European burn journal最新文献

{"title":"Preliminary Study on the Development of a Real-Time Pressure-Monitoring Facial Mask for Burn Rehabilitation.","authors":"Hyunjun Shin, Gyung-Jin Jeon, Seok-Jin Hwang, Hyeonseok Cho, Young-Min Cho, Hyoung-Soon Youn, Jisu Seo, Sehoon Park, Yoon-Soo Cho, Gyu-Seok Kim","doi":"10.3390/ebj6010012","DOIUrl":"10.3390/ebj6010012","url":null,"abstract":"<p><p>The most common aftereffect of severe burns in patients is hypertrophic scarring. Hypertrophic scars typically form following severe burns; it refers to excessive collagen production in the dermal layer during the healing process, resulting in an abnormal raised scar. Currently, practical treatments for suppressing hypertrophic scars include laser therapy, pressure therapy, and the application of silicone sheets for moisture retention. The most extensively used treatment involves compression therapy using specially designed garments for the affected areas. However, this method has limitations when applied to curved surfaces like the face. To address this issue, three-dimensional (3D) scanning and 3D printing techniques have been actively developed for face masks and have shown promising clinical results. Unfortunately, current facial masks under development lack a sensor system to measure pressure, making it difficult to ensure consistent and appropriate pressures during clinical trials. In this study, we have developed a burn pressure mask capable of real-time pressure monitoring. The facial mask developed in this study utilizes an FSR-type sensor to measure the pressure applied to the skin. We have also embedded electrical wires within the mask to enhance its comfort and wearability. For this study, two patients wore the facial mask with real-time pressure measurement capabilities for 4 weeks in 12 h per day on average. We evaluated whether the mask maintained the appropriate pressure range (15-25 mmHg) throughout the clinical trial and whether it effectively inhibited scar formation. Through the analysis of recorded pressure signal data, we confirmed that the patients consistently maintained the appropriate pressure while wearing the mask during the clinical trial. Additionally, we observed significant differences in skin moisture levels, transepidermal water loss, and scar thickness before and after the experiment. These findings suggest that the facial mask, featuring real-time monitoring capabilities, effectively prevents the formation of hypertrophic scars.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712519","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":"Mind the Gap! Core-Peripheral Temperature Gradient and Its Relationship to Mortality in Major Burns.","authors":"Niamh Keohane, Jennifer Driver, Randeep Mullhi, Elizabeth Chipp, Barbara Torlinska, Tomasz Torlinski","doi":"10.3390/ebj6010011","DOIUrl":"10.3390/ebj6010011","url":null,"abstract":"<p><p>The association between hypothermia and poor outcomes in severe burn injury is well established. However, the significance of the core-peripheral temperature gradient has not previously been investigated. Institutional guidance at our burns centre advocates avoiding hypothermia and targeting a body temperature between 37.5 and 39.5 °C. The core-peripheral temperature gap should be ≤2 °C, based on expert opinion. Data from 61 patients admitted to the Intensive Care Unit (ICU) with severe burns between 2016 and 2022 were analysed. A higher core temperature at 48 h, avoidance of hypothermia and a core-peripheral temperature gap > 2 °C were associated with reduced odds of mortality. The mean core body temperature and core-peripheral temperature gap increased over the first 48 h (r = 0.5, <i>p</i> < 0.001). All non-survivors had a core-peripheral gap < 2 °C at 48 h. Survivors had a higher mean 48 h gap (1.6 [95%CI:1.3-1.9]) than non-survivors (0.8 [95%CI:0.2-1.4; <i>p</i> = 0.04]). Our findings support previous studies suggesting that avoiding hypothermia and achieving a higher target temperature are associated with reduced mortality. However, it challenges the previous expert consensus that a lower core-peripheral gap indicates better outcomes. Further research with a larger cohort of patients is required to identify whether a higher core-peripheral temperature gap predicts outcomes in critically ill patients with severe burns.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712512","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":"Fractional CO₂ Laser for Pediatric Hypertrophic Scars: Lessons Learned from a Prematurely Terminated Split-Scar Trial.","authors":"Sarthak Sinha, Altay Baykan, Karen Hulin, Doug Baron, Vincent Gabriel, Frankie O G Fraulin","doi":"10.3390/ebj6010010","DOIUrl":"10.3390/ebj6010010","url":null,"abstract":"<p><strong>Background: </strong>Assessing hypertrophic scar (HTS) interventions is challenging because scars continue to undergo dynamic changes. A split-scar design can distinguish treatment effects from natural HTS evolution. Despite promising reports of ablative fractional CO₂ lasers (AFCO₂Ls) for HTS, split-scar evidence, particularly in pediatric scars, remains limited.</p><p><strong>Objective: </strong>To explore the feasibility of a split-scar design in assessing AFCO₂L's impact on pediatric HTS and to identify potential trends in treatment outcomes.</p><p><strong>Methods: </strong>Initially designed as a prospective single-center split-scar randomized controlled trial, our study transitioned to a feasibility trial due to recruitment challenges. Pediatric patients aged 1-17 years with HTS suitable for split-scar evaluation received three AFCO₂L treatments at 6-8-week intervals, with outcomes assessed using the Vancouver Scar Scale (VSS), SCAR-Q, and Cutometer.</p><p><strong>Results: </strong>Recruitment was limited by COVID-19 restrictions, concerns about general anesthesia for split-scar treatment, and low interest in divided-scar interventions, resulting in only 6 participants with 9 scars enrolled, far below the target sample size of 44. This small heterogeneous sample precluded meaningful clinical outcome analysis.</p><p><strong>Conclusions: </strong>Our feasibility trial highlights challenges in conducting rigorous pediatric HTS studies and the need for careful interpretation of evidence due to potential publication bias. Future trials should focus on tailored recruitment and comprehensive reporting to improve feasibility and reliability.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712504","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":"Bouncing Back: The Psychosocial Benefits of a Community-Based Exercise Program for Children with Non-Severe Burns.","authors":"Dinithi Atapattu, Victoria M Shoesmith, Eva Kierath, Mark W Fear, Fiona M Wood, Lisa J Martin","doi":"10.3390/ebj6010009","DOIUrl":"10.3390/ebj6010009","url":null,"abstract":"<p><p>Burns significantly impact children's physical and psychosocial recovery, even in cases of non-severe injuries, leading to long-term health and mental health risks. This study explores the psychosocial benefits of a community-based exercise program for children recovering from burn injuries, addressing concerns such as anxiety, reduced physical activity, and social challenges. A pre-test-post-test design assessed the effects of an 8-week community-based trampoline exercise intervention on psychosocial outcomes in children and their caregivers. No significant or clinically meaningful physical improvements were observed across measures such as MET score, grip strength, BMI percentile, or heart-rate recovery despite a significant improvement in trampolining performance (<i>p</i> < 0.0001). Psychosocial outcomes showed improved child emotional function (PedsQL, <i>p</i> = 0.024) as reported by parents, though children's self-reported emotional function and Child PTSD Symptom Scale (CPSS) scores remained unchanged. Parent-reported strengths and difficulty scores for the child remained stable over time but were higher than population norms for hyperactivity and emotional difficulty. Parental post-traumatic stress symptoms decreased significantly over time (<i>p</i> = 0.050), with reductions in avoidance (<i>p</i> = 0.009), hypervigilance (<i>p</i> = 0.007), and intrusion scores (<i>p</i> = 0.026). Children significantly improved their trampolining performance, while parents reported enhanced emotional function for their child. However, children's self-reports did not reflect these emotional improvements.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470064","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":"Self-Inflicted Burns: A Comparative Study in a Spanish Sample.","authors":"Sara Guila Fidel-Kinori, Vicente García-Sánchez, Maria Sonsoles Cepeda-Diez, Carmina Castellano-Tejedor, Josep Antoni Ramos-Quiroga, Joan Pere Barret-Nerín","doi":"10.3390/ebj6010008","DOIUrl":"10.3390/ebj6010008","url":null,"abstract":"<p><strong>Background: </strong>In 1994, the first Spanish study on patients with self-inflicted burns (SIB) was published, showing a prototypical profile of a patient with SIB: adult male, unmarried and, in 75% of the cases, with a psychiatric background. In addition, SIB accounted for 1.98% of the total admissions in a Burns Unit between 1983 and 1991, a lower percentage than other European studies. The present study aims to replicate this work, updating this profile and comparing it with the current profile.</p><p><strong>Methods: </strong>We compared the clinical and socio-demographic characteristics of 67 patients admitted during 1983-1991 (Study I) with those of 36 patients admitted during 2010-2015 (Study II).</p><p><strong>Results: </strong>It was observed that the percentage of patients with SIB admitted to the Burns Unit was lower in Study II than in Study I (1.45% vs. 1.98%). Significant age differences were identified (<i>t</i>₍₁₀₁₎ = -2.074, <i>p</i> = 0.041, 95% CI [-11.739, -0.261]). Similarly, there were statistically significant differences in several clinical characteristics, such as psychiatric history (X² = 11.591, <i>p</i> = 0.001), the occurrence of previous autolytic attempts (X² = 7.714, <i>p</i> = 0.007), the place where the incident occurred (X² = 11.647, <i>p</i> = 0.020), the etiology of the burn (X² = 13.142, <i>p</i> = 0.004), and triggers (X² = 6.420, <i>p</i> = 0.036).</p><p><strong>Conclusions: </strong>Several differences have arisen between the two studies, mainly related to the specific characteristics of SIB (e.g., etiology, triggering cause, and place of the incident), possibly attributable to the social changes that have occurred in the last 20 years. These results will add to our knowledge and will stress various precipitating factors that may lead to SIB, with the final goal of designing preventive strategies.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470085","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":"Burn Wound Dynamics Measured with Hyperspectral Imaging.","authors":"Thomas Wild, Jörg Marotz, Ahmed Aljowder, Frank Siemers","doi":"10.3390/ebj6010007","DOIUrl":"10.3390/ebj6010007","url":null,"abstract":"<p><p><b>Introduction:</b> Hyperspectral Imaging (HSI) combined with an augmented model-based data processing enables the measurement of the depth-resolved perfusion of burn wounds. With these methods, the fundamental problem of the wound dynamics (wound conversion or progression) in the first 4 days should be parametrically analyzed and evaluated. <b>Material and Methods:</b> From a cohort of 59 patients with burn injuries requiring medical intervention, 281 homogenous wound segments were selected and subjected to clinical classification based on the duration of healing. The classification was retrospectively assigned to each segment during the period from day 0 to day 2 post-burn. The perfusion parameters were presented in two parameter spaces describing the upper and deeper perfusion. <b>Results:</b> The investigation of value distributions within the parameter spaces pertaining to four distinct categories of damage from superficial dermal to full-thickness burns during the initial four days reveals the inherent variability and distinct patterns associated with wound progression, depending on the severity of damage. The analysis highlights the challenges associated with estimating the burn degrees during this early stage and elucidates the significance of deeper tissue perfusion in the classification process, which cannot be discerned through visual inspections. <b>Conclusions:</b> The feasibility of early classification on day 0 or 1 was assessed, and the findings indicate a restricted level of reliability, particularly on day 0, primarily due to the substantial variability observed in wound characteristics and inherent dynamics.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470067","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":"Early Detection, Diagnosis, Prevention, and Treatment of Infection to Avoid Sepsis and Septic Shock in Severely Burned Patients: A Narrative Review.","authors":"Patrick M Honoré, Sydney Blackman, Emily Perriens, Jean-Charles de Schoutheete, Serge Jennes","doi":"10.3390/ebj6010006","DOIUrl":"10.3390/ebj6010006","url":null,"abstract":"<p><p>The early detection, diagnosis, anticipation, and therapy of infections to prevent sepsis and septic shock remain significant challenges in cases of grave burns. This narrative review explores various tools for early infection detection, including emerging biomarkers, the American Burn Association's clinical criteria, and traditional blood parameters. A comparative study of the American Burn Association, Mann-Salinas, and Sepsis-3 criteria highlights the superior early detection capabilities of the Sepsis-3 criteria. However, the authors recommend that sepsis should be prospectively evaluated, identified, and classified by the intensive care group, rather than by relying solely on retrospective items, though the latter may still be necessary in certain cases. Advances in biomarker identification, including polymerase chain reaction (PCR) and gene expression (mRNA) profiling, offer diagnostic advantages over current methods, enabling early detection within 4 to 6 h of intensive care unit admission. Mass spectrometry also shows promise for the rapid determination of bacteria, yeast, and fungi based on bacteria protein profiles. Source control remains crucial, and the use of antibacterial topical agents has significantly improved the survival rates of severely burned patients. However, antibiotic selection must be made judiciously to avoid resistance. Despite these advancements, significant progress is still needed to improve the rapid identification, actual presence, prevention, and therapy of infections to reduce the incidence of sepsis and septic shock in this patient subgroup.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470071","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":"Parent-Reported Burn-Specific Health-Related Quality of Life in Children 5-7 Years After Burns: A Multicenter Cross-Sectional Study.","authors":"Marina C Heijblom, J Nicolaas Dijkshoorn, Marianne K Nieuwenhuis, Anouk Pijpe, Cornelis H van der Vlies, Margriet E van Baar, Inge Spronk","doi":"10.3390/ebj6010005","DOIUrl":"10.3390/ebj6010005","url":null,"abstract":"<p><p>Surviving a burn can dramatically alter a child's life, yet few studies examined long-term health-related quality of life (HRQL). This study assessed HRQL 5-7 years post-burn in children with mild/intermediate and severe burns and identified associated factors. Parents of children (5- < 18 years) who were hospitalized or had burn surgery between 08/2011 and 09/2012 completed the Burn Outcomes Questionnaire (BOQ). Outcomes were compared between two subgroups: children with mild/intermediate burns (<10% total body surface area (TBSA) burned) versus severe burns ((1) aged <10 years old at the time of injury with >10% (TBSA) burned; (2) aged ≥10 years with >20% TBSA burned; or (3) >5% full-thickness burns). A total of 102 children were included (mean age at survey: 8.4 (3.0) years; mean former TBSA: 7.1%). At a mean of 5.7 years post-burn, many parents rated their child's health as excellent (46.1%) or very good (35.3%), with few reporting issues with 'pain' (2.3%), 'physical function and sports' (1.6%), and 'upper extremity function' (0.9%). Parents of children with severe burns indicated significantly more problems with 'appearance' (89.2% versus 71.5%; <i>p</i> = 0.014) and 'parental concern' (94.1% versus 84.8%; <i>p</i> = 0.021). Upper limb burns, facial burns, burn size, length of hospital stay, full-thickness burns, and the number of surgeries predicted poorer outcomes. In general, these findings indicate positive long-term HRQL, though especially children with full-thickness burns and/or surgical interventions face a higher risk of reduced HRQL. The results can be used to inform children and their families about the long-term implications. Furthermore, healthcare professionals can use these insights to identify children at higher risk of poorer long-term HRQL.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470080","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":"Session Rating of Perceived Exertion Is a Valid Method to Monitor Intensity of Exercise in Adults with Acute Burn Injuries.","authors":"Joanne S Page, Dale W Edgar, Tiffany L Grisbrook, Angela Jacques, Paul M Gittings, Fiona M Wood, Carly J Brade","doi":"10.3390/ebj6010004","DOIUrl":"10.3390/ebj6010004","url":null,"abstract":"<p><p>Measuring exercise intensity for safety and to inform prescription in acute burn survivors, is challenging. This study aimed to assess the validity of adult patient end-of-workout rating of session perceived exertion (sRPE); and calculated training load (TL) (sRPE × session duration) as measures of exercise intensity. Secondly, the study aimed to compare clinician and patient perception of exercise effort during physiotherapist-led sessions. Repeated RPE data were collected every 5-min during two resistance exercise sessions completed by 25 burns patients. Physiological (heart rate [HR], blood lactate [BLa]) and perceptual measures (sRPE, ratings of pain, fatigue, delayed onset muscle soreness, sleep quality and stress) were also captured. Adjusted, multivariable linear regression models were used to determine the associations between sRPE and TL and significant predictor variables. Paired <i>t</i>-tests were performed to compare clinician and participant sRPE. Results: Average RPE calculated from 5-min repeats, after adjustment for age and %TBSA, was significantly associated with sRPE, <i>F</i>(1, 45) = 100.82, (<i>p</i> < 0.001, adjusted <i>R</i>² = 0.64) and TL, <i>F</i>(1, 45) = 33.66, (<i>p</i> < 0.001, adjusted <i>R</i>² = 0.39). No significant differences between patient and clinician sRPE were apparent (<i>p</i> = 0.948). Thus, one-off reporting of sRPE and calculated TL may be appropriate markers to monitor exercise intensity and aid prescription in individuals with burn injuries, regardless of patient and burn characteristics or time since burn. There was also no difference between patient and clinician's perceptions of exercise effort.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470087","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":"Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis.","authors":"Nathanael Q E Yap, Dilip K Vankayalapati, Sum-Yu C Lee, Hafsa O Sulaiman, Alma Sato, M Zaid Shami, Valeria Antoniou, James W F Burns, Hayato Nakanishi, Christian A Than, Graeme Southwick","doi":"10.3390/ebj6010003","DOIUrl":"10.3390/ebj6010003","url":null,"abstract":"<p><p>Silver foam dressings have been extensively used in the management of burn injuries; however, its application in children requires elucidation. A literature search was conducted from database inception to October 2023. Eligible studies reported paediatrics patients under 21 years of age receiving silver dressings for burns or scalds. This review was registered prospectively with PROSPERO (CRD42023470239). 18 studies met the inclusion criteria with a total of 701 patients. The pooled mean time to re-epithelisation (TTRE) was 12.9 days (95% CI: 11.2, 14.6, I² = 94%). The pooled mean duration of hospitalisation was 9.8 days (95% CI: 3.9, 15.7; I² = 100%). Mean number of total dressing changes per patient was 3.6 (95% CI: 2.2, 4.9; I² = 99%). There were a total of 98 complications, including 30 (30.6%) infections, 29 (29.6%) surgical requirements, 14 (14.3%) hypertrophic scarring, 17 (17.3%) escalations of care, 5 (5.1%) burn depth progression, and 3 (3.1%) others. Silver foam dressings appear as a safe and effective approach in terms of healing rate and dressing change frequency for selected paediatric patients with burn injuries. Despite the promising results, further comparative studies are required to evaluate the selection criteria and long-term effect of silver foam dressing.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470077","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}