi":"10.1016/j.burns.2024.107333","DOIUrl":"10.1016/j.burns.2024.107333","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 1","pages":"Article 107333"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900179","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":"Cling film in pediatric burns: From temporary dressing to therapeutic innovation","authors":"Chao Lian,&nbsp;Xue-Lei Li,&nbsp;Xiao-Jun Liu,&nbsp;Xuan-Fen Zhang","doi":"10.1016/j.burns.2025.107412","DOIUrl":"10.1016/j.burns.2025.107412","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 4","pages":"Article 107412"},"PeriodicalIF":3.2,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628611","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":"A systematic review of advances in the use of spectral imaging in burn depth assessment","authors":"Poh Tan ,&nbsp;Krishna Ravulapalli ,&nbsp;Christopher J. Lewis","doi":"10.1016/j.burns.2025.107401","DOIUrl":"10.1016/j.burns.2025.107401","url":null,"abstract":"<div><h3>Background</h3><div>Accurate burn depth assessment is critical for determining appropriate treatment and optimizing patient outcomes. Conventional methods, such as clinical assessment and laser Doppler imaging, have limitations in terms of accuracy and timeliness. Spectral imaging, including multispectral imaging and hyperspectral imaging, has emerged as a promising non-invasive modality to improve burn depth evaluation. This systematic review aims to evaluate the advances in spectral imaging technologies for burn depth assessment, with a focus on diagnostic accuracy, the role of machine learning integration, and the quality of current evidence.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in March 2024 using PubMed, Scottish Network, EMBASE, and Cochrane Library databases. Studies that evaluated spectral imaging for burn depth assessment and compared it to standard methods such as laser Doppler imaging, clinical assessment, or histological analysis were included. The quality of the included studies was assessed using the QUADAS tool.</div></div><div><h3>Results</h3><div>Seven studies from 1988 to 2023 met the inclusion criteria, evaluating a total of 167 patients with 269 burn sites. The pooled analysis revealed a combined sensitivity of 86 % (95 % CI [0.80; 0.90]) and specificity of 84 % (95 % CI [0.70; 0.93]. However, there was a large range of sensitivity identified from 61 % to 97.2 % and specificity from 45 % to 100 %. Notably, the integration of machine learning, particularly convolutional neural networks and support vector machines, improved classification accuracy, with some models achieving over 95 % sensitivity and specificity. Despite these promising results, significant variability in methodologies and a lack of standardized ground truthing were identified.</div></div><div><h3>Conclusion</h3><div>Spectral imaging, especially when combined with machine learning, shows strong potential as an effective tool for burn depth assessment, offering high diagnostic accuracy and reproducibility. Further research is needed to standardize protocols and validate these technologies across diverse patient populations, paving the way for clinical adoption and improved patient care.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 3","pages":"Article 107401"},"PeriodicalIF":3.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377847","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":"Understanding benefit finding among burn survivors: A latent profile analysis study","authors":"Zhang Juan,&nbsp;Gao Jie,&nbsp;Zhang Xiaowen,&nbsp;Li Haifen,&nbsp;Chai Xuejun","doi":"10.1016/j.burns.2025.107393","DOIUrl":"10.1016/j.burns.2025.107393","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to utilize Latent Class Analysis to identify distinct benefit finding traits among burn survivors, analyze the differences in benefit finding between subgroups based on their demographic and clinical characteristics, and explore the variables that are associated with these distinct patterns.</div></div><div><h3>Method</h3><div>From June 2022 to December 2023, a self-reported cross-sectional survey was conducted in Northeast China to investigate benefit finding among burn survivors. The survey included measures of demographic, clinical, specific emotion, and social isolation variables. Latent Class Analysis was used to identify benefit finding profiles, which were then described and compared based on these variables. Furthermore, associations between these profiles and both expressivity and social isolation were analyzed using multinomial logistic regression.</div></div><div><h3>Results</h3><div>Among 147 burn survivors, three benefit finding subgroups emerged from Latent Class Analysis, Class A (65 [44.21%]), Class B (45 [30.61 %]) and Class C (37 [25.17 %]). Class A was the low benefit finding and adjustment difficulties group, Class B was the moderate level of benefit finding group, and Class C was the high level of benefit finding and perception of being loved group. Compared to Class B and C, post-burn survivors of Class A were more likely to experience adverse patient reported outcomes, specifically, lower family monthly income per capita, post-burn duration, difficulties in emotion expression, and social isolation (p &lt; 0.05 for all). Clinical burn nursing staff should prioritize their attention on patients who exhibit low benefit finding and weakened coping abilities during post-burn rehabilitation. Additionally, it is crucial to encourage these patients to express their true feelings related to their disease experience. By improving their awareness of available social support and providing additional social resources, clinical burn nursing staff can help enhance these patients' sense of benefit finding from their disease experience.</div></div><div><h3>Conclusion</h3><div>Latent Class Analysis identified three distinct benefit-finding profiles among post-burn survivors. These results suggest that post-burn survivors' perceptions of benefit finding vary significantly, exhibiting individual differences. Health care providers should consider patients' emotions as well as their social support networks when developing interventions for patients with a low degree of benefit-finding. Targeted interventions should be developed and implemented based on the characteristics of each benefit-finding class to maximize the effectiveness of these interventions.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 4","pages":"Article 107393"},"PeriodicalIF":3.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579483","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}