Burns最新文献

{"title":"Relationship between illness perception and post-traumatic stress disorder among adults with burn: The mediation role of cognitive emotion regulation","authors":"Mengxia Chen ,&nbsp;Ran Cao ,&nbsp;Mengdi Wang ,&nbsp;Jiajia Jiang ,&nbsp;Jianfang Zhang ,&nbsp;Rong Su ,&nbsp;Tingting Xiong ,&nbsp;Tengda Zhang ,&nbsp;Tiantian Li ,&nbsp;Feng Li ,&nbsp;Hong Wu ,&nbsp;Ping Feng","doi":"10.1016/j.burns.2025.107574","DOIUrl":"10.1016/j.burns.2025.107574","url":null,"abstract":"<div><div>This current study explored the relationship between illness perception (IP) and post-traumatic stress disorder (PTSD), and the mediation role of cognitive emotion regulation (CER) among patients with burns.</div></div><div><h3>Methods</h3><div>This study is multicenter and cross-sectional. Patients with a history of burn injury at three tertiary hospitals in mainland China were selected through purposeful sampling. Online surveys were used to gather data. Cognitive Emotional Regulation Questionnaire (CERQ), Brief Illness Perception Questionnaire (BIPQ), and Post‑traumatic Stress Disorder Checklist for DSM‑5 (PCL-5) were used to examine the link between IP, CER, and PTSD.</div></div><div><h3>Results</h3><div>216 patients completed the online questionnaires from July 2023 to July 2024 by purposive sampling. The mean score for the PCL-5 was 27.44 ± 13.49, for the BIPQ 49.39 ± 11.71, for the positive CER 44.87 ± 16.71, and for the negative CER 33.69 ± 8.59. Pearson correlation analysis showed IP was positively correlated with PTSD (r = 0.851, <em>p</em>＜0.05) and with negative CER (r = 0.626, <em>p</em>＜0.05). IP not only has direct effects on PTSD but also has indirect effects on PTSD by affecting positive and negative CER.</div></div><div><h3>Conclusion</h3><div>Patients with burns in the early stage have a high level of PTSD, which was positively and significantly correlated with IP and negative CER, and negatively related with positive CER. CER plays a mediation role in the relationship between IP and PTSD. It is suggested that healthcare professionals need to pay attention to the patient's perception of the disease, and also need to stimulate the patient to take active behaviors to reduce the level of individual stress perception.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 7","pages":"Article 107574"},"PeriodicalIF":3.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517021","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":"Patterns of severe burn injury in adults throughout the year","authors":"Marc Daniels ,&nbsp;Rolf Lefering ,&nbsp;Paul Christian Fuchs","doi":"10.1016/j.burns.2025.107575","DOIUrl":"10.1016/j.burns.2025.107575","url":null,"abstract":"<div><h3>Introduction</h3><div>Understanding the patterns of burn injuries over different times of the year and throughout the day is crucial for developing targeted prevention strategies and improving patient outcomes. Seasonal variations, often linked to environmental conditions, activities, and behaviors, play a critical role in the frequency and severity of burn injuries.</div><div>By identifying these patterns, we can better inform public health initiatives and optimize resource allocation in healthcare settings for the treatment of burn injuries.</div></div><div><h3>Material and methods</h3><div>The study was conducted as a retrospective cohort study by analyzing the data from the burn registry of the German Burn Society from 2016 to 2023.</div><div>In the analyzed period, 10432 adult patients were included in the present study.</div></div><div><h3>Results</h3><div>Regardless of the day of the week or the weekend, a peak in admissions can be seen between 2 and 3 pm. Patients suffered the most burn injuries on a Saturday (n = 1578; 15.1 %), while the fewest burn injuries occurred on a Tuesday (n = 1390; 13.3 %).</div><div>The distribution of flame, grease/oil, and explosion injuries shows a clear increase in the summer and a lower number of cases in autumn and winter.</div><div>A peak in the number of patients with burn injury is seen on the 1st of January, with 83 (0.8 %) reported cases requiring treatment in an intensive care unit. The day with the fewest burn injuries requiring treatment in an intensive care unit is 1 December with 11 cases (0.1 %).</div></div><div><h3>Conclusion</h3><div>In summary, various external factors influence the frequency of burn trauma. The early afternoon and the summer season show clear peaks admission frequency. The days of week only showed a minor variation.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107575"},"PeriodicalIF":3.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338446","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":"Rehabilitation of adult electrical injury survivors: A scoping review","authors":"Susan Zahir ,&nbsp;Sander Hitzig ,&nbsp;Sarah Munce ,&nbsp;Jessica Shiers ,&nbsp;Matthew Godleski ,&nbsp;Marina Wasilewski","doi":"10.1016/j.burns.2025.107573","DOIUrl":"10.1016/j.burns.2025.107573","url":null,"abstract":"<div><h3>Background</h3><div>Electrical injuries (EIs) result in severe damage to multiple body systems and pose significant challenges for recovery, often leading to prolonged hospital stays, delayed return to work, and higher rates of mental health issues. While EI survivors face unique physical, neurological, and psychological challenges distinct from other burn injury survivors, there is a lack of research on rehabilitation specific to this population.</div></div><div><h3>Objective</h3><div>The purpose of this scoping review is to synthesize the available literature on what rehabilitation interventions entail for EI survivors and examine how the evidence base has evolved over time.</div></div><div><h3>Methods</h3><div>This scoping review followed the methodology outlined by the Joanna Briggs Institute (JBI). Studies were identified through PsycINFO, OVID MEDLINE, EMBASE, Healthstar, AMED, Web of Science, Scopus, and CINAHL, including CINAHL Plus with Full Text. Included articles must have focused on adult EI survivors who received rehabilitation. Year of publication, country of study, type of rehabilitation intervention, rehabilitation professionals involved, place of rehabilitation, duration and frequency of rehabilitation, outcome measures, and findings were extracted.</div></div><div><h3>Results</h3><div>53 studies were included in this review. Our scoping review mapped the literature on rehabilitation for EI survivors, highlighting a predominant focus on physical interventions, with some recent attention to psychological and social outcomes. Most studies were case reports, showing inconsistencies in intervention characteristics and outcome reporting.</div></div><div><h3>Conclusion</h3><div>The review emphasizes the need for comprehensive, multidisciplinary approaches, standardized reporting guidelines, and future research, including RCTs, to improve rehabilitation and inform clinical practice guidelines for EI survivors. By identifying gaps in knowledge and offering recommendations for future research, our review serves as a roadmap for advancing the care and treatment of EI survivors.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107573"},"PeriodicalIF":3.2,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144492028","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":"From fun to frostbite: Cutaneous cold injuries linked to nitrous oxide, the experience of a tertiary burn centre in the UK","authors":"RW Robyn Westerman ,&nbsp;MF Mahmoud Farag ,&nbsp;KW Karl Walsh ,&nbsp;TH Tarek Hassouna","doi":"10.1016/j.burns.2025.107572","DOIUrl":"10.1016/j.burns.2025.107572","url":null,"abstract":"<div><h3>Background</h3><div>The use of nitrous oxide (N₂O) as a recreational drug has increased in the United Kingdom and consequently, the associated injuries, including frostbite injury, have also increased. The aim of this study was to investigate the incidence, pattern of injury, and management of frostbite injuries secondary to nitrous oxide use in a regional burns centre.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted of all adults referred to the Burns Centre at Wythenshawe Hospital in Manchester, UK, with nitrous oxide cannister-related contact frostbite injuries between 2014 and 2024. Data were obtained from the International Burn Injury Database, referral system, and electronic medical records. Outcome measures included demographics, injury pattern, management, and follow-up. Descriptive statistical analyses were performed.</div></div><div><h3>Results</h3><div>44 patients sustained frostbite injuries secondary to recreational nitrous oxide use between January 2021 to October 2024. 75 % of patients were aged between 15 and 24 years with the average age being 21.3. All patients had a delayed presentation to the Emergency Department with the average time to assessment being 12 days. The mean total body surface area injured was 0.73 % (range 0.2–2 %). The medial thigh was the commonest site of injury (63.6 %). 26 (56.1 %) patients sustained full thickness frostbite injury. 21 patients were lost to follow-up, 1 required skin grafting, and the remaining 23 patients had an average healing time of 87.9 days.</div></div><div><h3>Conclusion</h3><div>The recreational use of nitrous oxide has risen in recent years and so has the incidence of associated cold injuries. The patients are typically young, or even children; however, restricting the use and distribution of nitrous oxide is challenging. Greater emphasis needs to be placed on educating this age group to address this public safety concern. Additionally, national data collection would be useful in investigating the impact within the UK.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107572"},"PeriodicalIF":3.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338445","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":"Persistent inflammation, immunosuppression, and catabolism syndrome and sepsis in pediatric burns","authors":"Michael D. Santarelli ,&nbsp;Alvin D. Jeffery ,&nbsp;Stephanie G. Patterson ,&nbsp;Prince J. Kannankeril ,&nbsp;Elizabeth D. Slater ,&nbsp;Anne L. Wagner ,&nbsp;Ryan J. Stark","doi":"10.1016/j.burns.2025.107571","DOIUrl":"10.1016/j.burns.2025.107571","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prevalence of persistent inflammation, immunosuppression, and catabolism syndrome (PIICS) and associated sepsis in children with burn injuries at a single, large institution over the past 25 years.</div></div><div><h3>Background</h3><div>Despite advances in care, sepsis after burn injury continues to have a significant contribution to morbidity and mortality. This risk is compounded by an altered immune state after burn injury that can induce PIICS. While the presence of this dysregulated immunophenotype in pediatric burns is widely accepted, it remains poorly characterized.</div></div><div><h3>Methods</h3><div>We performed a retrospective analysis of pediatric burn injuries utilizing an institutional database with de-identified patient records (1997–2023).</div></div><div><h3>Results</h3><div>In the cohort of 287 patients, the overall prevalence of sepsis and PIICS among burn-injured children was 30 % and 15 %, respectively. The presence of inhalation injury and the total body surface area (TBSA) burned were both strongly associated with the development of sepsis and PIICS. While those with PIICS had more infections per patient compared to patients without PIICS, there was no difference in the pathogen profile between the two groups. Having PIICS itself was independently associated with the development of sepsis, and among the laboratory and clinical criteria, we found that lymphopenia had the strongest association.</div></div><div><h3>Conclusion</h3><div>PIICS occurred in approximately 1 in 6 pediatric patients with burn injury. The development of PIICS is closely associated with the development of sepsis during hospitalization. Among the laboratory and clinical criteria, lymphopenia was most strongly associated with a septic event, suggesting that its presence should heighten concern about the development of serious infections in this vulnerable population.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107571"},"PeriodicalIF":3.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338448","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":"Cross cultural adaptation and validation of the Latin American Spanish version of the Burn Specific Health Scale-Brief (BHSH-BE) questionnaire","authors":"Juan David Rodriguez-Parra ,&nbsp;Norberto Navarrete","doi":"10.1016/j.burns.2025.107568","DOIUrl":"10.1016/j.burns.2025.107568","url":null,"abstract":"<div><h3>Introduction</h3><div>The Burn-Specific Health Scale-Brief (BSHS-B) questionnaire is a widely validated tool for assessing health-related quality of life (HRQoL) in patients with burns. There is no version appropriate for low- and middle-income Spanish-speaking countries. This study aimed to translate, culturally adapt, and psychometrically validate a version in Latin American Spanish (BSHS-BE).</div></div><div><h3>Methods</h3><div>First, we translated and culturally adapted the BSHS-B into Latin American Spanish. Then, the questionnaire underwent psychometric validation and reliability evaluation using the Short-Form 36 Health Survey and the Patient Health Questionnaire-2.</div></div><div><h3>Results</h3><div>The BSHS-BE assessed the clinical relevance of each item in terms of content validity. The BSHS-BE demonstrated good discriminatory ability in patients with hand or face burns, TBSA &gt; 15 %, required surgical intervention, and those at risk of depressive disorder. The relationship between the BSHS-BE and SF-36 was analyzed by estimating the correlation coefficients using Spearman’s rank. An exploratory factor analysis (EFC) was conducted using a seven-domain model, extracting factors using the Velicer Partial Mean Averages test, and analyzing with a maximum likelihood factor extraction with oblimin rotation to compute the factor structure of items of the BSHS-BE, explaining 71 % of variability. Internal consistency was determined for the BSHS-BE using Cronbach’s alpha for each domain and the total score.</div></div><div><h3>Conclusion</h3><div>The BSHS-BE is a valid, reliable, and culturally adapted tool for assessing the HRQoL of patients with burns, which supports multidisciplinary management, thereby improving quality of life.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107568"},"PeriodicalIF":3.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365828","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":"Experimental study on sprayable autologous epidermal cells for promoting full-thickness skin wound healing in diabetes","authors":"Xiaohui Li ,&nbsp;Hao Yang ,&nbsp;Honglin Wu ,&nbsp;Shuting Li ,&nbsp;Hailin Xu ,&nbsp;Zhiyong Wang ,&nbsp;Yi Zhang ,&nbsp;Zhicheng Hu ,&nbsp;Jiayuan Zhu","doi":"10.1016/j.burns.2025.107569","DOIUrl":"10.1016/j.burns.2025.107569","url":null,"abstract":"<div><div>The technology of sprayable autologous epidermal cells has been proven effective in promoting epidermal regeneration and healing chronic refractory wounds. However, its underlying impact in diabetic wound healing remains less understood. The research aims to evaluate the effectiveness of this innovative therapy by analyzing key aspects of wound healing, including re-epithelialization, angiogenesis, inflammation, and extracellular matrix remodeling. Diabetes was induced in Wuzhishan pigs using streptozotocin injection. Full-thickness wounds were then created on the pigs, which were randomly assigned to two groups (n = 8 per group): the experimental group was treated with sprayable autologous epidermal cells, while the control group received no treatment. The findings indicated that wounds treated with sprayable autologous epidermal cells exhibited a significantly improved rate of complete wound closure (100.0 % vs. 86.9 ± 5.3 %; <em>p</em> &lt; 0.05). Histological analysis of the experimental group revealed re-epithelialization with thicker epidermis （87.0 ± 10.5 μm vs. 70.3 ± 9.2 μm, <em>p</em> &lt; 0.001）and longer rete ridges (7.8 ± 0.89 vs. 5.5 ± 1.1 per mm, <em>p</em> &lt; 0.01) compared to the control group on postoperative day 21. Further analysis demonstrated decreases in inflammatory cytokine expression and extracellular matrix deposition in the experimental group compared to the control group. Additionally, the experimental group exhibited increases in new blood vessel formation, pericyte coverage, cell proliferation markers, and growth factor expression. Therefore, this small sample size study suggests that sprayable autologous epidermal cell therapy may accelerate diabetic wound healing, with potential for broader clinical application in larger studies.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107569"},"PeriodicalIF":3.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338451","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":"Adult and pediatric pain management for burn injuries: A global survey of burn care providers","authors":"Morgan Dewey ,&nbsp;Kori Baker ,&nbsp;Scott Mueller ,&nbsp;Arek J. Wiktor ,&nbsp;Cameron Gibson","doi":"10.1016/j.burns.2025.107570","DOIUrl":"10.1016/j.burns.2025.107570","url":null,"abstract":"<div><h3>Introduction</h3><div>The practice of pain management for burn injuries may vary by region or socioeconomic status. This study aimed to assess current pain management practices in burn patients globally.</div></div><div><h3>Methods</h3><div>An online survey regarding the availability and use of drugs for burn pain management was sent to members of the International Society for Burn Injuries (ISBI) via email and shared in WhatsApp groups comprised of burn professionals. The primary outcome was to provide a cumulative representation of the current state of burn pain management globally.</div></div><div><h3>Results</h3><div>113 surveys were completed, with half of respondents from high-income countries (HICs). Most respondents treat both adult and pediatric patients (65 %). The most used analgesic for background pain for all burn sizes is paracetamol, with HICs using it more often than other countries for large and small burn sizes (p = 0.03 and 0.02). Oral and intravenous (IV) opioids are more often used in HICs for all burn sizes in adult patients. Respondents having a protocol for pain management or being aware of pain guidelines reported better perceived pain control for their patients.</div></div><div><h3>Conclusion</h3><div>Pain management for burn injuries varies by country socioeconomic status and drug availability. Perception of adequate pain control is associated with socioeconomic status, availability of drugs, and having a pain protocol.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107570"},"PeriodicalIF":3.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338447","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":"Biological skin substitute in the treatment of partial-thickness burns – Reflection on “Does the dressing matter in pediatric partial-thickness burns: A systematic review and meta-analysis”","authors":"P. Bukovčan","doi":"10.1016/j.burns.2025.107567","DOIUrl":"10.1016/j.burns.2025.107567","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 6","pages":"Article 107567"},"PeriodicalIF":3.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365293","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":"The separate and combined effect of intraoperative stressors on the surgical team during burn surgery: A pilot study","authors":"Zehra Palejwala ,&nbsp;Fiona M. Wood ,&nbsp;Shane K. Maloney ,&nbsp;Grant J. Landers ,&nbsp;Ullrich K.H. Ecker ,&nbsp;Karen E. Wallman","doi":"10.1016/j.burns.2025.107565","DOIUrl":"10.1016/j.burns.2025.107565","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries occurring to more than 20 % of a patient’s total body surface area (TBSA) are often treated in hot theatres and are considered complex cases, potentially increasing stress in the surgical staff. While heat stress is known to affect perceived workload and cognitive function, the effect of psychological stress, and the combined effect of heat and psychological stress, have not been explored in surgical staff. Thus, our aim was to assess the separate and combined effects of heat and psychological stress on cognitive function, perceptual measures, and physiological variables of surgical staff during burn surgery.</div></div><div><h3>Methods</h3><div>Eight surgical personnel were assessed in control conditions: CON (24 ± 1°C; 7 ± 10 % TBSA), hot conditions: HOT (30 ± 1°C; 18 ± 2 % TBSA), and complex, hot conditions: HOT_C (32 ± 1°C; 37 ± 23 % TBSA). Cognitive function and perception of thermal sensation and comfort were recorded pre- and post-surgery, while perceived workload was assessed post-surgery only. Physiological variables were recorded throughout surgery.</div></div><div><h3>Results</h3><div>Working memory capacity pre-surgery (<em>g</em>=0.38) and processing speed were impaired in HOT_C compared to CON (<em>p</em> &lt; 0.05), but were not different between HOT and CON (<em>p</em> &gt; 0.05). Perceived workload was higher in HOT_C compared to CON (<em>p</em> &lt; 0.05) but was not different between HOT and CON (<em>p</em> &gt; 0.05). Numerical differences in core temperature between HOT_C and CON were larger than differences between HOT and CON, while heart rate was significantly higher in HOT_C compared to HOT or CON (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Heat stress can cause symptoms of heat strain in the surgical team, which can be exacerbated by psychological stress, potentially leading to cognitive impairments and a higher perceived workload.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 7","pages":"Article 107565"},"PeriodicalIF":3.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634362","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}