Annals of burns and fire disasters最新文献

Epidemiology and Risk Factors of Burn Injuries During the Cold Season in a Regional Hospital in Northeast Thailand: A Retrospective Study. 泰国东北部地区医院寒冷季节烧伤流行病学及危险因素的回顾性研究

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

A Thongchompu, S Panya

{"title":"Epidemiology and Risk Factors of Burn Injuries During the Cold Season in a Regional Hospital in Northeast Thailand: A Retrospective Study.","authors":"A Thongchompu, S Panya","doi":"","DOIUrl":"","url":null,"abstract":"This retrospective descriptive epidemiological study aimed to investigate the incidence of burns during the cold season compared to other times of the year and to identify associated risk factors and clinical characteristics among hospitalized patients. A total of 402 medical records of patients admitted to the burn unit at the Department of Surgery, Udon Thani Hospital, between January 1, 2022, and December 31, 2024, were reviewed. Descriptive statistics were used to analyze demographic characteristics and incidence. Comparisons between the cold season and other seasons were conducted, and associations between risk factors and clinical outcomes were tested using the Chi-square test. The incidence of burns increased over the three-year period. Incidence during the cold season was 1.65 times higher than in other seasons (OR=1.65). Most patients were elderly females, and the majority of burns occurred due to domestic accidents. Adults were significantly more likely to sustain severe burns than other age groups (χ2=28.45, df=15, p=0.019). Complications were significantly associated with burn severity (χ2=45.78, df=3, p<0.001) and treatment costs (χ2=89.34, df=2, p<0.001). These findings indicate a higher burden of burn injuries during the winter, particularly among the elderly and women. Targeted prevention efforts, such as public safety education and improved first-aid training, are needed. Enhancing treatment protocols and referral systems could further reduce complications and the economic impact of burn injuries.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"85-94"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347674","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

Isolated Deep Thermal Burns of the Dorsal Foot Treated by Excision and Split-Thickness Skin Grafting at the Burn Centre of Lille: Characteristics, Surgical Management and Healing Delay. Lille烧伤中心分离性足背深度热烧伤的切除和薄皮移植：特点、手术处理和愈合延迟。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

A A Rahal, M Jeanne, A Raei, M H Alhilbawi, V Duquennoy-Martinot, P Guerreschi, L Pasquesoone

{"title":"Isolated Deep Thermal Burns of the Dorsal Foot Treated by Excision and Split-Thickness Skin Grafting at the Burn Centre of Lille: Characteristics, Surgical Management and Healing Delay.","authors":"A A Rahal, M Jeanne, A Raei, M H Alhilbawi, V Duquennoy-Martinot, P Guerreschi, L Pasquesoone","doi":"","DOIUrl":"","url":null,"abstract":"Foot burns involve a small total body surface area but may cause significant functional impairment. Deep thermal foot burns often require surgical excision and split-thickness skin grafting, yet the optimal timing of grafting remains debated. Our objective is to describe patient characteristics, surgical management and healing outcomes of isolated deep thermal dorsal foot burns treated at a single burn centre. We conducted a retrospective cohort study including all patients surgically treated for partial- or full-thickness dorsal thermal foot burns at the Burn Centre of the University Hospital of Lille between 2021 and 2023. Two surgical strategies were used: excision followed by delayed grafting and single-stage excision with immediate grafting. Healing times were analyzed per burned foot. Sixty-three patients (75 feet) were included. Patients treated with delayed grafting were older and more frequently had bilateral foot burns. Burn severity was comparable between groups. Post-operative healing time was significantly shorter after single-stage excision and grafting, whereas total healing time from burn injury did not differ significantly. Dermal matrix use was not associated with differences in healing time. In this real-life retrospective cohort, single-stage excision and immediate grafting were associated with faster post-operative healing, while overall healing time remained similar between surgical strategies. Differences between groups reflect clinical decision-making based on patient and wound characteristics rather than a protocol-driven approach.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"161-170"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347716","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

Holistic Psychotherapeutic Approach in Elderly Burn Patients: A Consultation-liaison Psychiatry Case Series Integrating Supportive, Family-involved and Spiritual Interventions. 老年烧伤患者的整体心理治疗方法：咨询-联络精神病学案例系列整合支持，家庭参与和精神干预。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

V A Rahma, A Karimah

{"title":"Holistic Psychotherapeutic Approach in Elderly Burn Patients: A Consultation-liaison Psychiatry Case Series Integrating Supportive, Family-involved and Spiritual Interventions.","authors":"V A Rahma, A Karimah","doi":"","DOIUrl":"","url":null,"abstract":"Burn injuries in elderly patients often present complex clinical and psychological challenges, especially when compounded by functional decline, emotional vulnerability, and spiritual distress. This case series illustrated a holistic psychotherapeutic approach implemented in a consultation-liaison psychiatry (CLP) setting for three elderly burn patients, each with unique psychological and spiritual needs. Interventions included supportive psychotherapy to address anxiety and mood disturbances, involvement of family members to enhance emotional security and reduce treatment resistance, spiritual facilitation aligned with patients' religious values, and cognitive reorientation techniques to manage episodes of acute confusion and delirium. These tailored approaches proved effective in improving patients' emotional adjustment, cooperation with care, and treatment adherence. The integration of psychotherapeutic, familial, and spiritual interventions underscores the importance of culturally sensitive and individualized CLP strategies for elderly burn survivors. However, the findings are limited by the small sample size and the qualitative nature of the data, which may restrict generalizability. Nevertheless, these observations highlight the value of interdisciplinary collaboration in optimizing recovery and psychological well-being among older adults in burn units.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"151-160"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347772","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

Burn Unit Operational System: Systematic Review and Lessons Learned for Practical Implications in Indonesia. 烧伤科操作系统：印度尼西亚的系统审查和经验教训的实际意义。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

C Menna, M H Syarief, R K Hartono

{"title":"Burn Unit Operational System: Systematic Review and Lessons Learned for Practical Implications in Indonesia.","authors":"C Menna, M H Syarief, R K Hartono","doi":"","DOIUrl":"","url":null,"abstract":"Indonesia, a country with a high incidence and burden of burn injuries, still faces limited numbers and uneven distribution of burn units, as well as the absence of operational guidelines. This review analyzes global burn unit operational systems to identify best practices that can be adapted for the development and optimization of burn units in Indonesia. A systematic search was conducted in electronic databases, including PubMed, Science Direct, Sage Journals, and MEDLINE. Inclusion criteria comprised studies focusing on managerial aspects of burn units. Literature search was done according to PRISMA guidelines, and included studies were critically appraised. Following screening and eligibility assessment of 1,046 studies, 20 studies were included in the review. A total of 6 guidelines provided recommendations for burn unit operational systems, and 13 studies offered recommendations for developing burn unit operational systems that could be implemented in Indonesia. Indonesia can adopt approaches from international guidelines to establish more burn units in priority areas based on needs, with operational design guidelines aligned with global standards to enhance the quality of care nationwide. Analysis of global burn unit operational systems successfully identified guidelines and recommendations for the development and management of burn units in Indonesia.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"107-122"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347713","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

Surgical Management of Burn Sequelae of the Popliteal Fossa: Retrospective Analysis and Development of a Management Algorithm. 腘窝烧伤后遗症的外科治疗：回顾性分析及一种治疗算法的发展。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

G Iyadh, M Slim, A Ala, T Iheb, E Khalil

{"title":"Surgical Management of Burn Sequelae of the Popliteal Fossa: Retrospective Analysis and Development of a Management Algorithm.","authors":"G Iyadh, M Slim, A Ala, T Iheb, E Khalil","doi":"","DOIUrl":"","url":null,"abstract":"Burn sequelae of the popliteal fossa cause significant functional impairment, with aesthetic and psychological consequences. Flexion contractures are the most frequent, and several therapeutic classifications exist; however, the clinical heterogeneity of these sequelae makes it difficult to establish a consensus. A retrospective study (January 2014 to January 2022) included 20 patients who underwent surgical treatment for major burn sequelae of the popliteal fossa. Functional outcomes were assessed using the Ogawa and Pribaz, and Baux and Mimoun classifications. The median age was 15.5 years, with a male predominance (sex ratio=1.5). Sixty percent of patients were from rural areas, and 55% received initial non-specialized management. Skin contractures were present in 90% of cases, with a severe knee extension deficit in 89%. Reconstruction involved local techniques such as Z-plasties (40%) and locoregional flaps (pedicled transposition or perforator flaps; 45%). These two categories were analyzed separately due to their distinct anatomical and technical considerations. Final functional outcomes were considered good to excellent in 80% of cases after a median follow-up of 1.15 years. Children are particularly susceptible to popliteal fossa burn sequelae, with a risk of recurrence. The quality of initial management influences the severity of sequelae. Surgical intervention is indicated in the presence of ulceration or significant functional impairment. Local flaps demonstrated good results with fewer recurrences. The main limitations of this study include the small sample size, its retrospective nature, and limited follow-up. A management algorithm for retractile sequelae has been proposed and requires prospective validation.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"139-150"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347799","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

Éditorial. 社论。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

Benjamin Cohen

引用次数: 0

[Bacteraemias due to Enterococci in Burns: Incidence and Factors Associated to Mortality]. [烧伤肠球菌引起的菌血症：发病率和死亡率相关因素]。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

H Fredj, M Cheikhrouhou, A Aloui, A Alouini, L Thabet, A A Messadi, A Mokline

{"title":"[Bacteraemias due to Enterococci in Burns: Incidence and Factors Associated to Mortality].","authors":"H Fredj, M Cheikhrouhou, A Aloui, A Alouini, L Thabet, A A Messadi, A Mokline","doi":"","DOIUrl":"","url":null,"abstract":"Enterococcus species are a common cause of nosocomial bacteremia, affecting patients with severe comorbidities. They are often associated with significant morbidity and mortality. A prognostic, observational, mono-centric and retrospective study was conducted in the intensive burn care unit over 4 years, from January 2020 - December 2023. Burn patients who had at least one episode of Enterococcus spp. bacteremia were included. Out of 1,566 admitted patients, 102 developed at least one Enterococcus bacteremia (an incidence of 7.3%), of which 88 patients were retained for analysis. A total of 104 enterococcal bacteremias were observed. The most common species was E. fæcium (58.7%). Twenty-four percent of the strains were resistant to teicoplanin, and 28.8% were resistant to vancomycin. No resistance to tigecycline or linezolid was noted. The median time to the onset of bacteremia was 7 days, and it was complicated by septic shock in 40.4% of cases. Bacteremia was primitive in 96% of cases and polymicrobial in 78,8% of cases. Median ICU length of stay was 22 days. Mortality was 55.7%. Independent factors associated with mortality due to enterococcal bacteremia were: occurrence of ARDS (acute respiratory distress syndrome), acute renal failure, fungal infection, and Enterococcus resistance to vancomycin.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"123-132"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347637","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

Efficacy of Collagen Dressing for Scald Burn Among the Paediatric Population. 胶原蛋白敷料治疗小儿烫伤的疗效观察。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

A H Mallick, G Dutta, D P Panda, R K Das, D Goswami

{"title":"Efficacy of Collagen Dressing for Scald Burn Among the Paediatric Population.","authors":"A H Mallick, G Dutta, D P Panda, R K Das, D Goswami","doi":"","DOIUrl":"","url":null,"abstract":"Management of burn wounds is challenging. Dressing changes, especially in paediatric burn patients, are a major concern. To address these challenges, numerous methods and advanced dressing materials have been developed. Collagen, a biocompatible material easily derived from natural sources, has emerged as a promising option. The primary goals are early wound healing, reduced pain sensitivity, and fewer dressing changes in the paediatric population. A prospective observational study was conducted among 38 paediatric patients, under 12 years of age, with scald burns. The study was conducted from 1st January 2024 to the end of October 2024. When a patient was admitted with scald burn, the wound was cleaned with normal saline and collagen materials were applied over the wound. This was followed by paraffin impregnated gauze and dry dressing. The first dressing was opened on day 5 and followed by dressing every 3 to 4 days until the wound healed. Thirty-three out of 38 patients (87%) were discharged within 12 days. Infection was found in 5 patients. No adverse reaction due to the application of collagen was observed. Collagen-based dressing is an important dynamic for burn wound management. Frequent change of dressing is avoided, with a significant impact on pain and psychological trauma among the paediatric population.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"133-138"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347703","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

Mortality Analysis of ICU Burn Patients in Indonesia's National Referral Hospital: A 2-Year Retrospective Study. 印度尼西亚国家转诊医院ICU烧伤患者死亡率分析：一项2年回顾性研究

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

A Wardhana, R Cristabella, N Farhana, T Leksono

{"title":"Mortality Analysis of ICU Burn Patients in Indonesia's National Referral Hospital: A 2-Year Retrospective Study.","authors":"A Wardhana, R Cristabella, N Farhana, T Leksono","doi":"","DOIUrl":"","url":null,"abstract":"Burn injuries remain a significant cause of morbidity and mortality, particularly among patients requiring intensive care. This retrospective study analyzed 66 burn patients admitted to the Burn ICU at Cipto Mangunkusumo Hospital, Indonesia, from January 2023 to December 2024, aiming to identify the primary causes of death, including sepsis, acute respiratory distress syndrome (ARDS), renal failure, gastrointestinal bleeding, and inhalation injury. The cohort had a mean age of 40.8 years, with a predominance of male patients (65.2%). The average total body surface area (TBSA) burned was 51.1%, and half of the patients sustained full-thickness burns. Inhalation injuries were present in 48.5% of cases. Sepsis emerged as the most common complication (83.1%), followed by ARDS (40.0%) and kidney failure (15.4%). Surgical interventions were performed in 69.7% of patients, with early tangential excision conducted in over half. Despite these efforts, the mortality rate remained high at 69.2%, and the mean abbreviated burn severity index (ABSI) score was 9.58. These findings highlight the critical burden of sepsis in burn-related deaths and underscore the need for enhanced infection control, early surgical management, and comprehensive ICU protocols to improve outcomes in this high-risk population.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"39 2","pages":"95-99"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13297043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347735","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

Self-Esteem and Social Support: Predictors of Psychological Well-Being in Severe Burn Survivors. 自尊与社会支持：严重烧伤幸存者心理健康的预测因子。

Annals of burns and fire disasters Pub Date : 2026-06-30 eCollection Date: 2026-06-01

I Ghorbel, S Moalla, O Frikha, A Agrebi, A Abouda, K H Ennouri

引用次数: 0