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

{"title":"Burn vs. Referral Physicians' TBSA Estimation Errors: A Cross-Sectional Study at the National Burn Center","authors":"Alejandro Angel Corona-Figueroa ,&nbsp;Mario Vélez-Palafox ,&nbsp;Erik Agustin Marquez-Gutierrez ,&nbsp;Erika Barlandas-Quintana ,&nbsp;Samuel Eloy Gutierrez-Barreto","doi":"10.1016/j.burnso.2024.100361","DOIUrl":"10.1016/j.burnso.2024.100361","url":null,"abstract":"<div><h3>Background</h3><p>The percentage of the total body surface area (TBSA) is a simplified way to address the magnitude and severity of a thermal injury. The burn care providers recognize the relationship between burn size, prognosis, and number of required interventions. This study aims to identify the prevalence and magnitude of TBSA estimation inconsistencies between referring hospitals and the National Burn Center in Mexico and introduce new telemedicine and mobile applications for effectively estimating burn areas for non-burn-trained personnel.</p></div><div><h3>Methods</h3><p>We included patients with any thermal injury at the National Rehabilitation Institute in Mexico City referred from any other hospital in the country. Data was collected from the referral email and our medical records, and the burn estimation error was calculated using the following formula: (TBSA referral Hospital – TBSA Burn Center) / TBSA Burn Center multiplied by 100.</p></div><div><h3>Results</h3><p>Seventy-eight patients were transferred to the institute; the mean age was 27 years, 55 were male. The mean %TBSA from the referring hospital was 36 %, and in our Burn Center was 28 %, with a mean difference of 8.8 %. There were 59 cases with overestimated %TBSA, and ten were underestimated; the rest were similar in percentage.</p></div><div><h3>Conclusions</h3><p>Our study highlights substantial discrepancies between the estimated %TBSA by referring hospitals and the actual %TBSA, consistently tending towards overestimation.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246891222400049X/pdfft?md5=cdecf09df87b374863c335044dc20fc9&pid=1-s2.0-S246891222400049X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843576","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":"Strategies to reduce burn scarring","authors":"David G. Greenhalgh","doi":"10.1016/j.burnso.2024.100371","DOIUrl":"10.1016/j.burnso.2024.100371","url":null,"abstract":"<div><p>Scarring is the primary complication of anyone suffering a burn injury. Despite years of research, there have been few advances in the prevention and treatment of any scar. Recent studies have identified many factors that contribute to scar formation, but despite understanding mechanisms, clinicians are unable to stop the inevitable processes of scarring. The goal of this review is to describe current methods to reduce scarring in burns. At the same time, key questions that should direct future research will be presented. Like many maladies, optimal early care should reduce these complications.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100371"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000592/pdfft?md5=3a7a1b8be12cb0a1e6cc549b8dec4659&pid=1-s2.0-S2468912224000592-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040973","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":"Characteristics of patients with burn injuries managed at a tertiary care centre","authors":"Suntharamoorthy Iyer Thuraisamy Sarma,&nbsp;Sreekanthan Gobishangar,&nbsp;Suwaminathan Thiruvarangan,&nbsp;Nadarajah Hamsavakini,&nbsp;Paramanathan Shathana","doi":"10.1016/j.burnso.2024.100360","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.100360","url":null,"abstract":"<div><h3>Introduction</h3><p>Burn injuries are becoming a growing burden, negatively impacting both individuals and society. They affect a person’s health and lead to psychosocial and economic problems. This study evaluates the prevalence, characteristics, and short-term outcomes of patients with burn injuries admitted to a tertiary care hospital in Northern Sri Lanka.</p></div><div><h3>Methods</h3><p>This prospective cross-sectional study was conducted on patients with burn injuries admitted to Tertiary care centre Jaffna over six months in 2023. Ethical clearance was obtained from the Ethics Review Committee of the Faculty of Medicine, University of Jaffna. Baseline characteristics and clinical features during hospitalisation were recorded. Categorical variables were compared using the Chi-square test, with post hoc Tukey tests conducted where applicable.</p></div><div><h3>Results</h3><p>This study included 57 patients aged 1 to 88 years, with a mean age of 35.19 ± 21.16 years. Most participants were female (53.4 %), and most had completed secondary education (62.1 %). Approximately 65.5 % were employed in unskilled jobs, with the remainder in skilled professions. Accidental burns were the most common cause (72.4 %), with 84.5 % of injuries occurring at home, though suicide-related burns accounted for 24.1 %. Flame-related burns constituted 50 % of injuries, with first-degree burns being the most common (44.8 %). The availability of first aid significantly influenced outcomes, with 74.1 % receiving assistance, primarily through removing clothing (43.8 %) and using running water (15.8 %). A combined approach of care was received by most patients (52.7 %), while 8.8 % were hospitalised in the plastic and reconstructive surgery department. Many patients had burns covering less than 10 % of their body surface area (46.6 %).</p></div><div><h3>Conclusion</h3><p>The findings of this study on patients with burn injuries underscore the importance of understanding the causes of burns, administering appropriate first aid, recognising different injury types and severities, assessing the total burn surface area, and tailoring patient treatment. These insights are crucial for informing prevention strategies and healthcare planning, aiming to mitigate the impact of burn injuries and improve patient outcomes.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100360"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000488/pdfft?md5=a124304ab43abb497a38d80710e70b16&pid=1-s2.0-S2468912224000488-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605597","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":"Characteristics of pediatric burns complications in the main referral hospital of Mozambique","authors":"Luísa Huo ,&nbsp;Shannon Richardson ,&nbsp;Celma Issufo ,&nbsp;Valeria Chicamba ,&nbsp;Baltazar Chilundo ,&nbsp;Natércia Fernandes ,&nbsp;Vanda Amado","doi":"10.1016/j.burnso.2024.100362","DOIUrl":"10.1016/j.burnso.2024.100362","url":null,"abstract":"<div><h3>Background</h3><p>Burns remains a major preventable cause of injury in children worldwide with morbidity and mortality disproportionately affecting low- and middle-income countries. Complications following burn injuries in children are not well studied in Mozambique.</p></div><div><h3>Methods</h3><p>Children between 1 month and 14 years old hospitalized for burns between 2015 and 2017 at Hospital Central de Maputo were identified retrospectively. Child and burns characteristics were compiled with complications including wound infection, sepsis, anemia, hypoalbuminemia, hyperglycemia, and dehydration. The association of complications with demographic variables and burn characteristics were assessed through bivariate analysis.</p></div><div><h3>Results</h3><p>Of the 206 children, the most common cause of burns was hot liquids (66%), followed by fire (28%) and electrical current (6%). Children aged one to four years old were most frequently affected (54%). Of the 91 children with complications, 68% had severe burns with a significant relationship between lesion depth and complications. Among the complications, hypoalbuminemia (56%), hyperglycemia (51%), and wound infections (17%) were the most common. Children who had flame/fire burns and 2nd and 3rd degree burns were associate with a greater risk of having complications.</p></div><div><h3>Conclusions</h3><p>Pediatric burns in the early years are more frequent in Mozambique and hold a high burden of complications. Moreover, flame/fire burns and 2nd and 3rd degree burns were associated with increased odds of complications. Primary prevention measures within the family will be critical to minimize pediatric burns and additional research is warranted to better understand clinical interventions to prevent mortality and complications in low- and middle-income countries.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000506/pdfft?md5=9995c153ba6c8c5a9718d96e98363ae8&pid=1-s2.0-S2468912224000506-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838953","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":"Enhancing burn management outcomes through family support: A literature review of current evidence and best practices","authors":"Deni Alia Yadi ,&nbsp;Chandra Isabella Hostanida Purba ,&nbsp;Tuti Pahria ,&nbsp;Bejo Ropii ,&nbsp;Maulidwina Bethasari ,&nbsp;Arif Tri Prasetyo","doi":"10.1016/j.burnso.2024.100375","DOIUrl":"10.1016/j.burnso.2024.100375","url":null,"abstract":"<div><div>Burns are identified as damage to the skin and organs, commonly resulting from contact with fire, electrical currents, radiation, heated liquids or surfaces, or chemical agents. It is considered as a challenging medical condition both physically and psychologically with significant morbidity and fatality rates. Optimal wound healing required not only extensive medical care such as fluid resuscitation, wound care, infection prevention, pain control, surgical interventions, but also strong emotional and social support from family member. This article presented and discussed the burden, the role of family, the challenges and strategy in improving the healing process and enhancing treatment outcomes through family engagement. Family involvement could minimize complication rates, enhance therapy adherence, and speed up patient rehabilitation. This review provide an overview of the value of family support in burn therapy while also adding fresh insights to the existing research on the role of family in improving burn patient outcomes.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528828","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":"Cases of burns reported to health facilities in the Volta Region of Ghana, 2019–2023","authors":"Maxwell Afetor ,&nbsp;Samuel Adolf Bosoka ,&nbsp;Williams Azumah Abanga ,&nbsp;Victor Zeng ,&nbsp;Christopher Sunkwa Tamal ,&nbsp;Gyesi Razak Issahaku ,&nbsp;Clement Tetteh Narh ,&nbsp;Frank Baiden ,&nbsp;Chrysantus Kubio","doi":"10.1016/j.burnso.2024.100373","DOIUrl":"10.1016/j.burnso.2024.100373","url":null,"abstract":"<div><h3>Introduction</h3><div>Burn injuries represent a significant public health challenge in Ghana, highlighting the need for an improved surveillance system to improve the quality of epidemiological data for an informed decision making. This study aimed to present the incidence, trends, and distribution of burns in the Volta region of Ghana from 2019 to 2023.</div></div><div><h3>Method</h3><div>A retrospective secondary data analysis of burns data from the District Health Information Management System (DHIMS-2) was conducted from 2019 to 2023. Burn injuries were retrieved from the OPD morbidity report form whiles deaths from burns were retrieved from the cause of death report. Data was analysed descriptively with Microsoft Excel and Quantum Geographical Information System (QGIS), with results presented in tables and graphs.</div></div><div><h3>Results</h3><div>A total of 4,441 cases of burn injuries were reported between 2019 and 2023 with 20 cases resulting in death. Nearly 59 % of burns involved females. About a third (33.9 %) of cases involved persons aged 0–4 years. The overall average incidence of burn injuries was 51 per 100,000 population, with the highest incidence of 80 per 100,000 population reported in 2019.</div></div><div><h3>Conclusion</h3><div>Burns are an important cause of morbidity and mortality in the Volta Region of Ghana. There is however scanty data on the epidemiology of the condition in the region.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438093","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":"Editorial Board Page","authors":"","doi":"10.1016/S2468-9122(24)00055-5","DOIUrl":"10.1016/S2468-9122(24)00055-5","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658963","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":"A retrospective, single-center 4-year review of synthetic polyurethane matrix use in burns and other complex wounds","authors":"Muntazim Mukit ,&nbsp;Payton Grande ,&nbsp;David Hill ,&nbsp;Kalyan Dadireddy ,&nbsp;Sai Velamuri ,&nbsp;Mahmoud Hassouba ,&nbsp;Xiangxia Liu","doi":"10.1016/j.burnso.2024.100372","DOIUrl":"10.1016/j.burnso.2024.100372","url":null,"abstract":"<div><p>Here we describe the use of a synthetic polyurethane matrix in the setting of burns and other complex wounds in the largest United States case series to date. A retrospective review was conducted at a verified, regional burn center. All patients greater than 18 years of age who received this matrix between January 2019 and July 2023 were included. A total of 182 patients with 250 wounds were included in this study. Thirty-seven percent were smokers, 23.6 % had diabetes and 5.5 % had peripheral vascular disease. The majority were acute burn wounds (60 %), followed by trauma (24.4 %), chronic wounds (5.6 %), infection (4 %) and donor sites (2 %). Exposed structures included fat (54 %), muscle (30 %), bone (16 %) and tendon (14.4 %). Microbial colonization was present in 143 (57.2 %) of cases: 98 (39.2 %) pre-application and 89 (35.6 %) post application. The incidence of new microbial colonisation post-application was 25.6 %. Infection was present in 117 (46.8 %) cases, 49 (19.6 %) pre-matrix application, 44 (17.6 %) post-matrix application and 24 (9.6 %) pre and post application. Eighteen patients (10 %) died. Median length of stay was 27 days. Median time to matrix implantation was 10 days. Median time from matrix placement to skin grafting was 35 days. Where documented, there were 162 wounds (83.5 %) with &gt; 95 % matrix survival and 136 wounds (82.4 %) with &gt; 95 % skin graft survival even in the setting of adverse factors such as infection, diabetes, or nicotine use. This study demonstrates the robustness of this skin substitute to achieve successful reconstruction even in the setting of adverse patient or wound characteristics.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000609/pdfft?md5=a0b243ce19c42b730541bc4c712aaba9&pid=1-s2.0-S2468912224000609-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240522","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":"Associated bacterial and fungal infections in burn wounds: Common factors, distribution in etiology, age groups, bacterial and fungal strands – Evaluation of a single burn center experience of 20 years","authors":"Christian Weinand","doi":"10.1016/j.burnso.2024.100363","DOIUrl":"10.1016/j.burnso.2024.100363","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Burn intensive care unit (BICU) patients suffer from reduced immunological competence. Often bacterial and fungal infections occur as single or associated infection of the burn site. However, common factors in associated infections are discussed controversially. In this study we evaluated factors common in associated occurrence of bacterial and fungal infection in the burn population.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Patients and methods&lt;/h3&gt;&lt;p&gt;In total 213 patients, admitted to the ICU of Cologne Merheim Clinical Center between 1988 and 2011, with associated infections were included in this study. Exclusion criteria were no bacterial, or no fungal infection, or incomplete data. Data evaluated were sex, age, type of burn injury, total body surface area (TBSA), abbreviated burn severity index (ABSI) score, 3rd degree burn, inhalation injury, length of BICU stay, antibiotic therapy, bacterial strand, fungal strand, incidence of bacteria and fungus infection, single or associated occurrence and bacteria species associated with fungus species. Statistical analysis comprised of univariate, Chi-square and Fischer Exact test, multivariate analysis, positive and negative predictive value, logistic regression analysis with the Nagelkerke, Cox/ Snell R-square.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;196 patients were included into the study, 147 male and 49 female. Total mean age was 47 years, in the fire burn group 47 years, in scalding 53 years, in electrical burn 29 years and in chemical burn 62 years. 123 male and 45 female were combusted, 15 male and 3 female scalded, 9 male had an electrical burn and 1 female a chemical burn. The mean TBSA in fire burns was 41 %, in scalding 42 %, in electrical burns 46 %, and in chemical burn 16 %. The mean ABSI in fire burn and scalding was 9, in electrical burn 8 and in chemical burn 7. The 3rd degree burns were 16 % in fire burn and 13 % in scalding and electrical burn and 0 % in chemical burn. The length of BICU stay was 49 days for fire burn, 47 days for scalding, 58 days in electrical burn and 21 days in chemical burn patients.&lt;/p&gt;&lt;p&gt;The gram-positive bacterial strands most often found were Staphylococcus strands, gram negative Pseudomonas and Acinetobacter strands. Candida albicans was the most often present fungal strand. There was no difference in incidence between gram positive and gram-negative bacteria. In patients suffering from fire burns the most common bacteria were Staphylococcus and Pseudomonas, in scalding Acinetobacter, and in chemical burns Staphylococcus. In electrical burns no predominant bacterial strand was found. The associated occurrence of Staphylococcus and Candida albicans and Pseudomonas and Candida albicans was predominant. In patients with fire burn, 48% showed an associated infection, in scalding 21%, in electrical burn 33% and in chemical burn 100%.&lt;/p&gt;&lt;p&gt;Combusted patients had the highest incidence of associated infection in age group 80–89 years, in scalding 40–49, 50–59 a","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100363"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000518/pdfft?md5=96e6815fb038ba2f47e1b776c261c1e0&pid=1-s2.0-S2468912224000518-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142021436","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":"Acute phase optimization in burn care: Online tools and comprehensive predictive models for adult and pediatric patients","authors":"Enrico Cocchi ,&nbsp;Fortunato Cassalia ,&nbsp;Stefano Palo ,&nbsp;Carmine D’Acunto ,&nbsp;Anna Belloni Fortina ,&nbsp;Marcello Stella ,&nbsp;Davide Melandri","doi":"10.1016/j.burnso.2024.100370","DOIUrl":"10.1016/j.burnso.2024.100370","url":null,"abstract":"<div><h3>Background</h3><p>Severe burn injuries significantly challenge acute medical care, particularly in resource-limited environments. Current predictive scoring systems, often impractical and adult-focused, neglect crucial aspects like mechanical ventilation and length of hospital stay (LOS).</p></div><div><h3>Methods</h3><p>This study analyzed 2,618 severe burn patients, developing new predictive models for survival, mechanical ventilation, and LOS, based on promptly accessible factors applicable in any setting.</p></div><div><h3>Results</h3><p>We observed significant seasonality and clear age- and gender-specific patterns, highlighting the necessity for targeted interventions. We developed and publicly released new predictive models for mortality, mechanical ventilation, and LOS for both adult and pediatric populations.</p></div><div><h3>Discussion</h3><p>Targeting deficiencies in existing scoring systems, this study potentially advances acute burn management, with a particular focus on resource-limited settings. It provides crucial insights into the epidemiology, etiology, and prognostic factors of severe burn injuries, encapsulated in 10 actionable points. We also present an innovative freely accessible online assessment tool: <span><span>https://burn-scores.com</span><svg><path></path></svg></span>.</p></div><div><h3>Conclusion</h3><p>By bridging gaps in current scoring methodologies and improving acute phase management, our research offers insights to improve clinical outcomes for severe burn patients globally. The integration of tailored predictive models and technology-driven solutions, especially relevant in resource-constrained settings, represents a major stride in enhancing the quality of burn care.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000580/pdfft?md5=8b83bbbd38e3e53955f98e0644dbc33c&pid=1-s2.0-S2468912224000580-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141993277","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}