European burn journal最新文献_第8页

Optimising Scar Management Intervention in the Case of a Head-and-Neck Burn for a Patient with a Learning Disability. 为有学习障碍的头颈部烧伤患者优化疤痕管理干预。

IF 1

European burn journal Pub Date : 2024-06-25 DOI: 10.3390/ebj5030019

Katie Spooner, Matthew Pilley, Liz Rose, Stephen Frost, Reena Agarwal

{"title":"Optimising Scar Management Intervention in the Case of a Head-and-Neck Burn for a Patient with a Learning Disability.","authors":"Katie Spooner, Matthew Pilley, Liz Rose, Stephen Frost, Reena Agarwal","doi":"10.3390/ebj5030019","DOIUrl":"10.3390/ebj5030019","url":null,"abstract":"Scars following burns can often prove complex to manage, particularly when crossing joints or special areas such as the head and neck, due to contractures. This case report discusses the individualised care and rehabilitation provided to a burn patient with a learning disability. The patient suffered both full and partial thickness burns equating to a total body surface area (%TBSA) of 7% of the face, neck, and anterior chest via the self-ignition of clothing. Acute treatment was provided at a regional burn unit followed by further in-patient care and rehabilitation at our burn facility. A motion rehabilitation instrument was employed to manage potential orofacial contracture; however, due to the patient's impaired social functioning, this device was found to be unsuitable. Subsequently, a bespoke mouth-opening device replicating an ice lolly was fabricated utilising computer-aided design (CAD), enhancing the patient's understanding along with encouraging independence. Microstomia was a risk in this case; however, this was prevented via the discussed regime, and successful patient rehabilitation was achieved.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"5 3","pages":"198-206"},"PeriodicalIF":1.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735037","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

Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns. 重症监护室中以人为中心的疼痛测量：烧伤重症成人患者疼痛行为观察量表的多中心临床计量比较研究》。

IF 1

European burn journal Pub Date : 2024-06-17 DOI: 10.3390/ebj5020018

Alette E E de Jong, Wim E Tuinebreijer, Helma W C Hofland, Nancy E E Van Loey

{"title":"Person-Centred Pain Measurement in the ICU: A Multicentre Clinimetric Comparison Study of Pain Behaviour Observation Scales in Critically Ill Adult Patients with Burns.","authors":"Alette E E de Jong, Wim E Tuinebreijer, Helma W C Hofland, Nancy E E Van Loey","doi":"10.3390/ebj5020018","DOIUrl":"10.3390/ebj5020018","url":null,"abstract":"Pain in critically ill adults with burns should be assessed using structured pain behavioural observation measures. This study tested the clinimetric qualities and usability of the behaviour pain scale (BPS) and the critical-care pain observation tool (CPOT) in this population. This prospective observational cohort study included 132 nurses who rated pain behaviour in 75 patients. The majority of nurses indicated that BPS and CPOT reflect background and procedural pain-specific features (63-72 and 87-80%, respectively). All BPS and CPOT items loaded on one latent variable (≥0.70), except for compliance ventilator and vocalisation for CPOT (0.69 and 0.64, respectively). Internal consistency also met the criterion of ≥0.70 in ventilated and non-ventilated patients for both scales, except for non-ventilated patients observed by BPS (0.67). Intraclass correlation coefficients (ICCs) of total scores were sufficient (≥0.70), but decreased when patients had facial burns. In general, the scales were fast to administer and easy to understand. Cut-off scores for BPS and CPOT were 4 and 1, respectively. In conclusion, both scales seem valid, reliable, and useful for the measurement of acute pain in ICU patients with burns, including patients with facial burns. Cut-off scores associated with BPS and CPOT for the burn population allow professionals to connect total scores to person-centred treatment protocols.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"5 2","pages":"187-197"},"PeriodicalIF":1.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735267","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

Person and Family Centredness-The Need for Clarity of Focus. 以人为本和以家庭为中心--明确重点的必要性。

IF 1

European burn journal Pub Date : 2024-05-27 DOI: 10.3390/ebj5020014

Brendan McCormack

引用次数: 0

Nonsteroidal Anti-Inflammatory Drugs Decrease Coagulopathy Incidence in Severe Burn Patients. 非甾体抗炎药降低严重烧伤患者的凝血病发病率

IF 1

European burn journal Pub Date : 2024-04-28 DOI: 10.3390/ebj5020009

Lyndon Huang, Kassandra Corona, Kendall Wermine, Elvia Villarreal, Giovanna De La Tejera, Phillip Howard Keys, Alen Palackic, Amina El Ayadi, George Golovko, Steven E Wolf, Juquan Song

{"title":"Nonsteroidal Anti-Inflammatory Drugs Decrease Coagulopathy Incidence in Severe Burn Patients.","authors":"Lyndon Huang, Kassandra Corona, Kendall Wermine, Elvia Villarreal, Giovanna De La Tejera, Phillip Howard Keys, Alen Palackic, Amina El Ayadi, George Golovko, Steven E Wolf, Juquan Song","doi":"10.3390/ebj5020009","DOIUrl":"10.3390/ebj5020009","url":null,"abstract":"The study investigated the impact of nonsteroidal anti-inflammatory drugs (NSAIDs) on burn-induced coagulopathy in severely burned patients. Patients with a greater than 20% TBSA were identified in the TriNetX research network and categorized into receiving or not receiving NSAIDs in the first week after the burn. The statistical significance of the rate of burn-induced coagulopathy, mortality and sepsis in the week following injury was analysed. We observed 837 severely burned patients taking NSAIDS during the week following the burn and 1036 patients without. After matching for age, gender and race, the risk of burn-induced coagulopathy significantly decreased (p < 0.0001) in patients taking NSAIDs (17.7%) compared to those without (32.3%). Patients taking NSAIDs were also less likely to develop sepsis (p < 0.01) and thrombocytopenia (p < 0.001) or die the week following injury (p < 0.0001). In conclusion, the early protective effects of NSAIDs at reducing the risk of coagulopathy as well as sepsis and mortality occur during the acute phase of burns.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"5 2","pages":"104-115"},"PeriodicalIF":1.0,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735260","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

Development and Testing of the Aftercare Problem List, a Burn Aftercare Screening Instrument. 烧伤后护理筛查工具 "烧伤后护理问题清单 "的开发与测试。

IF 1

European burn journal Pub Date : 2024-03-29 DOI: 10.3390/ebj5020008

Nancy E E Van Loey, Elise Boersma-van Dam, Anita Boekelaar, Anneke van de Steenoven, Alette E E de Jong, Helma W C Hofland

{"title":"Development and Testing of the Aftercare Problem List, a Burn Aftercare Screening Instrument.","authors":"Nancy E E Van Loey, Elise Boersma-van Dam, Anita Boekelaar, Anneke van de Steenoven, Alette E E de Jong, Helma W C Hofland","doi":"10.3390/ebj5020008","DOIUrl":"10.3390/ebj5020008","url":null,"abstract":"A growing interest in person-centered care from a biopsychosocial perspective has led to increased attention to structural screening. The aim of this study was to develop an easy-to-comprehend screening instrument using single items to identify a broad range of health-related problems in adult burn survivors. This study builds on earlier work regarding content generation. Focus groups and expert meetings with healthcare providers informed content refinement, resulting in the Aftercare Problem List (APL). The instrument consists of 43 items divided into nine health domains: scars, daily life functioning, scars treatment, body perceptions, stigmatization, intimacy, mental health, relationships, financial concerns, and a positive coping domain. The APL also includes a Distress Thermometer and a question inquiring about preference to discuss the results with a healthcare provider. Subsequently, the APL was completed by 102 outpatients. To test face validity, a linear regression analysis showed that problems in three health domains, i.e., scars, mental health, and body perceptions, were significantly related to higher distress. Qualitative results revealed that a minority found the items difficult which led to further adjustment of the wording and the addition of illustrations. In summation, this study subscribes to the validity of using single items to screen for burn-related problems.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"5 2","pages":"90-103"},"PeriodicalIF":1.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735221","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

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》。

IF 1

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