Burns open : an international open access journal for burn injuries最新文献

{"title":"Corrigendum to “Utilization of Suprathel® in delayed surgical management of toxic epidermal necrolysis (TEN): A case report” [Burns Open 10C (2025) 100399]","authors":"Isabella Lipkin, Michelle Hughes, W.B. Hughes","doi":"10.1016/j.burnso.2026.100474","DOIUrl":"10.1016/j.burnso.2026.100474","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100474"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “A case of delayed encephalopathy after acute carbon monoxide poisoning in a burn patient” [Burns Open 12C (2025) 100424]","authors":"Patrick J. Kennedy, Allison Chowdhury, Chinaemelum Akpunonu, Ariel Rodgers, Nicole Bernal, John Loftus","doi":"10.1016/j.burnso.2026.100466","DOIUrl":"10.1016/j.burnso.2026.100466","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When AI sees but fails to decide: From visual recognition to clinical decision-making in burn assessment","authors":"Ibrahim Güler,&nbsp;Armin Kraus,&nbsp;Gerrit Grieb,&nbsp;Henrik Stelling","doi":"10.1016/j.burnso.2026.100475","DOIUrl":"10.1016/j.burnso.2026.100475","url":null,"abstract":"<div><h3>Background</h3><div>General-purpose multimodal AI systems are now accessible to clinicians and patients. While they can process medical images and extract visual features, it remains unclear whether they can translate these into appropriate clinical decisions in burn care.</div></div><div><h3>Methods</h3><div>Sixty burn wound images were assessed by four multimodal AI models (GPT-5.4 Pro, Grok 4.1, Gemini 3.1 Pro, Claude Opus 4.6), each queried five times. Performance was evaluated across multiple variables along a clinical decision pathway from burn depth classification to surgical indication and management (1200 evaluations per variable; 7200 total assessments). The dataset reflected specialist referral patterns, with 95% of cases requiring surgery.</div></div><div><h3>Results</h3><div>Model performance deteriorated along the clinical pathway. Burn depth classification exceeded the majority-class baseline (50.0–62.7% vs. 41.7%). In contrast, surgical decision accuracy (55.0–76.0%) and management accuracy (11.0–54.7%) fell below baseline in every model. Surgical errors were predominantly false negatives, with sensitivity of 52.6–75.8%. A recommendation against surgery was correct in fewer than 15% of cases. For management, models systematically avoided the intermediate category (debridement), instead oscillating between conservative treatment and skin grafting. These errors were structured and reproducible; the most consistent models often performed below baseline accuracy.</div></div><div><h3>Conclusions</h3><div>Current multimodal AI systems can recognize burn characteristics but fail to translate into reliable clinical decisions. Errors were systematic and clinically consequential, predominantly reflecting undertreatment. General-purpose AI tools are not yet suitable for independent use in burn care and will require dedicated models or targeted adaptation of existing systems to achieve clinically reliable decision-making.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100475"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood group profile and mortality in patients with severe burns","authors":"Hung Tuan Ngo,&nbsp;Tu Van Hoang,&nbsp;Lam Nhu Nguyen,&nbsp;Hung Dinh Tran,&nbsp;Minh Le Nguyet Tran","doi":"10.1016/j.burnso.2026.100473","DOIUrl":"10.1016/j.burnso.2026.100473","url":null,"abstract":"<div><h3>Background</h3><div>Several recent studies have reported associations between the ABO blood group system and the risk of sepsis as well as mortality in severe burn patients. However, the available evidence remains limited and inconsistent. The study aimed to evaluate the association between ABO blood groups and mortality rate in severe burn patients.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study including 998 adult patients (≥ 18 years old) with severe burns treated at the Department of Intensive Care, Viet Nam National Burn Hospital from January 1, 2021 to June 2025.</div></div><div><h3>Results</h3><div>There was a statistically significant difference in burn extent among blood groups: blood group [A] had the lowest burn extent (35 [26–53]% TBSA), followed by group [O] (40 [27–55]% TBSA) and group [B] (41 [28–62]% TBSA), while the highest burn extent was observed in group [AB] (42.5 [30–62]% TBSA) (<em>p</em> = 0.014). Severe burn patients with blood group [B] had the highest mortality rate (27.97%), whereas those with blood group [O] had the lowest (18.34%), with a statistically significant difference (<em>p</em> = 0.035). Blood group [B] was associated with a significantly increased risk of mortality compared to other blood groups (OR = 1.55; <em>p</em> = 0.007). Kaplan–Meier curve analysis showed that severe burn patients with blood group [B] had a significantly lower survival probability compared to other groups (<em>p</em> = 0.0085). However, in multivariate analysis, blood group [B] was not an independent factor associated with mortality (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Although blood group B was associated with mortality in univariate and Kaplan–Meier analyses, this association was no longer statistically significant after adjustment for confounding factors in the multivariable mode.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100473"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does workplace environment correlate with occurrence of burn disability in India?","authors":"Radhe Shyam Mishra,&nbsp;Bedanga Talukdar,&nbsp;Anurag Dugar,&nbsp;Saurabh Singh","doi":"10.1016/j.burnso.2026.100477","DOIUrl":"10.1016/j.burnso.2026.100477","url":null,"abstract":"<div><h3>Background</h3><div>Burn is a major cause of death and disability at the worldwide level. The prevalence of burn disability is increasing and disproportionately higher in low- and middle-income countries.</div></div><div><h3>Objective</h3><div>To examine whether workplace environment (home or workplace) is associated with the occurrence of burn disability in India.</div></div><div><h3>Methods</h3><div>This study has used the unit records from the National Sample Survey (NSS) 76th Round (2018), Schedule 26.0. Persons with Disabilities: Burn disability is identified from the schedule's cause of disability code; for burn/injury, the schedule records place of occurrence (home, workplace, road, other). Descriptive statistics, bivariate analyses, multivariable, and probit models were used to examine the workplace environment and socioeconomic status of persons with burn disabilities in India.</div></div><div><h3>Results</h3><div>Results reveal that burn disability is associated with workplace environment and gender in India. Rural areas have a higher prevalence of burn disability compared to urban areas. People having lower education and belonging to the poorest wealth quintile have the higher risk of burn disability.</div></div><div><h3>Conclusions</h3><div>The occurrence of burn disability is significantly impacting individuals and households, and it is associated with the workplace environment, particularly in rural areas and with gender in India<strong>.</strong> Setting matters for prevention, reflecting gender exposures and resource constraints.</div></div><div><h3>Policy implications</h3><div>(1) Target home safety and clean cooking in rural households; (2) adopt basic burn prevention and first aid in the informal sector and high-risk occupations.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100477"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum regarding missing Declaration of competing interest and Funding statements in previously published articles","authors":"","doi":"10.1016/j.burnso.2026.100459","DOIUrl":"10.1016/j.burnso.2026.100459","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100459"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum regarding missing Informed Consent statements in previously published articles","authors":"","doi":"10.1016/j.burnso.2026.100470","DOIUrl":"10.1016/j.burnso.2026.100470","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100470"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of junior physicians' proficiency in emergency burn management at public healthcare institutions in Port Sudan, Sudan","authors":"Khalid Elsir,&nbsp;Mohamed Adam Grieb,&nbsp;Siddig Yagoub Nougdallah,&nbsp;Abdalla Abbas Abdalla,&nbsp;Momen Mohamed","doi":"10.1016/j.burnso.2026.100476","DOIUrl":"10.1016/j.burnso.2026.100476","url":null,"abstract":"<div><h3>Introduction</h3><div>Burns pose a significant global health challenge, causing substantial morbidity and mortality, particularly in low- and middle-income countries (LMICs). In these environments, junior physicians often provide initial burn treatment with limited training and resources. This study assesses the knowledge of junior emergency physicians in burn care, highlighting the urgent need for enhanced training and resource support.</div></div><div><h3>Material and methods</h3><div>This study is a descriptive, quantitative, multi-center, cross-sectional analysis. It was conducted in three hospitals in Port Sudan between August and October 2025. The focus of the study was on junior physicians working in the emergency departments of these public sector hospitals during the specified period. The inclusion criteria for participation were as follows: participants had to be junior physicians working in the emergency departments of hospitals in Port Sudan during the study timeframe.</div></div><div><h3>Results</h3><div>This study examined 390 participants. Medical officers comprised 49%, house officers 42.8%, and registrars 8.2%. Notably, only 10.3% accurately identified the adult burn surface area, while 89.7% responded incorrectly. Awareness of pediatric burn surface area was even lower, with just 2.8% answering correctly. The mean knowledge score was 54.4 ± 11 out of 100 points (54.4%), highlighting a pressing demand for improved burn care training.</div></div><div><h3>Conclusion</h3><div>Burn injuries frequently present in emergency departments but are often not managed effectively, particularly in smaller hospitals where junior doctors serve as first responders. This insufficient awareness can adversely affect patient care. Addressing this issue requires regular training sessions for new physicians and the promotion of international collaboration to enhance burn management competencies and improve patient outcomes.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100476"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to “Cervical impalement injury by a firework whistle: a rare case of airway obstruction, facial nerve paralysis, and extensive subcutaneous emphysema induced by thermal and combustion effects” [Burns Open Volume 14 (2026) 100458]","authors":"Hayata Kumagai,&nbsp;Shoji Kondoh,&nbsp;Hikari Kumagai,&nbsp;Risa Sawaguchi,&nbsp;Yuto Kinjo,&nbsp;Shunsuke Yuzuriha","doi":"10.1016/j.burnso.2026.100469","DOIUrl":"10.1016/j.burnso.2026.100469","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"15 ","pages":"Article 100469"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgement of reviewers","authors":"","doi":"10.1016/j.burnso.2026.100443","DOIUrl":"10.1016/j.burnso.2026.100443","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"14 ","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}