European burn journal最新文献_第2页

Factors Associated with Self-Reported Voice Change in the Hospitalized Burn Population: A Burn Model System National Database Study. 烧伤住院病人自述嗓音变化的相关因素：烧伤模型系统国家数据库研究》。

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European burn journal Pub Date : 2024-01-01 DOI: 10.3390/ebj5020010

Kaitlyn L Chacon, Edward Santos, Kara McMullen, Lauren J Shepler, Carla Tierney-Hendricks, Audra T Clark, Chiaka Akarichi, Haig A Yenikomshian, Caitlin M Orton, Colleen M Ryan, Jeffrey C Schneider

{"title":"Factors Associated with Self-Reported Voice Change in the Hospitalized Burn Population: A Burn Model System National Database Study.","authors":"Kaitlyn L Chacon, Edward Santos, Kara McMullen, Lauren J Shepler, Carla Tierney-Hendricks, Audra T Clark, Chiaka Akarichi, Haig A Yenikomshian, Caitlin M Orton, Colleen M Ryan, Jeffrey C Schneider","doi":"10.3390/ebj5020010","DOIUrl":"10.3390/ebj5020010","url":null,"abstract":"Voice plays a prominent role in verbal communication and social interactions. Acute burn care often includes intubation, mechanical ventilation, and tracheostomy, which could potentially impact voice quality. However, the issue of long-term dysphonia remains underexplored. This study investigates long-term self-reported voice changes in individuals with burn injuries, focusing on the impact of acute burn care interventions. Analyzing data from a multicenter longitudinal database (2015-2023), self-reported vocal changes were examined at discharge and 6, 12, 24, and 60 months after injury. Out of 582 participants, 65 reported voice changes at 12 months. Changes were prevalent at discharge (16.4%) and persisted over 60 months (11.6-12.7%). Factors associated with voice changes included flame burn, inhalation injury, tracheostomy, outpatient speech-language pathology, head/neck burn, larger burn size, mechanical ventilation, and more ventilator days (p < 0.001). For those on a ventilator more than 21 days, 48.7% experience voice changes at 12 months and 83.3% had received a tracheostomy. The regression analysis demonstrates that individuals that were placed on a ventilator and received a tracheostomy were more likely to report a voice change at 12 months. This study emphasizes the need to understand the long-term voice effects of intubation and tracheostomy in burn care.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"5 2","pages":"116-125"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302483","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

Combat and Operational Stress Control: Application in a Burn Center 战斗和行动压力控制：在烧伤中心的应用

European burn journal Pub Date : 2023-12-29 DOI: 10.3390/ebj5010002

Jill M. Cancio, Leopoldo C. Cancio

引用次数: 0

Pain Management during Bromelain-Based Enzymatic Debridement (NexoBrid®) in a USA Adult Burn Center 美国一家成人烧伤中心在菠萝蛋白酶酶解清创术（NexoBrid®）期间的疼痛管理

European burn journal Pub Date : 2023-12-19 DOI: 10.3390/ebj5010001

Martin R. Buta, Domenic Annand, Sarah Findeisen, Sean A. Hickey, Robert L. Sheridan, Jonathan S. Friedstat, John T. Schulz, Branko Bojovic, Edward A. Bittner, Jeremy Goverman

{"title":"Pain Management during Bromelain-Based Enzymatic Debridement (NexoBrid®) in a USA Adult Burn Center","authors":"Martin R. Buta, Domenic Annand, Sarah Findeisen, Sean A. Hickey, Robert L. Sheridan, Jonathan S. Friedstat, John T. Schulz, Branko Bojovic, Edward A. Bittner, Jeremy Goverman","doi":"10.3390/ebj5010001","DOIUrl":"https://doi.org/10.3390/ebj5010001","url":null,"abstract":"Outside the United States, bromelain-based enzymatic debridement (BBED) has become an effective tool for the removal of burn eschar. A primary concern with BBED is that it is a painful procedure requiring appropriate analgesia. The purpose of this study was to describe our experience using NexoBrid® (NXB), with a particular focus on pain management. We performed a retrospective review on all 32 adult burn patients enrolled at our institution as part of a multicenter phase 3 clinical trial (DETECT) or the expanded access treatment protocol (NEXT). All patients underwent BBED with NXB of acute deep partial- and full-thickness thermal burn wounds at a major burn center between November 2016 and February 2023. Thirty-two patients with an average age of 42.1 years (SD = 17.4, range 18–72) and an average TBSA of 6.3% (SD = 5.9, range 1–24.5) underwent a total of 33 BBED procedures. Only one patient required an additional NXB treatment, and all patients achieved >95% eschar removal. For pain control during debridement, seven patients required a local block (LB), nine a regional block (RB), and thirteen conscious sedation (CS). Three patients were intubated (INTB) for their burn injury prior to the procedure. There was no statistical difference in Numerical Pain Rating Scale (NPRS) scores during vs. before treatment or after vs. before treatment for all patients or when subdivided by BMI, race, TBSA, total area treated, and anesthetic type (LB, RB, and CS). With appropriate analgesia, the pain associated with BBED of acute deep partial- and full-thickness thermal burns is well tolerated.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"117 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959013","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

War at Sea: Burn Care Challenges—Past, Present and Future 海上战争烧伤护理的挑战--过去、现在和未来

European burn journal Pub Date : 2023-12-11 DOI: 10.3390/ebj4040041

Matthew D. Tadlock, Theodore D. Edson, Jill M. Cancio, Dana M. Flieger, Aaron Wickard, Bailey Grimsley, Corey G. Gustafson, Jay A. Yelon, James C. Jeng, Jennifer M. Gurney

{"title":"War at Sea: Burn Care Challenges—Past, Present and Future","authors":"Matthew D. Tadlock, Theodore D. Edson, Jill M. Cancio, Dana M. Flieger, Aaron Wickard, Bailey Grimsley, Corey G. Gustafson, Jay A. Yelon, James C. Jeng, Jennifer M. Gurney","doi":"10.3390/ebj4040041","DOIUrl":"https://doi.org/10.3390/ebj4040041","url":null,"abstract":"Throughout history, seafarers have been exposed to potential thermal injuries during naval warfare; however, injury prevention, including advances in personal protective equipment, has saved lives. Thankfully, burn injuries have decreased over time, which has resulted in a significant clinical skills gap. Ships with only Role 1 (no surgical capability) assets have worse outcomes after burn injury compared to those with Role 2 (surgical capability) assets. To prepare for future burn care challenges during a war at sea, Military Medicine must re-learn the lessons of World War I and World War II. Burn injuries do not occur in isolation during war and are associated with concomitant traumatic injuries. To care for burn casualties at sea, there is an urgent need to increase the availability of whole blood and dried plasma, resuscitation fluids that were ubiquitous throughout the naval force during World War II for both hemorrhagic and burn shock resuscitation. Furthermore, those providing trauma care at sea require formal burn care training and skills sustainment experiences in the clinical management of Burn, Trauma, and Critical Care patients. While burn education, training, and experience must be improved, modern high-energy weapons systems and anti-ship ballistic missiles necessitate concurrent investments in prevention, countermeasures, and personal protective equipment to decrease the likelihood of burn injury and damage resulting from these attacks.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"120 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981655","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

Procalcitonin in the Post-Operative Burn Patient 烧伤术后患者的降钙素原

European burn journal Pub Date : 2023-11-16 DOI: 10.3390/ebj4040040

Ludo Masole, C. Ede, Adelin Muganza

{"title":"Procalcitonin in the Post-Operative Burn Patient","authors":"Ludo Masole, C. Ede, Adelin Muganza","doi":"10.3390/ebj4040040","DOIUrl":"https://doi.org/10.3390/ebj4040040","url":null,"abstract":"Serum procalcitonin (PCT) is a biomarker used to diagnose sepsis and infection. Following invasive bacterial infection, PCT is detectable in peripheral blood. The aim of our study was to determine if there is a relationship between serum PCT post-burn wound debridement and burn-related sepsis. In total, 34 participants were recruited from 1 November 2019 to 31 July 2020. Serum PCT levels were drawn on days 0, 1, 2, and 3, with day 0 being the day of the surgery. Blood culture samples were drawn on days 0 and 3. Statistical analyses were performed using STATA©. Descriptive statistics were presented as the median for continuous data and frequencies for categorical data. A two-sample Wilcoxon–Mann–Whitney test was performed to assess the correlation between the PCT values and blood culture positivity. In all, 33 burn debridement procedures were completed, and 1 patient demised before surgery. The median age was 35.5 years; 61.8% were male. Four patients had comorbidities. There was a trend of higher PCT values from day 0 to day 3. The median PCT on day 0 was 3.30 µg/L (IQR 0.78–15.10), compared to day 3 PCT which was 5.15 µg/L (IQR 1.35–18.55). The median values for serum PCT for days 0 to 3 were above the normal threshold regardless of BC positivity. There was a statistically significant difference in the PCT levels between positive and negative BC, with a p value of 0.0087 for day 3 serum PCT. The findings indicate an association of a high serum PCT level with a positive blood culture in a burn patient post-debridement surgery. A higher numerical threshold/cut-off of serum PCT should be used for this cohort of patients, to aid in the diagnosis of sepsis. A cut-off value could not be determined due to the small sample size.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139267784","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

Management of Casualties from Radiation Events 辐射事故伤亡管理

European burn journal Pub Date : 2023-11-14 DOI: 10.3390/ebj4040039

Robert Alan Dent

{"title":"Management of Casualties from Radiation Events","authors":"Robert Alan Dent","doi":"10.3390/ebj4040039","DOIUrl":"https://doi.org/10.3390/ebj4040039","url":null,"abstract":"Radiation events such as nuclear war, nuclear reactor incidents, and the deployment of a radioactive dispersal device (dirty bomb) are all significant threats in today’s world. Each of these events would bring significant challenges to clinicians caring for patients with burns and traumatic injuries who are also contaminated or irradiated. The result of a nuclear exchange in a densely populated area could result in thousands of patients presenting with trauma, burns, and combined injury (trauma and burn in an irradiated patient). In this review, we will discuss the three major types of ionizing radiation: alpha, beta, and gamma, and their respective health hazards and biological effects. Additionally, we will discuss the types of burn injuries in a nuclear disaster, caring for the contaminated patient, and managing the combined injury of burn trauma with acute radiation syndrome. The reader will also be left with an understanding of how to prioritize lifesaving interventions, estimate the absorbed dose of radiation, and predict the onset of acute radiation syndrome. While some animal models for morbidity and mortality exist, there is limited modern day human data for patients with combined injury and burns associated with a nuclear disaster due to the infrequent nature of these events. It is extremely important to continue multidisciplinary research on the prevention of, preparedness for, and the response to nuclear events. Furthermore, continued exploration of novel treatments for radiation induced burns and the management of combined injury is necessary.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"28 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134991149","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

Pharmacologic Considerations for Antimicrobials and Anticoagulants after Burn Injury 烧伤后抗菌剂和抗凝血剂的药理学考虑

European burn journal Pub Date : 2023-11-10 DOI: 10.3390/ebj4040038

Pranav Ravichandran, Kaitlin A. Pruskowski

引用次数: 0

Burn Patient Perspectives on Disability Weights and the Philosophy of Disability: A Gap in the Literature 烧伤患者对残疾重量的看法和残疾哲学:文献中的空白

European burn journal Pub Date : 2023-11-09 DOI: 10.3390/ebj4040037

Paul Won, Karel-Bart Celie, Cindy Rutter, T. Justin Gillenwater, Haig A. Yenikomshian

{"title":"Burn Patient Perspectives on Disability Weights and the Philosophy of Disability: A Gap in the Literature","authors":"Paul Won, Karel-Bart Celie, Cindy Rutter, T. Justin Gillenwater, Haig A. Yenikomshian","doi":"10.3390/ebj4040037","DOIUrl":"https://doi.org/10.3390/ebj4040037","url":null,"abstract":"Background: Disability-adjusted life years (DALY) have a ubiquitous presence in academic global health, including attempts to understand the global burden of burn injuries. Objective: The present scoping review aimed to examine whether disability weights (DWs) were informed by burn patient perspectives and secondarily to determine whether literature indicates which of the three most common philosophical models of disability best aligns with burn patient experiences. Methods: A review of six databases was conducted and The Critical Appraisal Skills Program (CASP) checklist was utilized. Results: Out of a total of 764 articles, zero studies solicited patient perspectives of DWs. Four articles contained data that could be extrapolated to patient perspectives on disability. All articles utilized semi-structured interviews of burn survivors and reported thematic elements including return to work, self-image, and social integration. Patients reported similar themes that burn injuries were disabling injuries and instrumentally detrimental, with modulation based on the patient’s social circumstances. Conclusions: This scoping review highlights a significant gap in literature. First, no studies were found directly investigating burn patient perspectives on burn DWs. Current DWs have been derived from expert opinions with limited input from patients. Second, the limited primary patient data gleaned from this review suggest patients consider their injuries as instrumentally detrimental, which aligns most closely with the welfarist view of disability. More explicit investigations into the philosophical model of disability best aligning with burn patient experiences are needed to ground the health economics of burns in sound theory.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":" 23","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135241619","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

Efficacy and Complications Associated with Acellular Dermal Substitute Use in the Treatment of Acute Burns: A Systematic Review and Meta-Analysis 使用脱细胞真皮代用品治疗急性烧伤的疗效和并发症:系统回顾和荟萃分析

European burn journal Pub Date : 2023-10-23 DOI: 10.3390/ebj4040036

Isobel Press, Naiem Moiemen, Zubair Ahmed

{"title":"Efficacy and Complications Associated with Acellular Dermal Substitute Use in the Treatment of Acute Burns: A Systematic Review and Meta-Analysis","authors":"Isobel Press, Naiem Moiemen, Zubair Ahmed","doi":"10.3390/ebj4040036","DOIUrl":"https://doi.org/10.3390/ebj4040036","url":null,"abstract":"Over several decades, skin substitutes have become an essential tool in acute burn surgery, particularly in major burns, where scarce donor tissues can limit the availability of autografts. This systematic review aimed to assess the efficacy, complication rates, and long-term outcomes of acellular dermal substitutes in acute burns and compare these to conventional skin grafting methods of coverage. A search of PubMed, Web of Science, and CENTRAL for appropriate randomized controlled trials (RCTs), non-randomized trials, and observational studies was conducted. Following screening, nine RCTs and seven observational studies fulfilled our inclusion and exclusion criteria. Our primary outcomes, which were graft take and incidence of infection, found no significant difference between the substitute and control procedures in a meta-analysis (p = 0.37 and p = 0.87, respectively). For our secondary outcomes, the studies were analyzed via narrative synthesis, which reported variable rates of graft loss and duration of acute hospital stay, from which definitive conclusions could not be drawn due to the heterogeneity in reporting. Despite a high risk of bias in the included studies, the evidence reviewed suggests that the treatment of an acute burn with a substitute may improve scar quality when compared to conventional grafting. This review therefore suggests that acellular dermal substitutes offer a viable method for staging the closure of deep partial- and full-thickness acute burns, although more robust RCTs with less heterogeneity are needed to support these conclusions.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"26 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135413385","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

Nutrition Considerations for Burn Patients: Optimizing Recovery and Healing 烧伤患者的营养考虑:优化恢复和愈合

European burn journal Pub Date : 2023-10-13 DOI: 10.3390/ebj4040035

Beth A. Shields, Asia M. Nakakura

引用次数: 0