European burn journal最新文献_第10页

Pros and Cons of Early and Late Skin Grafting in Children with Burns—Evaluation of Common Concepts 烧伤患儿早期和晚期植皮的利弊——一般概念的评价

European burn journal Pub Date : 2022-02-22 DOI: 10.3390/ebj3010015

I. Abdelrahman, I. Steinvall, F. Sjöberg, M. Ellabban, J. Zdolsek, Moustafa Elmasry

{"title":"Pros and Cons of Early and Late Skin Grafting in Children with Burns—Evaluation of Common Concepts","authors":"I. Abdelrahman, I. Steinvall, F. Sjöberg, M. Ellabban, J. Zdolsek, Moustafa Elmasry","doi":"10.3390/ebj3010015","DOIUrl":"https://doi.org/10.3390/ebj3010015","url":null,"abstract":"Background: There is no consensus regarding the timing of surgery in children with smaller burn size, specifically in deep dermal burns. Delayed surgery has risks in terms of infection and delayed wound healing. Early surgery also risks the removal of potentially viable tissue. Our aim was to investigate the effect of the timing of surgical intervention on the size of the area operated on and the time to wound healing. Methods: A retrospective analysis for all children (<18 years) with burn size <20% body surface area (BSA%) during 2009–2020 who were operated on with a split-thickness skin graft. The patients were grouped by the timing of the first skin graft operation: early = operated on within 14 days of injury; delayed = operated on more than two weeks after injury. Results: A total of 84 patients were included in the study, 43 who had an early operation and 41 who had a delayed operation. There were no differences between the groups regarding burn size, or whether the burns were superficial or deep. The mean duration of healing time was seven days longer in the group with delayed operation (p = 0.001). The area operated on was somewhat larger (not significantly so) in the group who had early operation. Nine children had two skin graft operations, eight in the early group and one in the delayed group (p = 0.03). Conclusion: The patients who were operated on early had the advantage of a shorter healing time, but there was a higher rate of complementary operations and a tendency towards a larger burn excision.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85570096","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}

引用次数: 1

Infection and Burn Injury 感染和烧伤

European burn journal Pub Date : 2022-02-22 DOI: 10.3390/ebj3010014

Edward J. Kelly, Mary A. Oliver, B. Carney, J. Shupp

引用次数: 9

Two Modified Questionnaires for the Assessment of Nutrition Impact Symptoms in the Rehabilitation Phase after Burn Injury: A Content Validation Study 两份用于评估烧伤后康复阶段营养影响症状的修正问卷:内容验证研究

European burn journal Pub Date : 2022-02-18 DOI: 10.3390/ebj3010013

Josefin Dimander, A. Andersson, A. Miclescu, F. Huss

{"title":"Two Modified Questionnaires for the Assessment of Nutrition Impact Symptoms in the Rehabilitation Phase after Burn Injury: A Content Validation Study","authors":"Josefin Dimander, A. Andersson, A. Miclescu, F. Huss","doi":"10.3390/ebj3010013","DOIUrl":"https://doi.org/10.3390/ebj3010013","url":null,"abstract":"Disease Related Appetite Questionnaire (DRAQ) and Eating Symptom Questionnaire (ESQ) are used to assess nutrition impact symptoms, which are symptoms that can negatively affect the patients’ food intake. However, these questionnaires have not yet been adapted to the needs of patients recovering from burn injuries. Our aim was therefore to develop DRAQ and ESQ for assessments of nutrition impact symptoms after burn injury. A content validation index (I-CVI) for items included in DRAQ and ESQ, regarding their relevance for possible nutrition impact symptoms in a burn-injured patient (Likert scale 1–4), was performed by an expert review group. A clarity validation by expert and non-expert reviewers was carried out. Two of the eleven questions in DRAQ and eight of the fourteen questions in ESQ were not considered relevant and were therefore removed from the questionnaires. Five additional questions were added to DRAQ and two to ESQ. A high degree of consensus on relevance (scale-content validity index average, S-CVI/Ave, 0.86 for DRAQ-burn and 0.83 for ESQ-burn) was reached in the expert group. To conclude, it is suggested that we use developed forms of DRAQ and ESQ (DRAQ-burn and ESQ-burn) for the assessment of nutrition impact symptoms, specifically during the rehabilitation phase of burn-injured patients.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76297493","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}

引用次数: 0

Relations among Stigma, Quality of Life, Resilience, and Life Satisfaction in Individuals with Burn Injuries 烧伤患者耻感、生活质量、恢复力和生活满意度的关系

European burn journal Pub Date : 2022-02-15 DOI: 10.3390/ebj3010012

Jack D Watson, P. Perrin

{"title":"Relations among Stigma, Quality of Life, Resilience, and Life Satisfaction in Individuals with Burn Injuries","authors":"Jack D Watson, P. Perrin","doi":"10.3390/ebj3010012","DOIUrl":"https://doi.org/10.3390/ebj3010012","url":null,"abstract":"This study examined the relations among burn stigma, quality of life, resilience, and life satisfaction, hypothesizing that higher stigma and lower burn-related quality of life would lead to lower life satisfaction; however, resilience would moderate this relation. A sample of 89 participants was recruited from an outpatient clinic of a burn center in a critical care hospital. Participants completed a battery of measures assessing these constructs. Results suggested that burn stigma was associated with reduced life satisfaction after accounting for other variables. Multiple regression models found that burn stigma predicted both affect and body image but not interpersonal relationship quality or sexuality. Interpersonal relationship quality, sexuality, affect, and body image all predicted life satisfaction. Both affect and body image partially accounted for the relation between stigma and life satisfaction, and resilience accounted for the relation between stigma and affect. Findings reinforce previous literature that has shown a relationship between stigma and life satisfaction but also emphasizes the role of resilience and burn-related quality of life. Individuals who experience a burn injury may have innate resilience abilities, which allow them to bounce back from stressors; thus, resilience can be a targeted strength to bootstrap in order to improve adjustment outcomes.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84407872","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}

引用次数: 3

Pre-Burn Health-Related Quality of Life: Patient and Partner Perspectives 烧伤前与健康相关的生活质量:患者和伴侣的观点

European burn journal Pub Date : 2022-02-11 DOI: 10.3390/ebj3010011

Elise Boersma-van Dam, H. Hofland, A. D. de Jong, N. V. Van Loey

{"title":"Pre-Burn Health-Related Quality of Life: Patient and Partner Perspectives","authors":"Elise Boersma-van Dam, H. Hofland, A. D. de Jong, N. V. Van Loey","doi":"10.3390/ebj3010011","DOIUrl":"https://doi.org/10.3390/ebj3010011","url":null,"abstract":"A proxy-assessment of health-related quality of life (HRQL) may be an alternative for burn patients who are medically unable to self-report shortly after being admitted to the hospital. This study examined the patient–partner agreement on the recalled pre-injury HRQL of burn patients. In a multi-centre study of 117 patient–partner pairs, the recalled pre-burn HRQL was assessed with the EQ-5D-3L + Cognition during the acute phase following the burns. Agreement was evaluated with Kappa and ICC statistics. Burn severity and PTSD symptoms were assessed as potential predictors of disagreement. The results showed that pre-burn EQ-Index scores were similar to population norms, whereas the EQ Visual Analog Scale (EQ-VAS) scores of patients were significantly higher. Agreement varied across EQ-5D domains and, after adjusting for prevalence, was substantial to almost perfect. Average agreement on the EQ-Index and EQ-VAS was, respectively, substantial and moderate, but differences between partners were larger at lower levels of HRQL, and specifically in the pain/discomfort domain. Patient–partner differences could not be explained by the patient’s age or gender, number of surgeries, partner’s presence at the burn event, or post-traumatic stress disorder (PTSD) symptoms of either the patient or partner. In conclusion, patient–partner agreement is substantial and partner–proxy reports of pre-burn EQ-5D domains and EQ-Index scores may be used to complement or serve as a substitute for the patient’s assessment. Given the moderate agreement on the EQ-VAS, it may be less suited for proxy assessment.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89447881","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}

引用次数: 0

When Is Being Sad on the Burn Unit Pathological? Differential Diagnosis of Demoralization, Adjustment Disorder and Major Depressive Disorder in Burn Survivors 什么时候在烧伤科伤心是病态的?烧伤幸存者士气低落、适应障碍和重度抑郁障碍的鉴别诊断

European burn journal Pub Date : 2022-02-10 DOI: 10.3390/ebj3010010

M. Beal, S. Lerman, Idris E. Leppla

引用次数: 0

Resilience and Posttraumatic Growth after Burn: A Review of Barriers, Enablers, and Interventions to Improve Psychological Recovery 烧伤后的恢复力和创伤后生长:改善心理恢复的障碍、促进因素和干预措施综述

European burn journal Pub Date : 2022-02-09 DOI: 10.3390/ebj3010009

A. Woolard, Indijah Bullman, A. Allahham, Treya M Long, H. Milroy, Fiona Wood, Lisa Martin

{"title":"Resilience and Posttraumatic Growth after Burn: A Review of Barriers, Enablers, and Interventions to Improve Psychological Recovery","authors":"A. Woolard, Indijah Bullman, A. Allahham, Treya M Long, H. Milroy, Fiona Wood, Lisa Martin","doi":"10.3390/ebj3010009","DOIUrl":"https://doi.org/10.3390/ebj3010009","url":null,"abstract":"Burn injuries are traumatic experiences that can detrimentally impact an individual’s psychological and emotional wellbeing. Despite this, some survivors adapt to psychosocial challenges better than others despite similar characteristics relating to the burn. Positive adaptation is known as resilience or posttraumatic growth, depending on the trajectory and process. This review aimed to describe the constructs of resiliency and growth within the burn injury context, examine the risk factors that inhibit resilience or growth after burn (barriers), the factors that promote resilience or growth after burn (enablers), and finally to assess the impact of interventions that have been tested that may facilitate resilience or growth after burn. This review was performed according to the recently updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. An electronic search was conducted in November 2021 on the databases PubMed, Medline (1966-present), Embase (1974-present), PsycINFO for English-language peer-reviewed academic articles. There were 33 studies included in the review. Findings were mixed for most studies; however, there were factors related to demographic information (age, gender), burn-specific characteristics (TBSA, time since burn), person-specific factors (personality, coping style), psychopathology (depression, PTSD), and psychosocial factors (social support, spirituality/religion, life purpose) that were evidenced to be related to resilience and growth. One qualitative study evaluated an intervention, and this study showed that a social camp for burn patients can promote resilience. This study has presented a variety of factors that inhibit or encourage resilience and growth, such as demographic, individual, and social factors. We also present suggestions on interventions that may be used to promote growth following this adverse event, such as improving social support, coping styles and deliberate positive introspection.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87617928","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}

引用次数: 3

Screening and Assessment for Psychological Distress among Burn Survivors 烧伤幸存者心理困扰的筛选与评估

European burn journal Pub Date : 2022-02-03 DOI: 10.3390/ebj3010008

Valerie G. Loehr, W. Goette, Kimberly Roaten

引用次数: 4

Acknowledgment to Reviewers of European Burn Journal in 2021 向欧洲烧伤杂志2021年审稿人致谢

European burn journal Pub Date : 2022-01-28 DOI: 10.3390/ebj3010007

引用次数: 0

The Use of Intact Fish Skin as a Novel Treatment Method for Deep Dermal Burns Following Enzymatic Debridement: A Retrospective Case-Control Study 使用完整鱼皮作为酶清创后深层皮肤烧伤的新治疗方法:回顾性病例对照研究

European burn journal Pub Date : 2022-01-27 DOI: 10.3390/ebj3010006

C. Wallner, Jana Holtermann, M. Drysch, S. Schmidt, F. Reinkemeier, J. Wagner, M. Dadras, A. Sogorski, K. Houschyar, M. Becerikli, M. Lehnhardt, B. Behr

{"title":"The Use of Intact Fish Skin as a Novel Treatment Method for Deep Dermal Burns Following Enzymatic Debridement: A Retrospective Case-Control Study","authors":"C. Wallner, Jana Holtermann, M. Drysch, S. Schmidt, F. Reinkemeier, J. Wagner, M. Dadras, A. Sogorski, K. Houschyar, M. Becerikli, M. Lehnhardt, B. Behr","doi":"10.3390/ebj3010006","DOIUrl":"https://doi.org/10.3390/ebj3010006","url":null,"abstract":"Background: The optimal therapy for deep burn wounds is based on the early debridement of necrotic tissue followed by wound coverage to avoid a systemic inflammatory response and optimize scar-free healing. The outcomes are affected by available resources and underlying patient factors, which represent challenges in burn care and suboptimal outcomes. In this study, we aimed to determine optimal burn-wound management using enzymatic debridement (NexoBrid™, MediWound Germany GmbH, Rüsselsheim, Germany) and intact fish skin (Kerecis® Omega3 Wound, Isafjordur, Iceland). Methods: In this retrospective case series, 12 patients with superficial or deep dermal burn wounds were treated with enzymatic debridement followed by fish skin, Suprathel® (PolyMedics Innovations GmbH, Denkendorf, Germany), or a split-thickness skin graft (STSG). Patients’ outcomes regarding healing and scar quality were collected objectively and subjectively for 12 months after the burn injury. Results: Wounds treated with fish skin demonstrated accelerated wound healing, a significantly higher water-storage capacity, and better pain relief. Furthermore, improved functional and cosmetic outcomes, such as elasticity, skin thickness, and pigmentation, were demonstrated. The pain and itch expressed as POSAS scores (Patient and Observer Scar Assessment Scale) for fish skin decreased compared to those for wounds managed with an STSG or Suprathel. Importantly, fish skin-treated wounds had significantly improved sebum production and skin elasticity than those treated with Suprathel but showed no significant superiority compared to STSG-treated wounds. Conclusions: Enzymatic debridement in combination with intact fish skin grafts resulted in the faster healing of burn wounds and better functional and aesthetic outcomes than split-thickness skin grafts and Suprathel treatment.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78195041","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}

引用次数: 8