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

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PATTERNS AND OUTCOMES OF PEDIATRIC BURN INJURIES IN A TERTIARY HOSPITAL’s BURN UNIT 一家三甲医院烧伤科的儿童烧伤模式和后果
Burns open : an international open access journal for burn injuries Pub Date : 2024-02-12 DOI: 10.1016/j.burnso.2024.02.002
Lisanu Asefa , Metasebia Worku Abebe , Abraham Gebregziabher Negussie
{"title":"PATTERNS AND OUTCOMES OF PEDIATRIC BURN INJURIES IN A TERTIARY HOSPITAL’s BURN UNIT","authors":"Lisanu Asefa ,&nbsp;Metasebia Worku Abebe ,&nbsp;Abraham Gebregziabher Negussie","doi":"10.1016/j.burnso.2024.02.002","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Burn is skin and tissue damage caused by various agents such as fire, scalds, electricity, chemicals, or radiation injuries. Globally, burn injuries pose a substantial public health challenge, with a high risk of mortality and morbidity, accounting for over 310,000 annual deaths. Nearly 75 % of burns in young children result from scald burns and infants have the highest mortality rates. Factors such as large surface area of burn, inhalational injury, poverty, and the presence of sepsis contribute significantly to mortality and morbidity in burns.</p></div><div><h3>Objective</h3><p>To assess the pattern of presentation of pediatric burn injuries and their management outcomes.</p></div><div><h3>Methods</h3><p>A hospital-based retrospective cross-sectional study was conducted. Data were extracted from patient charts, cleaned, coded, checked for completeness, and entered into SPSS version 25 for analysis. Descriptive statistics and logistic regression were used for data analysis, and graphical presentations were utilized to present the result findings.</p></div><div><h3>Results</h3><p>Among the 218 paediatric burn patients admitted to the Addis Ababa Burn, Emergency and Trauma Hospital’s burn unit, 71.1 % had sustained scald burns due to hot water splashes, while 20.2 % of the patients were admitted due to flame burns. Superficial partial thickness burns occurred in 53.6 % of the patients, with the upper extremity and trunk being the most commonly affected sites. Approximately 38.2 % of the patients developed acute complications, with sepsis of the wound focus being the most common. Chronic complications occurred in 30.7 % of patients, primarily in the form of post-burn contractures. A mortality rate of 3.2 % was observed during the admission period with 2.3 % of deaths occurring in children under 5 years and those with major burns.</p></div><div><h3>Conclusion &amp; Recommendation</h3><p>The primary causes of burns in the pediatric age group are predominantly preventable scalds. Children, especially when unsupervised at home, particularly in kitchens, demand meticulous attention and care to mitigate the risk of burn injuries.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 87-91"},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000117/pdfft?md5=21c1770a2663e91268e64fdf6ea50252&pid=1-s2.0-S2468912224000117-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139732550","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}
引用次数: 0
Where two keloids meet: Invasive confluent growth of chest keloids, a case report 两个瘢痕疙瘩的交汇处胸部瘢痕疙瘩的侵袭性汇合生长,病例报告
Burns open : an international open access journal for burn injuries Pub Date : 2024-02-03 DOI: 10.1016/j.burnso.2024.01.007
Grace C. Limandjaja , Rosemarijn E. van Meijeren-Hoogendoorn , Juliette M.I.M. Louter , Antoine J.M. van Trier , Frank B. Niessen , Albert Wolkerstorfer , Susan Gibbs , Paul P.M. van Zuijlen
{"title":"Where two keloids meet: Invasive confluent growth of chest keloids, a case report","authors":"Grace C. Limandjaja ,&nbsp;Rosemarijn E. van Meijeren-Hoogendoorn ,&nbsp;Juliette M.I.M. Louter ,&nbsp;Antoine J.M. van Trier ,&nbsp;Frank B. Niessen ,&nbsp;Albert Wolkerstorfer ,&nbsp;Susan Gibbs ,&nbsp;Paul P.M. van Zuijlen","doi":"10.1016/j.burnso.2024.01.007","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.01.007","url":null,"abstract":"<div><p>Keloids are differentiated from hypertrophic scars by their invasive lateral growth vs. the expansive growth of hypertrophic scars. This case report demonstrates the dynamic nature of keloids and the importance of clinical follow-up on its natural progression over time, especially when differentiation from hypertrophic scars is difficult. Serial photographic documentation is an invaluable aid for follow-up evaluation.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 92-93"},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000099/pdfft?md5=f59152b29fd34e74a47ffd568ded0c49&pid=1-s2.0-S2468912224000099-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139732551","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}
引用次数: 0
Femur fractures in burn patients: A 22-year case series 烧伤患者的股骨骨折:22 年病例系列
Burns open : an international open access journal for burn injuries Pub Date : 2024-02-01 DOI: 10.1016/j.burnso.2024.01.005
Capt Patrick M. Wise , Anastasiya Ivanko , Capt Wyatt D. Vander Voort , Mark A. Lee , Tina L. Palmieri
{"title":"Femur fractures in burn patients: A 22-year case series","authors":"Capt Patrick M. Wise ,&nbsp;Anastasiya Ivanko ,&nbsp;Capt Wyatt D. Vander Voort ,&nbsp;Mark A. Lee ,&nbsp;Tina L. Palmieri","doi":"10.1016/j.burnso.2024.01.005","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.01.005","url":null,"abstract":"<div><p>The purpose of this study was to report our experience caring for burn patients with femur fractures and to compare outcomes of fractures treated with internal fixation within and after 48 h of injury. Twenty femur fractures were identified in the 17 burn patients. Two patients died prior to definitive fixation of their fractures. Of the fractures fixed internally within 48 h, 60% (6 out of 10) of fractures went on to predicted union and 44% of patients had systemic complications. Of the fractures treated after 48 h, only 25% (2 out of 8) went onto predicted union and all patients had significant systemic complications. To our knowledge, this is the largest series of femur fractures in burn patients reported, and in this series early internal fixation was associated with more favorable outcomes.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 75-81"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000075/pdfft?md5=3517016786fd564ed540dcf55656a334&pid=1-s2.0-S2468912224000075-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674575","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}
引用次数: 0
Evaluation of clinical presentation and management outcome of burns, experience at secondary referral hospital in a low-income, sub-Saharan country: A cohort study 评估烧伤的临床表现和处理结果--撒哈拉以南地区低收入国家二级转诊医院的经验:一项队列研究
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-28 DOI: 10.1016/j.burnso.2024.01.006
Mohammedbabalrahma Bashier Ahmed Koko , Mohamed Daffalla Awadalla Gismalla , Mohammed Yousof Bakhiet , Alshareef Mohamed Alshareef , Mohammed Aseri , Aimen Elsheikh Khalil Abuelnour
{"title":"Evaluation of clinical presentation and management outcome of burns, experience at secondary referral hospital in a low-income, sub-Saharan country: A cohort study","authors":"Mohammedbabalrahma Bashier Ahmed Koko ,&nbsp;Mohamed Daffalla Awadalla Gismalla ,&nbsp;Mohammed Yousof Bakhiet ,&nbsp;Alshareef Mohamed Alshareef ,&nbsp;Mohammed Aseri ,&nbsp;Aimen Elsheikh Khalil Abuelnour","doi":"10.1016/j.burnso.2024.01.006","DOIUrl":"10.1016/j.burnso.2024.01.006","url":null,"abstract":"<div><h3>Purpose</h3><p>Burns are considered as serious health problem in low-income country. They lead to patients’ morbidity and mortality beside their burden on the health care system. This study was conducted to review the clinical presentation and management outcome in a secondary referral hospital in Sudan (sub-Saharan country).</p></div><div><h3>Methods</h3><p>This is a retrospective hospital-based cohort study. It was conducted during 2019–2021. Data was collected to determine socio-demographic characteristics of patients, site of burns, cause of burn and management outcome. Any patient presented with burns during the study periods was enrolled in the study area.</p></div><div><h3>Results</h3><p>Total number of surgical emergency admitted during the study periods were 8126. Total number of patients who are included in this study were 133 with male predominant (53 %). Seventy-two of them are below age of 10 years. Half of the patients (53 %) presented with scalding burn. Only, 36 % of them presented to the emergency department during the first 12 h. Seventy eight percentage of them were treated and discharged while 6 % of them died. Open wound dressing was done for 84 % of patients while skin graft was done in 12 % of patients.</p></div><div><h3>Conclusion</h3><p>This study demonstrates the situation in a low-income setting with higher prevalence among children. There are challenges and difficulty in managing burn patients.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 82-86"},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000087/pdfft?md5=bd5af846fc1feaf79f42cbc83595b363&pid=1-s2.0-S2468912224000087-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632001","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}
引用次数: 0
Ain shams burn unit experience with post-burn contracted fingers Ain Shams 烧伤科治疗烧伤后挛缩手指的经验
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-19 DOI: 10.1016/j.burnso.2024.01.002
Amr Mabrouk, Mai Raafat Hammad, Adel Mabrouk, Mohamed Samir Badawy
{"title":"Ain shams burn unit experience with post-burn contracted fingers","authors":"Amr Mabrouk,&nbsp;Mai Raafat Hammad,&nbsp;Adel Mabrouk,&nbsp;Mohamed Samir Badawy","doi":"10.1016/j.burnso.2024.01.002","DOIUrl":"10.1016/j.burnso.2024.01.002","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 94-96"},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000038/pdfft?md5=68b4cb025d78eecc8c15b3f6a26dacb2&pid=1-s2.0-S2468912224000038-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538028","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}
引用次数: 0
Firework related burn injuries in Australia and New Zealand 澳大利亚和新西兰与烟花有关的烧伤事故
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-17 DOI: 10.1016/j.burnso.2024.01.001
Jason Diab , Vanessa Diab , Zachias Hopkins , Peter K.M. Maitz , Andrea C. Issler-Fisher
{"title":"Firework related burn injuries in Australia and New Zealand","authors":"Jason Diab ,&nbsp;Vanessa Diab ,&nbsp;Zachias Hopkins ,&nbsp;Peter K.M. Maitz ,&nbsp;Andrea C. Issler-Fisher","doi":"10.1016/j.burnso.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Fireworks are commonly used to celebrate holidays and events with potential to impact livelihoods from blast injuries. This study aims to describe and analyse firework related burns in adults across Australia and New Zealand (ANZ).</p></div><div><h3>Methods</h3><p>A retrospective review from January 2010 – January 2023 across all ANZ adult burns units. All firework related burn injuries in adults greater than 18 years that attended or were referred to the burns unit were included.</p></div><div><h3>Results</h3><p>There were 173 patients with a firework related burn injury. The male to female ratio was 4.4:1 with the majority representing a younger age group (18–45 years). Men were significantly more likely to have firework related injuries at home and /or outside than women (49.3 % vs 24.2 %, p = 0.009). There were 29 firecrackers, 44 sparklers, and 99 firework burn injuries with significant differences in proportions between states for sparklers and fireworks. The mean TBSA was 4.3 % with significant differences amongst sex (men 4.7 % vs women 2.0 %, p = 0.042) and amongst states. Adequate first aid was reported higher in men than women (61.4 % vs 42.4 %, p = 0.047). Approximately half the injuries were hands and a third of injuries involved more than one body part. The most frequent type of injury was a full thickness burn (39.6 %), followed by mid dermal (24.1 %) and superficial (23.0 %) respectively.</p></div><div><h3>Conclusions</h3><p>Firework related burns have distinct patterns of use and injuries amongst men and women with variations across states. Legislation and prevention are cornerstone to reducing the impact of burn related injuries.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 53-59"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246891222400004X/pdfft?md5=6445456a14e660a7ca2b4b3662a3a3fb&pid=1-s2.0-S246891222400004X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503690","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}
引用次数: 0
Epidemiological and cost analysis of burned patients in Iran 伊朗烧伤病人的流行病学和成本分析
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-17 DOI: 10.1016/j.burnso.2024.01.004
Mehdi Aryafar , Maliheh Ziaee , Amin Adel , Shapour Badiee Aval , Hosein Ebrahimipour , Asma Rashki Kemmak , Elahe Pourahmadi
{"title":"Epidemiological and cost analysis of burned patients in Iran","authors":"Mehdi Aryafar ,&nbsp;Maliheh Ziaee ,&nbsp;Amin Adel ,&nbsp;Shapour Badiee Aval ,&nbsp;Hosein Ebrahimipour ,&nbsp;Asma Rashki Kemmak ,&nbsp;Elahe Pourahmadi","doi":"10.1016/j.burnso.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.01.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Considering the financial support provided by insurance and the government for burn patients in Iran, and recognizing the substantial economic impact associated with their treatment, there is a pressing need to delve into the epidemiology of these patients and analyze the related costs. This study aims to explore the epidemiological aspects and hospitalization costs of burn patients specifically within the burn ward of Imam Reza 68-bed Hospital in Mashhad, a regional center of referral in the eastern part of the country.</p></div><div><h3>Methods</h3><p>Data had extracted from the electronic data collection system, which is used on a daily basis in the hospital. We included patients with a primary or secondary diagnosis of burns, code T20.0-T32.9 and T95 according to the International Classification of Diseases ICD-10. Ultimately, 1151 patients were included in the study. We analyzed 1151 burn cases in terms of patients’ age at the time of the event, gender, type of burn (Chemical, scalds, flame, electrical and contact burns), anatomical location of the burn (head and neck, upper limb, lower limb, multiple regions and part unspecified), burn etiology, burn degree (I, II, III), total burn surface area (%TBSA), Inpatient ward, expenditure ($), burn mortality rate and length of hospitalization. The age group was divided into seven groups by the 10 years intervals. Statistical analysis of the data was performed using SPSS-16 and Excel software.</p></div><div><h3>Results</h3><p>1151 patients were included in the study. High-risk groups are pediatric up to nine (0–9) years. According to age, we found that most cases were children, respectively, 25% (2<!--> <!-->9<!--> <!-->1) cases. Men accounted for 743 cases (65%), women for 408 (35%). Major causes of severe burn injury were flame burns (49%) and scalds (43%). Unspecified was the most common burn location (40%), followed by the multiple regions (23%) and upper limb (11%). In cases of head and neck burns, the financial burden on the patient is elevated compared to other types of burns due to increased expenses for medications, disposable medical instruments, and hoteling. The main items for the burned patients are hoteling (38% of total costs), surgeon (24%), medicine (16%), and medical consumables (6%). The per capita expenditure was $9,365 ± $8,100 in pediatrics and $11,179 ± $10,180 in adults <em>Conclusions</em>: Most cases of death were related to burn in multiple areas of the body and then trunk burn (30% and 19%, respectively) and no death was observed in patients with hand and wrist burn. Burns can be incredibly severe and life-threatening, especially when they affect multiple areas of the body, such as the trunk and any burn injury is still a serious matter. It's important to prioritize fire safety and take precautions to prevent such accidents from happening.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 68-74"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000063/pdfft?md5=8b9e77be5824c7432eb0c6ab9db4e82b&pid=1-s2.0-S2468912224000063-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139505381","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}
引用次数: 0
Epidemiology and perceptions of non-fatal burns among select youth (15–24 years old) from Peshawar Pakistan; a sequential explanatory mixed methods study 巴基斯坦白沙瓦部分青年(15-24 岁)对非致命性烧伤的流行病学和看法;一项循序解释性混合方法研究
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-17 DOI: 10.1016/j.burnso.2024.01.003
Sarwat Masud , Adnan A Hyder , Uzma Rahim Khan , Nadeem Ullah Khan , Pammla Petrucka
{"title":"Epidemiology and perceptions of non-fatal burns among select youth (15–24 years old) from Peshawar Pakistan; a sequential explanatory mixed methods study","authors":"Sarwat Masud ,&nbsp;Adnan A Hyder ,&nbsp;Uzma Rahim Khan ,&nbsp;Nadeem Ullah Khan ,&nbsp;Pammla Petrucka","doi":"10.1016/j.burnso.2024.01.003","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.01.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Burns are among the top five cause of unintentional injuries among youth. We aimed to determine the incidence and risk factors of burns in select youth from Pakistan and also explored their perceptions about burns.</p></div><div><h3>Methods</h3><p>A sequential explanatory mixed methods study was conducted which comprised of two phases. Phase 1 consisted of a cross-sectional quantitative survey (QUAN) in which 550 vocational school youth (15 to 24 years-olds) filled out the WHO community survey tool for injuries and violence and provided data on burns in previous 12 months (2021–22). Phase 2 consisted of qualitative (QUAL), in-depth interviews (IDIs) with participants selected from Phase 1 based on the occurrence of burns. STATA™ version 15.1 was used for Phase 1 data analysis and Zero-Inflated Negative Binomial regression was used for determining the Incidence Rate Ratio (IRR) of burns. Thematic analysis was performed for in-depth interviews from Phase 2.</p></div><div><h3>Results</h3><p>Out of 547 participants, 356 (65%) were males while 191 (35%) were females. Burns were reported by 85 participants (15%). A total of 137 counts of burns were reported showing multiple burns by some participants. The IRR for burns among young females was 2.89 (1.78–4.69) compared to males in the previous 12 months (2021–22). Age, sex, father’s education, and combined family income were significant risk factors for burns in youth. Six IDIs were conducted with burn victims, two were males while six were females. Four cooking-related burns, and two occupational burns during vocational training were reported. Themes that emerged from IDIs were internal and external factors, personal carelessness and lack of knowledge and safety about burns. Two sub-themes that were significant for recovery from burns were family support and access to healthcare.</p></div><div><h3>Conclusion</h3><p>Young females are at a higher risk of burn injuries in Pakistan. Various social, demographic, and behavioral risk factors are associated with burns. Pre-burn and post-burn interventions are needed for prevention from burns in youth.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 60-67"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000051/pdfft?md5=15076dae6aed4260e3e387f859690717&pid=1-s2.0-S2468912224000051-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139505621","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}
引用次数: 0
Burn size estimation: A remarkable history with clinical practice implications 烧伤面积估算:具有临床实践意义的非凡历史
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-10 DOI: 10.1016/j.burnso.2023.12.006
Gretchen J. Carrougher, Tam N. Pham
{"title":"Burn size estimation: A remarkable history with clinical practice implications","authors":"Gretchen J. Carrougher,&nbsp;Tam N. Pham","doi":"10.1016/j.burnso.2023.12.006","DOIUrl":"https://doi.org/10.1016/j.burnso.2023.12.006","url":null,"abstract":"<div><p>Determining the size of a burn injury is a critical metric in the care of the burn patient. Several long-standing methods exist to estimate burn size to include the Rule of Nines, Lund-Browder Chart, and Palmar method; all of which remain in clinical use today. Development and use of these metrics first began in the late 1800s. Understanding these clinical tools and others, with an appreciation of their development, limitations, and utility, is important for the competent burn care clinician today. This review provides an evolutional history for these metrics and use in clinical practice.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 47-52"},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000014/pdfft?md5=f5f4fc6a41aca6ba00dfe9f9227d4ad1&pid=1-s2.0-S2468912224000014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139436270","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}
引用次数: 0
Report of outcomes in burn patients enrolled in the Cultured epidermal autograft prospective Registry 培养表皮自体移植前瞻性登记处登记的烧伤患者疗效报告
Burns open : an international open access journal for burn injuries Pub Date : 2024-01-01 DOI: 10.1016/j.burnso.2023.12.001
Shawn Fagan , Zaheed Hassan , Bounthavy Homsombath , Rajiv Sood , Kade Hardy , Beretta Craft-Coffman , Brett C. Hartman , Caryn Cramer , John Griswold
{"title":"Report of outcomes in burn patients enrolled in the Cultured epidermal autograft prospective Registry","authors":"Shawn Fagan ,&nbsp;Zaheed Hassan ,&nbsp;Bounthavy Homsombath ,&nbsp;Rajiv Sood ,&nbsp;Kade Hardy ,&nbsp;Beretta Craft-Coffman ,&nbsp;Brett C. Hartman ,&nbsp;Caryn Cramer ,&nbsp;John Griswold","doi":"10.1016/j.burnso.2023.12.001","DOIUrl":"https://doi.org/10.1016/j.burnso.2023.12.001","url":null,"abstract":"<div><p>Cultured epidermal autograft (CEA) is a permanent skin replacement indicated for use in adult and pediatric patients with deep dermal or full thickness burns comprising a total body surface area (TBSA) ≥ 30 %. CEA (Epicel®) was approved for use in adults in the United States in 2007 as a Humanitarian Use Device (HUD) under a Humanitarian Device Exemption (HDE) and was approved for pediatric use in 2016. In 2019, a CEA Registry was established with an objective of prospective data collection and analysis of demographic, treatment, and outcome data for the real-world use of CEA. At the time of data cut–off (June 2022), 68 patients (50 adults and 18<!--> <!-->children) had completed data in the registry, up through hospital discharge, for this analysis. Mean total body surface area (TBSA) of the burn was 58 % in adults and 56 % in pediatric patients, and almost half had inhalation injury in each group. Approximately 74 % of adults and 67 % of pediatric patients had TBSA ≥ 50 %. Overall survival was 87 % (84 % adults, 94 % pediatric). Mean % graft take (engraftment) of CEA was 81 % in adults and 84 % in pediatric patients. Outcomes from this prospective collection of data in severely burned patients treated with CEA demonstrate favorable engraftment and survival rates and are in general agreement with recent literature.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 1","pages":"Pages 29-34"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912223000457/pdfft?md5=016f162099a83a64130abdd90aabd429&pid=1-s2.0-S2468912223000457-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139090150","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}
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