Burns最新文献

{"title":"Comment on \"Lower urinary tract symptoms following perineal burns: Clinical characteristics and predictors of symptom persistence\"","authors":"Maryam Yaseri, Seyedeh Sahereh Mortazavi Khatibani","doi":"10.1016/j.burns.2025.107686","DOIUrl":"10.1016/j.burns.2025.107686","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 9","pages":"Article 107686"},"PeriodicalIF":2.9,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268234","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":"An insight into the effect of acceptance and commitment therapy on psychological wellbeing and physical function in rehabilitation patients after burns","authors":"Maryamalsadat Sanjari, Fatemeh Davoodi Salestani, Amir Davoodi Salestani","doi":"10.1016/j.burns.2025.107684","DOIUrl":"10.1016/j.burns.2025.107684","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 9","pages":"Article 107684"},"PeriodicalIF":2.9,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050421","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":"Analyzing burns incidence trends in BRICS from 1990 to 2021: Findings from the Global Burden of Disease","authors":"Baigong Feng ,&nbsp;Meizhuo Li ,&nbsp;Liwei Liu ,&nbsp;Yi Shi ,&nbsp;Min Jiang ,&nbsp;Yiqi Chen ,&nbsp;Zhuoqi Wang ,&nbsp;Chuan,an Shen","doi":"10.1016/j.burns.2025.107683","DOIUrl":"10.1016/j.burns.2025.107683","url":null,"abstract":"<div><h3>Background</h3><div>Burns constitute a significant global public health challenge. The BRICS nations (Brazil, Russia, India, China, South Africa, Saudi Arabia, Egypt, United Arab Emirates, Iran, Ethiopia) represent emerging economies encompassing nearly half the global population. This study analyzes burns incidence trends across BRICS countries from 1990 to 2021, providing evidence to inform prevention and management strategies.</div></div><div><h3>Methods</h3><div>Analysis of burns incidence data through age-period-cohort modeling, decomposition analysis, health disparities analysis, frontier analysis, and Bayesian age-period-cohort modeling of future incidence rates.</div></div><div><h3>Results</h3><div>In 2021, BRICS nations collectively reported 5.90 million burn cases, accounting for 2.40 % of all injuries, with a 21.30 % decrease in age-standardized incidence rates (ASIR) from 1990 to 2021. Iran experienced the most significant ASIR reduction (-67.10 %), while China had the smallest decrease (-14.40 %). Health disparities between high- and low-income countries widened over time. Despite high Socio-Demographic Index (SDI) rankings, Russia and Saudi Arabia exhibited elevated burn incidence rates. Linear Age Trends (LAT) for burn reduction varied among countries. In South Africa, burns were primarily caused by fire, heat, and hot substances (60.41 % of cases), while falls accounted for 37.44 % of burns in Saudi Arabia. Projections indicate declining ASIR from 2022 to 2035, with Russia projected to have the highest ASIR (336.76 per 100,000) and Iran the lowest (86.54 per 100,000).</div></div><div><h3>Conclusion</h3><div>Burns pose a major global public health challenge, necessitating action from national policymakers to address the increasing incidence of industrial accidents, household fires, natural disasters, and conflicts. The results of our analysis can help policymakers develop more effective burn prevention strategies.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 9","pages":"Article 107683"},"PeriodicalIF":2.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049904","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":"Comments on: The systemic inflammation indexes after admission predict in-hospital mortality in patients with extensive burns","authors":"Hilmi Anil Dincer","doi":"10.1016/j.burns.2025.107685","DOIUrl":"10.1016/j.burns.2025.107685","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 8","pages":"Article 107685"},"PeriodicalIF":2.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048603","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":"Early excision and sequelae of facial and cervical burns: A matched-cohort study of 110 patients","authors":"Thomas Cavadore ,&nbsp;Thomas Goronflot ,&nbsp;Anoujat Kanlagna ,&nbsp;Nicolas Cavadore ,&nbsp;Pierre Perrot ,&nbsp;Ugo Lancien","doi":"10.1016/j.burns.2025.107678","DOIUrl":"10.1016/j.burns.2025.107678","url":null,"abstract":"<div><h3>Background</h3><div>Early surgical excision of deep burns is a life-saving strategy, but its impact on long-term sequelae, particularly in the cephalic region, remains insufficiently studied. This is a critical concern, as facial and cervical burns often carry significant functional, aesthetic, and psychosocial consequences.</div></div><div><h3>Methods</h3><div>We conducted a matched observational cohort study comparing adults with deep facial and/or cervical burns who underwent early excision (&lt;10 days post-injury) versus those treated later (≥10 days). A total of 243 patients were screened, and 55 matched pairs were included based on age, sex, burn depth, and total body surface area burned. A sensitivity analysis was performed using a 7-day threshold.</div></div><div><h3>Results</h3><div>Sequelae occurred in 36.4 % of patients in the early excision group versus 33.4 % in the delayed group. The difference was not statistically significant (p = 0.69). The relative risk (RR) of sequelae with early excision was 1.11 (95 % CI: 0.66–1.86). Sensitivity analysis using a 7-day threshold yielded a similar RR of 0.98 (0.56–1.70), indicating no increased risk associated with earlier intervention.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that early excision (&lt;10 days) of deep facial and cervical burns in adults does not increase the risk of long-term sequelae. Larger prospective studies are needed to validate these results and further guide clinical practice.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 9","pages":"Article 107678"},"PeriodicalIF":2.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050416","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":"Integration of palliative care in burn ICUs: A call for standardized approaches","authors":"Zakiyeh Jafaryparvar ,&nbsp;Mohammad Haghighi","doi":"10.1016/j.burns.2025.107680","DOIUrl":"10.1016/j.burns.2025.107680","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 9","pages":"Article 107680"},"PeriodicalIF":2.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268233","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":"Cutaneous functional units (CFUs) versus total body surface area burned (TBSA) for predicting range of motion outcomes: A comparison of predictive models","authors":"Ingrid S. Parry ,&nbsp;Janice F. Bell ,&nbsp;Jeffrey C. Schneider ,&nbsp;Julie T. Bidwell ,&nbsp;Sheryl L. Catz ,&nbsp;Daniel J. Tancredi","doi":"10.1016/j.burns.2025.107677","DOIUrl":"10.1016/j.burns.2025.107677","url":null,"abstract":"<div><h3>Introduction</h3><div>Motion-limiting scar contractures are a common and functionally impactful complication after burn injury, but predicting their development remains difficult. While total body surface area (TBSA) burned is a standard metric for burn extent and severity, it does not consider burn location, an important factor impacting joint-level motion. Cutaneous functional units (CFUs) offer a more location-specific and functionally relevant assessment of burn injury characteristics, yet their predictive value for motion outcomes remains underexplored. This study validated clinical prediction models incorporating CFUs and TBSA, separately and together, to compare their predictive performance for motion outcomes after burn injury.</div></div><div><h3>Methods</h3><div>Using data from two multi-center studies, we compared the performance of predictive models with CFU, TBSA, and CFU+TBSA. Fractional regression was used to model range of motion as a function of predictors. Models were internally validated using 10-fold cross-validation on a training dataset and externally validated with an independent testing dataset. Discrimination and calibration were evaluated.</div></div><div><h3>Results</h3><div>The CFU+TBSA model demonstrated the highest discriminatory power (0.7675; 95 % CI: 0.7497–0.79323), which was only slightly higher than the CFU model (0.7673; 95 % CI: 0.7497–0.7915) in the training dataset. Both the CFU and CFU+TBSA models statistically outperformed the TBSA model (0.7558; 95 % CI: 0.7366–0.7914). Validation in an external dataset revealed lower discrimination for all three models (C-statistic 0.6196–0.6322) and no difference between the models. The discriminatory power of all three models improved when analyzing only finger and thumb observations in the training dataset (C-statistic 0.7952–0.8087), with the CFU and CFU+TBSA models again significantly outperforming TBSA.</div></div><div><h3>Conclusion</h3><div>Models using CFUs demonstrated better predictive performance than the TBSA-only model, indicating that CFUs enhance predictive value for normalized joint-level motion outcomes at hospital discharge. They appear to have particular utility with hand burns. CFUs offer a more granular, location-specific, and functionally relevant assessment than TBSA alone.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 9","pages":"Article 107677"},"PeriodicalIF":2.9,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049907","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":"Exploring the relationship between cardiac biomarkers and mortality risk in extensive burned patients ≥ 70 % TBSA: A retrospective study","authors":"Yingyin Hu ,&nbsp;Jiale Yan ,&nbsp;Sirui Sun ,&nbsp;Li Li ,&nbsp;Lin Deng ,&nbsp;Hongwei Yan ,&nbsp;Junfang Zhang ,&nbsp;Runzhi Huang ,&nbsp;Shizhao Ji ,&nbsp;Jie Zhang","doi":"10.1016/j.burns.2025.107672","DOIUrl":"10.1016/j.burns.2025.107672","url":null,"abstract":"<div><h3>Background</h3><div>Extensively burned patients face a significant risk of mortality, with their condition often being closely associated with severe cardiac insufficiency. However, the correlation between cardiac biomarkers and mortality in patients with burns involving ≥ 70 % total body surface area (TBSA) remains underexplored.</div></div><div><h3>Materials and methods</h3><div>The study included 159 patients from the Kunshan factory explosion. A joint model was applied to assess the relationship between longitudinal data and survival outcomes. In addition, random forests were utilized to establish new clinical thresholds and to uncover the specific patterns presented by longitudinal measurements in deceased patients. We constructed the corresponding survival curves and calculated the predictive power. Finally, multivariate Cox regression analysis was used to determine whether these new thresholds independently predicted overall survival (OS), which was followed by external validation employing a 10-year cohort of 144 burn patients with TBSA ≥ 70 %.</div></div><div><h3>Results</h3><div>Of all the myocardial markers, BNP levels presented the most statistically significant association with mortality (HR:6.831, 95 %CI: 6.122–7.539). Similarly, proBNP, CK-MB, IL-6, Mb, D-dimer and cTnI displayed positive correlations. TBSA also showed a significant relation to outcomes. The specific rules defined by the new thresholds could effectively distinguish between high-risk and low-risk patients. Patients with two or more consecutive BNP measurements greater than or equal to 519.91 pg/ml within 56 days after burns had a higher risk of death (interval mean [SD], 1.06 [0.77] days). The predictive condition established on the basis of this new cut-off value of BNP was an independent risk factor for OS. External validation confirmed the model’s satisfactory performance.</div></div><div><h3>Conclusion</h3><div>Cardiac biomarkers, particularly BNP, were significantly associated with death in extensively burned patients ≥ 70 % TBSA. This revealed a potential correlation between cardiac stress and mortality after burn injury.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 8","pages":"Article 107672"},"PeriodicalIF":2.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904252","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":"Gaps in AS-OCTA for limbal ischemia assessment","authors":"Luca Lucchino,&nbsp;Riccardo Chiorrini,&nbsp;Matteo Airaldi,&nbsp;Sabrina Vaccaro,&nbsp;Vito Romano","doi":"10.1016/j.burns.2025.107676","DOIUrl":"10.1016/j.burns.2025.107676","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 8","pages":"Article 107676"},"PeriodicalIF":2.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144896648","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":"Editorial: Burn rehabilitation for the unburned","authors":"Jill M. Cancio,&nbsp;Leopoldo C. Cancio","doi":"10.1016/j.burns.2025.107675","DOIUrl":"10.1016/j.burns.2025.107675","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 8","pages":"Article 107675"},"PeriodicalIF":2.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144896652","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}