European burn journal最新文献_第10页

Evaluating the Impact of a Paediatric Burn Club for Children and Families Using Group Concept Mapping. 利用小组概念图评估儿科烧伤俱乐部对儿童和家庭的影响。

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European burn journal Pub Date : 2023-05-10 DOI: 10.3390/ebj4020019

Emma L Hodgkinson, Alison McKenzie, Louise Johnson

{"title":"Evaluating the Impact of a Paediatric Burn Club for Children and Families Using Group Concept Mapping.","authors":"Emma L Hodgkinson, Alison McKenzie, Louise Johnson","doi":"10.3390/ebj4020019","DOIUrl":"10.3390/ebj4020019","url":null,"abstract":"Access to burn camps and clubs is cited as an essential element for children following a burn injury. In the Northern Regional Burns Service, this takes the form of a club run by a multidisciplinary team, offering residential camps and family day trips. In this service evaluation, Group Concept Mapping was used to evaluate the perception of the club by staff, children and families. Opportunistic sampling was used to seek responses to the following prompts: \"The challenges for children and families after a burn injury are…\" and \"The role of The Grafters Club is…\". The results indicate that participants perceived the club to be effective at addressing body image and confidence issues for the children but highlighted an unmet parental expectation that the club would also facilitate the sharing of experiences, normalisation of emotional reactions, and processing of guilt and other psychological distress for parents. When taken concurrently with pre-existing evidence in the literature base, it is proposed that a club model of psychosocial support for children and families could provide an accessible and informal opportunity for parental support that may be less subject to barriers perceived with traditional formal psychological support.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":"211-220"},"PeriodicalIF":1.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80162967","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

Psychosocial Screening in Adult Burns Inpatients within a Scottish Burns Unit. 苏格兰烧伤科成人烧伤住院病人的社会心理筛查。

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European burn journal Pub Date : 2023-05-09 DOI: 10.3390/ebj4020018

Dawn Lindsay, Kim Kirkwood, Rebecca Crawford

引用次数: 0

Associations between Ethnicity and Referrals, Access and Engagement in a UK Adult Burns Clinical Psychology Service. 英国成人烧伤临床心理学服务中种族与转诊、就医和参与之间的关联。

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European burn journal Pub Date : 2023-05-04 DOI: 10.3390/ebj4020017

Laura Shepherd, Ishani Hari, Lauren Bamford

{"title":"Associations between Ethnicity and Referrals, Access and Engagement in a UK Adult Burns Clinical Psychology Service.","authors":"Laura Shepherd, Ishani Hari, Lauren Bamford","doi":"10.3390/ebj4020017","DOIUrl":"10.3390/ebj4020017","url":null,"abstract":"Ethnic inequalities exist across healthcare, including access to and experiences and outcomes of mental health services. Access to and engagement with burns clinical psychology services is essential for all patients. This study aimed to explore the ethnic diversity of adults referred to a burns clinical psychology service compared to those admitted to the burns service. It also aimed to investigate associations between ethnicity and indicators of access and engagement (receiving, declining or not attending psychological assessments, receiving psychological therapy and the number of therapy sessions completed). Routinely collected data over eight years were analysed. Analysis revealed an association between ethnicity and referral to the burns clinical psychology service. Patients from White British and Other ethnic backgrounds were less likely to be referred, whereas patients from Black and Asian ethnic groups were more likely to be referred. There were no statistically significant associations between ethnicity and receiving, declining or not attending psychological assessments or receiving psychological therapy. Furthermore, there was no statistically significant difference in the number of psychological therapy sessions received between the ethnic groups. Therefore, patients from ethnic minority groups did not appear to have significant difficulties engaging with the service but further research is recommended.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"30 1","pages":"195-202"},"PeriodicalIF":1.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84424040","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

Managing Thermal Injuries of the Penis and Scrotum: A Narrative Review. 处理阴茎和阴囊的热损伤：叙述性综述。

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European burn journal Pub Date : 2023-04-26 DOI: 10.3390/ebj4020016

Tannon Tople, Alexander Skokan, Russell Ettinger, Shane Morrison

引用次数: 0

Review of Indications for Endotracheal Intubation in Burn Patients with Suspected Inhalational Injury. 疑似吸入性损伤的烧伤患者气管插管指征回顾。

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European burn journal Pub Date : 2023-03-29 DOI: 10.3390/ebj4020014

Elizabeth Concannon, Lindsay Damkat Thomas, Lachlan Kerr, Ivo Damkat, Benjamin Reddi, John E Greenwood, Nicholas S Solanki, Marcus J D Wagstaff

{"title":"Review of Indications for Endotracheal Intubation in Burn Patients with Suspected Inhalational Injury.","authors":"Elizabeth Concannon, Lindsay Damkat Thomas, Lachlan Kerr, Ivo Damkat, Benjamin Reddi, John E Greenwood, Nicholas S Solanki, Marcus J D Wagstaff","doi":"10.3390/ebj4020014","DOIUrl":"10.3390/ebj4020014","url":null,"abstract":"Inhalation injury is a major contributor to mortality following burn injury. Despite recognised clinical criteria to guide the intubation of burn patients, concerns remain regarding overutilisation of intubation. Complications can arise as a result of intubation, including ventilator-associated pneumonia (VAP). This study reviews the indications for intubation against the internationally accepted criteria (American Burns Association (ABA) and Denver criteria) for burn patients treated at the Royal Adelaide Hospital (RAH) burns unit between 2017 and 2020. Burn patients who were intubated on arrival to the RAH or in a pre-hospital setting were identified using the BRANZ database. Indications for intubation were compared to the ABA and Denver criteria. A total of 61 patients were identified with a mean total body surface area of 17.8%. A total of 95% of patients met one of the ABA and Denver criteria. The most common ABA and Denver criteria for intubation was deep facial burns or singed facial hair, respectively. Most adult patients with burns admitted to the RAH are intubated per published criteria. Early nasoendoscopy/bronchoscopy may be useful in determining patients who can be safely extubated within 48 h.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"35 1","pages":"163-172"},"PeriodicalIF":1.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81803772","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

Laser, Intense Pulsed Light, and Radiofrequency for the Treatment of Burn Scarring: A Systematic Review and Meta-Analysis. 激光、强脉冲光和射频治疗烧伤瘢痕：系统回顾与元分析》。

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European burn journal Pub Date : 2023-03-23 DOI: 10.3390/ebj4020013

Yubing Bai, Yiqiu Zhang, Wei Ni, Min Yao

{"title":"Laser, Intense Pulsed Light, and Radiofrequency for the Treatment of Burn Scarring: A Systematic Review and Meta-Analysis.","authors":"Yubing Bai, Yiqiu Zhang, Wei Ni, Min Yao","doi":"10.3390/ebj4020013","DOIUrl":"10.3390/ebj4020013","url":null,"abstract":"Burns and scarring are considered some of the greatest problems in public health because of their frequent occurrence. Today, photo-electric technology shows promising results in the treatment of burn scars. Over the years, more clinical trials and more technologies for scarring have emerged. The aim of this study was to determine better timing and methods of photo-electric therapy for burn scars. This study was registered in PROSPERO (CRD42023397244), following the PRISMA statement, and was carried out in concordance with the PRISMA checklist. In October 2022, we searched PubMed.gov, Embase, and the Cochrane library (1980-present) for published studies related to the photo-electric treatment of burn scars. Two review authors independently selected the studies, extracted the data, assessed the risk of bias among the studies included, and carried out NIH assessments to assess the certainty of the evidence. A third review author arbitrated any disagreements. Our research included 39 studies. We found evidence suggesting that photo-electric therapy between six months and one year offers significantly better outcomes than treatment of scarring after one year. The evidence also suggests the use of IPL for the treatment of early burn scarring. However, it is important to emphasize that the scientific evidence remains insufficient. We need more clinical trials of higher quality and with less heterogeneity to confirm our results.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"42 1","pages":"142-162"},"PeriodicalIF":1.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73743569","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

A Pilot Randomised Controlled Trial Evaluating a Regenerative Epithelial Suspension for Medium-Size Partial-Thickness Burns in Children: The BRACS Trial. 一项试点随机对照试验，评估用于治疗儿童中等面积局部烧伤的再生上皮悬浮液：BRACS 试验。

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European burn journal Pub Date : 2023-03-22 DOI: 10.3390/ebj4010012

Anjana Bairagi, Zephanie Tyack, Roy Kimble, Dimitrios Vagenas, Steven M McPhail, Bronwyn Griffin

{"title":"A Pilot Randomised Controlled Trial Evaluating a Regenerative Epithelial Suspension for Medium-Size Partial-Thickness Burns in Children: The BRACS Trial.","authors":"Anjana Bairagi, Zephanie Tyack, Roy Kimble, Dimitrios Vagenas, Steven M McPhail, Bronwyn Griffin","doi":"10.3390/ebj4010012","DOIUrl":"10.3390/ebj4010012","url":null,"abstract":"Background: There is little evidence regarding the efficacy of Regenerative Epidermal Suspension (RES™) management for paediatric partial-thickness burns. The Biobrane® RECELL® Autologous skin Cell suspension and Silver dressings (BRACS) Trial evaluated three dressings for the re-epithelialisation of partial-thickness burns in children.Methods: Eligible children (age ≤ 16 years; ≥5% TBSA; ≤48 h of injury) were randomised to silver dressings, RES™/Biobrane® or Biobrane®. The measured outcomes were the time to re-epithelialisation (primary outcome), pain, itch, intervention fidelity, treatment satisfaction, health-related quality of life, health resource utilisation and adverse effects.Results: The median time to re-epithelialisation in days was no different for RES™/Biobrane® at 12 (IQR: 5.6-18.4; n = 7) and slower by two days for Biobrane® at 14 (IQR: 6.3-21.7; n = 7) when compared to silver dressings 12 (IQR: 3.7-20.3; n = 8). Reduced pain, fewer infections, no sepsis, no skin graft, and the lowest impact on health-related quality of life were reported in the RES™/Biobrane® group compared to other groups. Due to the COVID-19 pandemic, recruitment suspension resulted in a smaller cohort than expected and an underpowered study.Conclusions: The pilot trial findings should be interpreted cautiously; however, they indicate that a fully powered randomised controlled trial is warranted to substantiate the role of RES™ for medium to large paediatric partial-thickness burn management.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"16 1","pages":"121-141"},"PeriodicalIF":1.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85449968","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

High Expansion Auxetic Skin Graft Simulants for Severe Burn Injury Mitigation. 用于减轻严重烧伤的高膨胀助熔皮肤移植模拟物。

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European burn journal Pub Date : 2023-03-11 DOI: 10.3390/ebj4010011

Vivek Gupta, Gurpreet Singh, Arnab Chanda

{"title":"High Expansion Auxetic Skin Graft Simulants for Severe Burn Injury Mitigation.","authors":"Vivek Gupta, Gurpreet Singh, Arnab Chanda","doi":"10.3390/ebj4010011","DOIUrl":"10.3390/ebj4010011","url":null,"abstract":"Burn injuries are commonly treated with split-thickness skin grafting. However, low expansions offered by spilt-thickness skin grafting inhibit the treatment of large and severe burn injuries when limited donor skin is available. To overcome this gap, in this work, it was attempted to study the expansion potential of skin grafts with novel auxetic incisions with rotating rectangle (RR), honeycomb (HC), alternating slit (AS), H-shaped (HS), Y-shaped (YS), and I-shaped (IS) unit cells, through development of skin graft simulants. Clinically relevant biaxial load testing was conducted to estimate the stress-strain response, void area, and meshing ratio. Moreover, hyperelastic constitutive models were employed to characterize the non-linear biomechanical behavior of the skin graft simulants. The maximum void area increase was observed in the HS skin graft simulant, indicating low skin cover. Overall, the IS auxetic skin graft design exhibited meshing ratio higher than traditional grafts (>3:1), low void area and stresses, which can be beneficial for large skin cover and burn wound healing. With further optimization and clinical tests, the auxetic skin graft designs may find a place with the graft manufacturers for fabrication of grafts with better surgical outcomes for severe burn injuries.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"25 1","pages":"108-120"},"PeriodicalIF":1.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73492028","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

The Roles of Clinical Psychologists in Burns Care: A Case Study Highlighting Benefits of Multidisciplinary Care. 临床心理学家在烧伤护理中的作用：突出多学科护理优势的案例研究。

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European burn journal Pub Date : 2023-03-06 DOI: 10.3390/ebj4010010

Anna V Cartwright, Elizabeth Pounds-Cornish

引用次数: 0

Frailty Screening Practice in Specialized Burn Care-A Retrospective Multicentre Cohort Study. 烧伤专科护理中的虚弱筛查实践--一项回顾性多中心队列研究。

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European burn journal Pub Date : 2023-02-13 DOI: 10.3390/ebj4010009

Charlotte I Cords, Cornelis H van der Vlies, Matthea Stoop, Marianne K Nieuwenhuis, Kris Boudestein, Francesco U S Mattace-Raso, Margriet E van Baar, Frail Group, Dutch Burn Repository Group

{"title":"Frailty Screening Practice in Specialized Burn Care-A Retrospective Multicentre Cohort Study.","authors":"Charlotte I Cords, Cornelis H van der Vlies, Matthea Stoop, Marianne K Nieuwenhuis, Kris Boudestein, Francesco U S Mattace-Raso, Margriet E van Baar, Frail Group, Dutch Burn Repository Group","doi":"10.3390/ebj4010009","DOIUrl":"10.3390/ebj4010009","url":null,"abstract":"Background: Frailty can have a negative influence on outcomes in elderly patients after burn injuries. The Dutch hospitals have used a four-domain frailty screening instrument from the Dutch Safety Management System (DSMS) since 2012. However, its feasibility and validity have hardly been studied. We aim to assess the feasibility and validity of frailty screening in specialized burn care. Methods: A multicentre retrospective cohort study was conducted in all Dutch burn centres. Patients aged ≥ 70, with a primary admission between 2012-2018, were included. Data were derived from electronic patient files. Results: In total, 515 patients were included. Frailty screening was complete in 39.6% and partially complete in 23.9%. Determinants for a complete screening were admission after 2015 (OR = 2.15, 95% CI 1.42-3.25) and lower percentage TBSA burned (OR = 0.12, 95% CI 0.05-029). In all completely screened patients, 49.9% were at risk of frailty. At risk patients were older, had more comorbidities (known group validity), a longer length of stay, and more frequently a non-home discharge (predictive validity). Conclusion: Frailty screening in specialized burn care is feasible and was conducted in 63.5% of admitted patients. In total, 44% of screened patients were at risk of frailty. Validity of frailty screening was confirmed. Frailty screening can contribute to optimal specialized burn care.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"211 1","pages":"87-100"},"PeriodicalIF":1.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83528849","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