European burn journal最新文献

{"title":"Chemical Burns in Northern China: Co-Occurrence of Low TBSA and Recorded Full-Thickness Involvement in a 7-Year Retrospective Cohort.","authors":"Tian Liu, Hui Zhou, Fangchao Hu, Yirui Qu, Xiangyu Liu, Chengfeng Xu, Yunfei Chi","doi":"10.3390/ebj7030049","DOIUrl":"10.3390/ebj7030049","url":null,"abstract":"<p><p><b>Background:</b> Total body surface area (TBSA) quantifies burn extent, whereas burn depth reflects tissue involvement. In chemical burns, small surface-area injuries may still include deeper tissue damage, but this patient-level co-occurrence remains incompletely described; we therefore examined it in hospitalized patients in northern China. <b>Methods:</b> We retrospectively analyzed a merged 2016-2022 burn database. Records coded as chemical burns were included when the recorded length of stay exceeded one day. <b>Results:</b> Of 5929 screened records, 214 were coded as chemical burns. Exclusion of two short-stay records left 212 unique patients. Most were male (74.5%) and aged 18-60 years (84.9%). Workplace exposure was recorded for 47.2%. Among 105 patients with ≤2% TBSA and a known depth, 87 (82.9%; 95% confidence interval [CI]: 74.5-88.9%) had a recorded maximum-depth category involving a full-thickness component. Among all 109 patients with ≤2% TBSA, 81 (74.3%; 95% CI: 65.4-81.6%) had a positive recorded III/IV-degree area. Acids and alkalis accounted for 30.2% and 29.7% of recorded exposures, respectively, and 37.3% underwent at least one operation. <b>Conclusions:</b> Working-age adults predominated, and workplace exposure was the most common recorded setting. Low TBSA frequently co-occurred with recorded full-thickness involvement in this selected inpatient cohort. The findings support reporting recorded burn depth alongside TBSA in hospitalized chemical injuries and improving standardized prospective documentation.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042299","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":"The Unknown Benefits of Dermal Matrices in Prevent Loss of Albumin in Patient with Major Burns.","authors":"Wen Ching Jeannette Ting, Long Yin Ronald Cheung, Hui Ma, Aydin Kerem Arslan, Jun Fung Max Kam, Tor Wo Chiu","doi":"10.3390/ebj7030048","DOIUrl":"10.3390/ebj7030048","url":null,"abstract":"<p><p><b>Background:</b> Hypoalbuminemia is a common complication after burn injury, exacerbated by surgical debridement, and contributes to edema, delayed healing, infection, and mortality. NovoSorb^® biodegradable temporizing matrix (BTM) is a dermal substitute that may reduce protein loss from open wounds. <b>Objective:</b> To evaluate the effect of BTM on serum albumin levels compared with conventional split-thickness skin grafting. <b>Method:</b> This retrospective review included burn patients (TBSA ≥ 10%, length of stay > 30 days) admitted between 2020 and 2025 who underwent debridement followed by BTM or skin grafting. Serial albumin levels were analyzed as weekly means. <b>Result:</b> Baseline characteristics were comparable between BTM (<i>n</i> = 14) and non-BTM (<i>n</i> = 16) groups. Albumin decreased in both groups at week 1. From week 3 onward, albumin levels rose only in the BTM group, with significant intergroup differences at weeks 5-7 (<i>p</i> < 0.05 to <i>p</i> < 0.01), but not at week 8. <b>Conclusions:</b> In this observational, exploratory, and hypothesis-generating study, BTM application was associated with faster albumin recovery compared with conventional methods. This is the first study to suggest that a dermal substitute may positively influence systemic albumin dynamics in burn patients, highlighting its potential role in reducing protein loss and supporting metabolic recovery. However, given the preliminary nature of these findings, it requires confirmation in larger, prospective, randomized controlled trials.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042410","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":"Intracompartmental Pressure and Burn Depth Dynamics in Circumferential Deep Dermal Burns Treated with Bromelain-Based Enzymatic Debridement: A Retrospective, Hypothesis-Generating Single-Center Study.","authors":"Dan Cristian Moraru, Mihai-Codrin Constantinescu, Alexandru-Hristo Amarandei, Dimitrie-Stefan Gologan, Stefana Avadanei-Luca, Andrei-Nicolae Gologan, Vladimir Poroch, Taher Hibi, Mihaela Pertea","doi":"10.3390/ebj7030047","DOIUrl":"10.3390/ebj7030047","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Circumferential deep dermal burns generate progressive sub-eschar pressure with risk of burn-induced compartment syndrome (BICS). Bromelain-based enzymatic debridement is a proposed non-surgical decompressive strategy, but the temporal kinetics of intracompartmental pressure (ICP) normalization and their relationship to burn depth are poorly characterized. We explored these kinetics and introduce, as an exploratory descriptive concept, the Enzymatic Decompression Half-Time (EDT₅₀), mapping the ICP normalization curve stratified by Laser Doppler Imaging (LDI) burn depth. <b>Methods:</b> In this single-center retrospective study, 31 adults with circumferential deep dermal burns (IIb, TBSA ≤ 20%) treated with NexoBrid^® were analyzed. ICP was measured at five time points (T0-T24 h) and LDI at T0 and T24 h. Subgroup analyses were treated as descriptive because several subgroups were small. <b>Results:</b> ICP declined progressively with no rebound (repeated-measures ANOVA, <i>p</i> < 0.001). EDT₅₀ appeared depth-dependent (high-flux 2.1 h; low-flux 5.9 h). No patient developed clinical BICS (0/31; 95% CI 0-11%). Pre-treatment LDI flux correlated negatively with ICP (r = -0.71) and EDT₅₀ (r = -0.64). <b>Conclusions:</b> In this small cohort, enzymatic debridement was associated with progressive ICP normalization without clinical compartment syndrome. These hypothesis-generating findings require prospective validation; established BICS remains an absolute indication for surgical escharotomy.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042364","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":"Sequential Bromelain-Based Enzymatic Debridement in a Near-Total (97%) TBSA Burn: A Case Report.","authors":"Jannik Hinzmann, Sonja Verena Schmidt, Elisabete Macedo Santos, Maria Fueth, Marius Drysch, Yonca Steubing, Christoph Wallner","doi":"10.3390/ebj7030046","DOIUrl":"10.3390/ebj7030046","url":null,"abstract":"<p><p><b>Introduction:</b> Early debridement of burn eschar is a cornerstone of care for patients with extensive burns, yet early large-area surgical excision may be limited by blood loss, physiological instability, and substantial logistical demands. Evidence on bromelain-based enzymatic debridement involving treatment areas greater than 15% total body surface area (TBSA) remains scarce. <b>Case Report:</b> A 38-year-old man sustained partial- and full-thickness burns involving 97% TBSA, together with inhalation injury. Sequential enzymatic debridement with NexoBrid was performed at the bedside in five 4-h sessions under intensive care conditions, with 14-27% TBSA treated per session. Complete eschar removal was achieved within 64 h of admission without transfer to the operating room, major procedure-related bleeding, or transfusion during the debridement period. The subsequent course was complicated by sepsis and severe respiratory failure requiring veno-venous extracorporeal membrane oxygenation. Following intensive care treatment, the patient stabilized markedly, ECMO support was discontinued, and near-complete wound coverage was achieved. He died on hospital day 87 following acute intrapulmonary and endotracheal hemorrhage of unclear etiology. <b>Conclusions:</b> This case illustrates the technical feasibility of early, sequential bedside enzymatic debridement in a near-total burn and may inform its carefully selected off-label use in highly specialized burn centers.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042357","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":"Severe Burn Injury Alters Expression of Adrenergic Receptor Transcripts in a Rodent Model.","authors":"Kristine Knappskog, Julia Kleinhapl, Titas Gladkauskas, Siren Fromreide, Dagrun Slettebø Daltveit, Jake E Lowry, Per Morten Knappskog, Henning Onarheim, Anne Berit Guttormsen, Daniela Elena Costea, Amina El Ayadi, Juquan Song, Steven E Wolf, Stian Kreken Almeland","doi":"10.3390/ebj7030045","DOIUrl":"10.3390/ebj7030045","url":null,"abstract":"<p><strong>Background: </strong>Norepinephrine is commonly used during acute burn resuscitation to maintain adequate perfusion pressure. However, its effects, together with the burn-induced catecholamine surge, on arterial α₁-adrenergic receptors (α₁-AR) remain unclear. This study examined whether burn injury and continuous norepinephrine infusion alter arterial α₁-AR subtype expression at the transcriptional and protein levels.</p><p><strong>Methods: </strong>Sprague-Dawley rats were randomized to full-thickness scald burn involving 25% total body surface area with continuous intravenous norepinephrine or sodium chloride (NaCl) infusion, sham injury with norepinephrine infusion, or untreated controls. Mean arterial pressure (MAP) was measured at baseline and before euthanasia (six or 24 h). Aorta, carotid, and renal arteries were collected for analysis of α₁-AR subtypes (<i>Adra1a</i>, <i>Adra1b</i>, and <i>Adra1d</i>) using quantitative PCR (qPCR) and immunohistochemistry (IHC).</p><p><strong>Results: </strong>Norepinephrine efficiently increased MAP in sham animals. In burned animals with norepinephrine, MAP increased at six hours (+10.6 mmHg) but fell below baseline at 24 h (-6.4 mmHg). Burned animals given NaCl had persistently lower MAP than those given norepinephrine, at six hours (-19.1 mmHg) and 24 h (-21.1 mmHg). qPCR demonstrated significant downregulation of <i>Adra1b</i> in the renal artery across all groups compared to control (7.8-16.4-fold, <i>p</i> < 0.001). Overall, changes in protein expression across different vascular beds and receptor subtypes were inconsistent.</p><p><strong>Conclusions: </strong>Norepinephrine increased MAP in both sham and burned animals, confirming the drug's efficacy. Burn injury and sustained norepinephrine exposure were associated with early, vessel-specific alterations in α₁-AR mRNA expression. The absence of consistent protein-level changes within 24 h suggests a delay in receptor expression on protein level.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835280","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":"Use of Skeletal External Fixation to Improve Cultured Epidermal Autograft Outcomes in Lower Extremity Burns.","authors":"Sofie Hass, Cole Bird, Dhaval Bhavsar","doi":"10.3390/ebj7030043","DOIUrl":"10.3390/ebj7030043","url":null,"abstract":"<p><strong>Background: </strong>Large surface area burn injuries compromise skin integrity and are associated with significant morbidity and mortality. Skin autografts are essential for wound healing but are limited in patients with extensive burns due to insufficient donor site availability, resulting in delays in wound coverage. Cultured epidermal autograft (CEA) provides burn wound coverage in patients with extremely limited donor sites, but its success is limited by fragility, lack of basement membrane-anchoring cells, and susceptibility to shear and pressure, particularly over the lower extremities.</p><p><strong>Methods: </strong>We present two adult patients with total body surface area burns greater than 80% who underwent treatment with CEA and external fixation of the lower extremities. Burn wounds were excised and temporarily covered with allograft skin prior to CEA application. A triplanar external fixation device was used to suspend the lower extremities off the bed surface to minimize shear and pressure on CEA-treated areas.</p><p><strong>Results: </strong>Following application, both patients demonstrated near-perfect graft adherence, with wounds healing within four weeks and durable epithelial coverage at 12 weeks. No complications related to external fixation were observed. The use of external fixation to suspend the lower extremities reduced shear forces and improved CEA take. This approach provided stable wound healing, facilitated wound care, and demonstrated excellent functional recovery.</p><p><strong>Conclusions: </strong>External fixation may serve as a valuable adjunct in improving outcomes of CEA in patients with extensive burn injuries involving the lower extremities.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13511016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835293","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":"Anxiety and Depression Symptoms in Patients with Burn Injuries at Fundación Santa Fe de Bogotá, Colombia: Study of Patient-Reported Outcomes.","authors":"Tatiana De Castro-Botero, Carlos Kerguelen-Botero, Natalia Botero-Tovar, Viviana Gómez-Ortega, Juan Diego Castro-Córdoba, Kevin Rico Gutiérrez, Silvia Marcela Ballesteros, José De la Hoz-Valle","doi":"10.3390/ebj7030044","DOIUrl":"10.3390/ebj7030044","url":null,"abstract":"<p><strong>Background: </strong>Burn injuries impose substantial physical and psychological burden beyond acute wound care. Anxiety and depressive symptoms are frequent but often underrecognized among burn survivors. Routine patient-reported mental health assessment during hospitalization and after discharge remains limited, particularly in Latin American burn care settings. This study described the early trajectory of patient-reported anxiety and depressive symptoms from hospitalization to three-month follow-up among adult burn patients treated at Fundación Santa Fe de Bogotá, Colombia.</p><p><strong>Methods: </strong>We conducted an observational cohort study including adult patients admitted to the Burn Unit between April 2022 and July 2023. Anxiety and depressive symptoms were assessed during hospitalization and at three months using the Zung Self-Rating Anxiety and Depression Scales. Scores ≥50 were considered clinically relevant.</p><p><strong>Results: </strong>A total of 118 patients with complete paired assessments were included. Clinically relevant anxiety symptoms increased from 19% during hospitalization to 29% at three months, while depressive symptoms were present in 32% and 29%, respectively. Severe burns and low educational attainment were associated with higher odds of clinically relevant symptoms at follow-up.</p><p><strong>Conclusions: </strong>Patient-reported anxiety and depressive symptoms were frequent during early burn recovery, supporting routine PROM-based mental health assessment and timely psychological follow-up.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13511026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835313","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":"The Hidden Psychological Burden of Burn Injury: Clinical Characteristics Correlation of Psychiatric Disorders in Hospitalized Burn Patients at the Burn Unit of Dr. Cipto Mangunkusumo National General Hospital.","authors":"Feranindhya Agiananda, Aditya Wardhana, Artasya Karnasih, Natasya Ayusandra Mahersaputri","doi":"10.3390/ebj7030042","DOIUrl":"10.3390/ebj7030042","url":null,"abstract":"<p><p><b>Background:</b> Psychiatric disorders are common but often unrecognized complications in patients with burns. This study aimed to determine the association between psychiatric disorders and demographic and clinical factors in the Burn Unit of Dr. Cipto Mangunkusumo National General Hospital (RSCM). <b>Methods:</b> This retrospective cross-sectional study used the electronic medical records (EMR) of adult patients with burns admitted between 2023 and 2025. <b>Results:</b> Of the 201 inpatients with burns, 73.1% were diagnosed with a psychiatric disorder, most commonly adjustment disorder (53.2%); among patients with major burns, this rose to 83.1%. Female sex (odds ratio (OR) = 0.421; <i>p</i> = 0.032), multiple concurrent psychosocial stressors (OR = 0.389; <i>p</i> = 0.012), and more than three operative procedures (OR = 0.127; <i>p</i> = 0.010) were independent predictors. There were no independent links between burn extent (Total Body Surface Area) and psychiatric outcomes, or between length of stay (LOS) and psychiatric outcomes. A significant proportion of inpatients with burns had psychiatric disorders. <b>Conclusions:</b> The risk of psychiatric morbidity was significantly associated with female sex, multiple psychosocial stressors, and an increased operative burden, but not with burn severity. These results support regular psychiatric screening as an integral part of the comprehensive treatment of patients with burns, especially in high-risk groups.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835325","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":"Multi-Organ Failure in Adult Patients Admitted to Intensive Care with Severe Burns-A Retrospective Cohort Study.","authors":"William J McIver, Randeep Mullhi, Elizabeth Chipp, Mansoor N Bangash, Sarah E Bache, Dhruv Parekh, Tomasz Torlinski","doi":"10.3390/ebj7030041","DOIUrl":"10.3390/ebj7030041","url":null,"abstract":"<p><p><b>Introduction:</b> Multi-organ failure (MOF) is the predominant cause of death in patients with burns who survive their initial injury. MOF can be \"sterile\" in nature (driven by the burn injury) or related to sepsis. The time course and predictors of MOF in major burns have not been well characterised. <b>Methods:</b> This is a retrospective cohort study of all adult patients with total body surface area (TBSA) burns > 15% admitted to the ICU of a UK tertiary burn centre between 2016 and 2025. Sequential Organ Failure Assessment (SOFA), DENVER2, and American Burn Association Sepsis Criteria were calculated on days 1, 3, 5, 7, 10, 14, 17, and 21 of ICU admission. Logistic regression models were used to explore variables associated with MOF. <b>Results:</b> In total, 131 patients were included. Patients who developed MOF were older, with more severe burns and inhalational injury. MOF incidence peaked at day 5 and then declined, while sepsis peaked at day 10. Renal failure and renal replacement therapy were uncommon, but both were strongly associated with reduced survival. Risk factors for early MOF were mainly related to burn severity, whereas sepsis was the predominant risk factor for late MOF. Shock severity on admission and more aggressive fluid resuscitation were also associated with MOF. <b>Conclusions:</b> Early organ dysfunction appears driven by the burn injury and associated shock, whereas later dysfunction is sepsis-driven. Renal failure is the organ failure most associated with mortality.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835302","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 Mixed Methods Service Evaluation of a Peer-Supported Breakfast Group in Adult Inpatient Burn Rehabilitation.","authors":"Lottie Elizabeth Armitage","doi":"10.3390/ebj7030040","DOIUrl":"10.3390/ebj7030040","url":null,"abstract":"<p><p><b>Background</b>: Burn injuries have complex physical and psychological consequences, making holistic rehabilitation essential. This mixed methods service evaluation explored the acceptability and perceived benefits of a peer-supported breakfast group delivered as part of routine occupational therapy practice for adult inpatient burn survivors. <b>Methods</b>: A tailored survey integrating PROMIS items with open-ended questions was completed by nine participants. All English-speaking inpatients aged >18 years who attended were invited to participate. In total 36 patients attended and 9 completed the survey (<i>n</i> = 36; <i>n</i> = 9). A convergent design integrated open-ended survey responses with PROMIS patient-reported outcome items, analysed thematically and interpreted using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and MMR-RHS (Mixed Methods Reporting-Rehabilitation and Health Sciences) frameworks. <b>Results</b>: Quantitative findings suggested high perceived physical function and strong emotional support, with low anxiety and depression, and low social isolation. Reflexive thematic analysis generated four themes: fostering human connection and emotional wellbeing; restoring autonomy and confidence; preparing physically and psychologically for discharge; and the influence of the rehabilitation environment. <b>Conclusion</b>: While descriptive only, findings provide early insight into the value of peer-supported group activity in inpatient burn care. Larger controlled studies with baseline measurement are needed to evaluate effectiveness and implementation feasibility.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"7 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13397859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581409","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}