Burns最新文献

{"title":"Comments on \"Analyzing burns incidence trends in BRICS from 1990 to 2021: Findings from the Global Burden of Disease\"","authors":"Ruihan Zhang, Keqiang Ma, Shuyang Chen, Chenyu Zhao","doi":"10.1016/j.burns.2025.107824","DOIUrl":"10.1016/j.burns.2025.107824","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107824"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842458","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: “The effect of robot-assisted training on burn rehabilitation: A systematic review and meta-analysis”","authors":"Wangqi Tan","doi":"10.1016/j.burns.2025.107835","DOIUrl":"10.1016/j.burns.2025.107835","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107835"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842460","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":"Frailty assessment in middle-aged and older patients with burn injuries, a prospective comparative study on the clinimetric properties of existing screening tools","authors":"Charlotte I. Cords ,&nbsp;Margriet E. van Baar ,&nbsp;Ymke Lucas ,&nbsp;Sonja M.H.J. Scholten ,&nbsp;Marianne K. Nieuwenhuis ,&nbsp;Matthea Stoop ,&nbsp;Anouk Pijpe ,&nbsp;Francesco U.S. Mattace-Raso ,&nbsp;Michiel H.J. Verhofstad ,&nbsp;Cornelis H. van der Vlies ,&nbsp;FRAIL group, Dutch Burn Repository group, FRAIL group ,&nbsp;Dutch Burn Repository group ,&nbsp;Burn Centre Rotterdam ,&nbsp;Burn Centre Groningen ,&nbsp;Alliance of Dutch Burn Care","doi":"10.1016/j.burns.2025.107841","DOIUrl":"10.1016/j.burns.2025.107841","url":null,"abstract":"<div><h3>Introduction</h3><div>Frailty is frequently seen in burn patients aged ≥ 50 years and can negatively influence outcomes, yet performance of available screening tools in specialized burn care remains unclear. This study evaluated feasibility, reliability, and validity of the Clinical Frailty Scale (CFS), Burn Frailty Index (BFI), and Groningen Frailty Indicator (GFI), and determined the prevalence of frailty among patients with burns.</div></div><div><h3>Methodology</h3><div>A multicentre prospective cohort study was conducted in Dutch burn centres in patients aged ≥ 50 years. Feasibility, inter-rater reliability, predictive validity, known-group validity, convergent validity, and prevalence of frailty and its association with patient characteristics and clinical outcomes were assessed.</div></div><div><h3>Results</h3><div>Among 145 patients (median age 66 years, median TBSA burned 6.4 %), the CFS and GFI were highly feasible (completion rate up to 97 %), while the BFI was less feasible. Inter-rater reliability was moderate to good for CFS and BFI. Frailty (CFS, BFI, GFI) predicted non-home discharge, but not complications or length of stay. Frail patients were more likely to be older (CFS, BFI), have more comorbidity (CFS, BFI, GFI), and have polypharmacy (CFS, GFI). Frailty scores correlated moderately with reference standards. Frailty prevalence varied: 42.1 % (GFI), 19.4 % (CFS), and 6.2 % (BFI).</div></div><div><h3>Conclusion</h3><div>Systematic frailty screening can play an important role in acute burn care for older patients, with the CFS emerging as most feasible, reliable, and valid option for clinical implementation.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107841"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023665","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":"Effects on health-related quality of life of therapeutic exercise in burn survivors: A systematic review and meta-analyses","authors":"Laëtitia Vigneron ,&nbsp;Javier Martín Núñez ,&nbsp;Jesús Zamora Tortosa ,&nbsp;Julia Raya Benítez ,&nbsp;Alejandro Heredia Ciuró ,&nbsp;Araceli Ortiz Rubio ,&nbsp;Marie Carmen Valenza","doi":"10.1016/j.burns.2025.107829","DOIUrl":"10.1016/j.burns.2025.107829","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries often result in long-term physical and psychological impairments that negatively impact health-related quality of life. Although therapeutic exercise is a key component of burn rehabilitation, its specific effects on health-related quality of life among adult burn survivors are unclear. The aim of this study was to systematically evaluate and meta-analyze the evidence on the effectiveness of therapeutic exercise in improving health-related quality of life among adult burn survivors.</div></div><div><h3>Methods</h3><div>We performed a systematic search of the PubMed, Scopus, Web of Science, PEDro, and Cochrane Library databases from their inception until January 2025. The research question was formulated using the PICOS model, and only clinical trials or randomized controlled trials involving adults were included. Therapeutic exercise interventions followed American College of Sports Medicine (ACSM) guidelines for either aerobic or resistance training, with usual care serving as the comparator. The Cochrane Risk of Bias Tool was used to assess risk of bias. The protocol was registered in PROSPERO (CRD42024527745).</div></div><div><h3>Results</h3><div>Seven studies involving 340 burn patients were included, and three studies were pooled for a meta-analysis using RevMan 5. Therapeutic exercise significantly improved burn-specific health-related quality of life (Short Form-36, the Burn Specific Health Scale–Brief, WHOQOL-BREF and EuroQol-5D) particularly in simple abilities (mean difference [MD] = 0.69; 95 % confidence interval [CI] = 0.26–1.12; p = 0.002) and affective aspects (MD = 1.63; 95 % CI = 1.00–2.26; p &lt; 0.001) of the Burn Specific Health Scale–Brief. However, no significant effect was observed in interpersonal relationships (p = 0.09). Substantial heterogeneity (I² = 83 %) was observed, requiring cautious interpretation of the results.</div></div><div><h3>Conclusions</h3><div>This systematic review and meta-analysis provide evidence that therapeutic exercise interventions significantly improve health-related quality of life in adult burn survivors. The findings are consistent across most health-related quality of life domains, in particular, the results of our meta-analysis show significant improvements in affect and simple skills.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107829"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835354","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":"Impact of sex on the development of bacteremia in critically ill burn patients: A retrospective cohort study","authors":"Nicole J.M. Schweizer ,&nbsp;Thomas C. Scheier ,&nbsp;Philipp K. Buehler ,&nbsp;Bong-Sung Kim ,&nbsp;Mauro Vasella ,&nbsp;Chun-Chi Chang ,&nbsp;Silvio D. Brugger ,&nbsp;Pascal M. Frey ,&nbsp;Daniel A. Hofmaenner","doi":"10.1016/j.burns.2025.107845","DOIUrl":"10.1016/j.burns.2025.107845","url":null,"abstract":"<div><h3>Background</h3><div>Burn injuries are associated with significant morbidity and mortality, with infections being a major factor influencing outcomes. Given evidence of sex-related differences in infection risk, we investigated whether such disparities extend to bacteremia in critically ill burn patients.</div></div><div><h3>Methods</h3><div>We conducted a single-centre cohort study of critically ill patients with severe burn injuries admitted to the Burn Center at the University Hospital Zurich between January 2017 and December 2021. The primary outcome was the association between sex and the development of a first bacteremia episode, analysed using a competing risk regression model accounting for the competing risk of death. Secondary outcomes included the association between sex and ICU mortality, assessed with Cox regression, and the variation of pathogens causing bacteremia by sex.</div></div><div><h3>Results</h3><div>269 patients were included, of whom 69 (26 %) were female. Median age was 50 years (interquartile range [IQR] 33–65), and the affected median total body surface area was 19 % (IQR 11–30). A first bacteremia occurred in 61 patients (23 %) after a median of 7 days (IQR 5–13), including 21 of 69 female patients (30 %) and 40 of 200 male patients (20 %, p = 0.10). In the fully adjusted competing risk regression model, female sex was associated with the development of bacteremia (subhazard ratio [SHR] 1.98, 95 % CI 1.06–3.70, p = 0.03). Overall ICU mortality was 15 % (n = 40). Although crude mortality was higher among female patients (25 % vs. 12 %, p = 0.01), this difference was not significant after adjustment. Among those with bacteremia (n = 61), the most frequently identified pathogens were <em>Staphylococcus aureus</em> (19 %), <em>Klebsiella pneumoniae</em> (8 %), and <em>Streptococcus mitis/oralis</em> (8 %), with no difference in pathogen distribution between sexes (p = 0.21).</div></div><div><h3>Conclusion</h3><div>Female sex was associated with a higher bacteremia risk, suggesting sex-specific vulnerability that warrants further investigation. These findings support more tailored infection monitoring and diagnostic strategies in female burn patients during ICU care.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107845"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866118","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: “Effect of nature-based sounds on pain and anxiety during dressing changes in hospitalized burn patients: A randomized controlled clinical trial”","authors":"Shuxuan Li,&nbsp;Xinxia Lv,&nbsp;Guang Yang","doi":"10.1016/j.burns.2025.107834","DOIUrl":"10.1016/j.burns.2025.107834","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107834"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842459","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":"Multi-target actions of natural flavonoids in skin flap survival: Opportunities and challenges","authors":"Yan-Yan Chen ,&nbsp;Yi-Fei Yang ,&nbsp;Yu-Yun Xiong,&nbsp;Hui Sun,&nbsp;Yu-Mei Li","doi":"10.1016/j.burns.2026.107870","DOIUrl":"10.1016/j.burns.2026.107870","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107870"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023642","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":"Identifying risk and protective factors for burn wound infection: A retrospective study","authors":"Noah Borges ,&nbsp;Soetkin Rapol ,&nbsp;Ignace De Decker ,&nbsp;Liesbet De Bus ,&nbsp;Pieter Depuydt ,&nbsp;Stan Monstrey ,&nbsp;Karel E.Y. Claes ,&nbsp;Jan Fierens","doi":"10.1016/j.burns.2025.107826","DOIUrl":"10.1016/j.burns.2025.107826","url":null,"abstract":"<div><h3>Background</h3><div>Severe burn injuries remain associated with high morbidity and mortality due to secondary complications such as burn wound infections (BWIs). However, understanding of risk and protective factors for BWIs remains limited.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included burn patients admitted to Ghent University Hospital between 2013 and 2023. Comorbidities, demographics, severity-of-illness scores, burn characteristics, and patient flow parameters were analysed. Penalised logistic regression and Cox survival analysis were performed. Patients without BWI served as controls.</div></div><div><h3>Results</h3><div>Among 492 burn patients, 68 (13.8 %) developed BWI, with a median onset of 4.7 days (IQR: 3.0–7.7). Penalised logistic regression identified vascular disease (aOR: 4.82, 95 % CI: [1.68–13.88], p = 0.005), age (p = 0.001), full-thickness burns (aOR: 3.26, 95 % CI: [1.55–6.89], p = 0.002) and TBSA (p &lt; 0.001) as independent risk factors. In Cox models, debridement performed early after admission (days 2–4) was associated with a lower hazard of BWI, with no significant difference from day 5 onwards.</div></div><div><h3>Conclusion</h3><div>This study underscores the association between vascular disease, age, TBSA, and full-thickness burns with BWI. Early debridement (within days 2–4 of admission) was significantly associated with reduced BWI hazard. These findings may provide valuable insights for refining early burn care and treatment protocols.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107826"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736252","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: \"Background pain, procedural pain, and optimism are associated with post-discharge pain in burn survivors\"","authors":"Shujun Qiu,&nbsp;Mingxian Chen","doi":"10.1016/j.burns.2025.107799","DOIUrl":"10.1016/j.burns.2025.107799","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107799"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736246","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":"Diagnostic challenges of acute kidney injury in burn patients: Time to refine the criteria?","authors":"Norberto Navarrete","doi":"10.1016/j.burns.2025.107778","DOIUrl":"10.1016/j.burns.2025.107778","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107778"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617795","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}