European burn journal最新文献_第3页

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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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

The Two Facing Square Flaps Method for Release of Anterior and Posterior Axillary Line Burn Contractures 面向两方皮瓣解除腋窝前后线烧伤挛缩的方法

European burn journal Pub Date : 2023-10-04 DOI: 10.3390/ebj4040034

Whitney Laurel Quong, Rei Ogawa

引用次数: 0

Psychological Evaluation of a Residential Children’s Burns Camp Programme: A Ten-Year Evaluation 住院儿童烧伤营计划的心理评估:十年评估

European burn journal Pub Date : 2023-09-21 DOI: 10.3390/ebj4030033

Alison M. Thomlinson, Niamh R. Farrell, Mamta Shah, Sarah L. Gaskell

{"title":"Psychological Evaluation of a Residential Children’s Burns Camp Programme: A Ten-Year Evaluation","authors":"Alison M. Thomlinson, Niamh R. Farrell, Mamta Shah, Sarah L. Gaskell","doi":"10.3390/ebj4030033","DOIUrl":"https://doi.org/10.3390/ebj4030033","url":null,"abstract":"Residential burns camp programmes provide help and support to children with burn injuries by providing activities designed to build their confidence and self-esteem. Our regional burns service has been running camps for over 20 years and evaluation is an important part of assessing their effectiveness. In this study, we report both qualitative and quantitative data from 10 consecutive years of burns camps. Qualitative feedback was gathered using Likert scales and free-response questionnaires at the end of camp and six weeks post-camp. Three quantitative outcome measures, the Paediatric Quality of Life Inventory v4, the Children’s Revised Impact of Event Scale (CRIES8) and the Satisfaction with Appearance scale (SWAP), were completed before and six weeks after camp. Both children and their parents/carers reported that attending the burns camp was helpful for them/their child; meeting other children with burn injuries and developing confidence and self-esteem were cited as reasons. Parents/carers also reported improvements in their child’s physical and psychological functioning post-camp in some years, although these results were not as clear as the qualitative findings. These findings confirm the importance of providing burns camp programmes for children with burn injuries as part of their post-burn rehabilitation.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136236443","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

What Changes Have Occurred in the Pattern of Paediatric Burns in the Last Years with Special Attention to the COVID-19 Pandemic? 在过去几年中，特别关注COVID-19大流行的儿童烧伤模式发生了哪些变化?

European burn journal Pub Date : 2023-09-15 DOI: 10.3390/ebj4030032

Sophie Y. Mok, Susan E. Adams, Andrew J. A. Holland

引用次数: 0

Living Skin Substitute Tissue—Is a Replacement for the Autograft Possible? 活体皮肤替代组织——自体移植物的替代品可能吗?

European burn journal Pub Date : 2023-09-05 DOI: 10.3390/ebj4030031

Angela L. F. Gibson

引用次数: 0