Annals of burns and fire disasters最新文献_第3页

The efficacy of combined adjuvant radiotherapy with surgical excision in the treatment of keloids. 手术切除联合辅助放疗治疗瘢痕疙瘩的疗效观察。

Annals of burns and fire disasters Pub Date : 2025-03-31 eCollection Date: 2025-03-01

D Barreiro, M Mendes, P Machado, S Gomes, P Soares, R Horta

{"title":"The efficacy of combined adjuvant radiotherapy with surgical excision in the treatment of keloids.","authors":"D Barreiro, M Mendes, P Machado, S Gomes, P Soares, R Horta","doi":"","DOIUrl":"","url":null,"abstract":"Keloid is a benign dermal condition that occurs due to excessive activation of fibroblasts, which leads to an abnormal accumulation of collagen. There are several treatment options, but none have been satisfactory or optimal. Often, combined treatments are used due to its high recurrence rate after surgical excision alone. The aim of this study is to evaluate the efficacy of adjuvant radiotherapy after surgical excision. A retrospective study was performed including patients with keloid scars who underwent surgical excision and adjuvant radiotherapy between May 2016 and March 2020. The data was collected from the radiotherapy and plastic surgery medical charts. There were 13 patients identified. The patient and observer scar assessment scale (POSAS) was performed in all 13 patients. The treatment used was surgical excision of the scar associated with 9 Gy radiotherapy dose within the first 24 hours after the surgery, plus another session after 7 days. 13 patients and 16 keloid scars were evaluated during a mean follow-up period of 13,5 months 95%CI (5,84; 21,16). There was no major adverse event from the treatment used. According to POSAS, the overall satisfaction rate was significantly good (mean of 2,29 on a scale from 1 to 10). Only one recurrence was observed (6.25%). Keloids are difficult to treat due to their high recurrence rate. There is no consent about the best treatment. This study showed that surgical excision combined with adjuvant radiotherapy is an excellent option, even for refractory keloids. The aesthetical result was satisfactory and the recurrence rate was low.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"38 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144832","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

Investigation of the effects of types of catheters on bloodstream infection in patients with major burns: prognosis and prediction using procalcitonin. 不同导管类型对严重烧伤患者血流感染影响的研究：使用降钙素原预测预后。

Annals of burns and fire disasters Pub Date : 2025-03-31 eCollection Date: 2025-03-01

M A Çinar, A Güneş, A Erkiliç, K Bayramlar, Y Yakut

{"title":"Investigation of the effects of types of catheters on bloodstream infection in patients with major burns: prognosis and prediction using procalcitonin.","authors":"M A Çinar, A Güneş, A Erkiliç, K Bayramlar, Y Yakut","doi":"","DOIUrl":"","url":null,"abstract":"Bloodstream and catheter-related infections frequently occur in patients with burns. Thus, it is important to correctly assess and manage them. This study aimed to investigate the effects of catheter types used in patients with major burns on bloodstream infections and to predict sepsis status and manage its prognosis using a procalcitonin biomarker. The study included 34 patients who were admitted to the burn intensive care unit. These patients were classified into two groups based on whether they used peripheral or central venous catheter. The procalcitonin, thrombocyte and leukocyte levels of the patients were assessed every other day for 4 weeks, starting from the day when they were admitted to the burn center. An intergroup comparison revealed that procalcitonin levels were lower in the peripheral catheter group than in the central venous catheter group after day 10. Furthermore, the procalcitonin levels were significantly lower in the peripheral catheter group than in the central venous catheter group, especially on days 19, 21 and 24 (p <0.05). It is important to consider using peripheral venous catheters instead of central venous catheters in patients with major burns in order to mitigate the risk of catheter-related infections. Monitoring patients based on procalcitonin levels every other day, changing catheters, and administering antibiotic therapy based on changes in procalcitonin levels in patients likely to have elevated procalcitonin levels may reduce unnecessary antibiotic exposure and associated costs to the healthcare system.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"38 1","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144888","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

[Pre-expanded internal mammary artery perforator (IMAP) flap in post-burn neck reconstruction]. [预扩张乳腺内动脉穿支皮瓣在烧伤后颈部重建中的应用]。

Annals of burns and fire disasters Pub Date : 2025-03-31 eCollection Date: 2025-03-01

V Dewolf, V Guerif, C-S Bich, A Duhoux, P Duhamel, M Brachet, E Bey

引用次数: 0

The relationship between serum albumin level with burn severity and total body surface area before and after skin graft surgery in burn patients. 烧伤患者植皮手术前后血清白蛋白水平与烧伤严重程度及体表面积的关系。

Annals of burns and fire disasters Pub Date : 2025-03-31 eCollection Date: 2025-03-01

J Kazemzadeh, N Parizad, M Safaie

{"title":"The relationship between serum albumin level with burn severity and total body surface area before and after skin graft surgery in burn patients.","authors":"J Kazemzadeh, N Parizad, M Safaie","doi":"","DOIUrl":"","url":null,"abstract":"Burns and burn-related injuries are among the most common causes of morbidity and mortality worldwide. Research has shown that serum albumin levels can predict the burned patient's condition. Considering the limited studies and conflicting results regarding serum albumin levels around the time of skin grafting surgery in burn patients and its effect on the patient's recovery process, conducting a study in this field seems necessary. Thus, this study aimed to determine the relationship between serum albumin level and the severity and total body surface area (TBSA) of burns in patients before and after skin grafting surgery. This cross-sectional and correlational descriptive study evaluated 160 patients hospitalized in the burn department of Imam Khomeini Hospital in Urmia who were candidates for skin graft surgery. Serum albumin levels were measured before and after surgery, and basic information such as age and sex, severity and TBSA were collected and analyzed using SPSS version 22 software. The mean age of the patients was 39.16±12.68, and 57% were men. Fire was the most common cause of burns. The serum albumin level in patients with second-degree burns was significantly higher than in patients with third-degree burns before and after surgery. Also, serum albumin level had a negative and significant correlation with burn severity. Serum albumin level significantly correlates with the severity and TBSA of burns before and after surgery. Thus, serum albumin level can be considered a suitable indicator for predicting the patient's condition and the severity of trauma.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"38 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144835","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

[Intraoperative iatrogenic thermal burn: case report and review of operating room fire prevention measures]. 【术中医源性热烧伤病例报告及手术室防火措施回顾】。

Annals of burns and fire disasters Pub Date : 2024-12-31 eCollection Date: 2024-12-01

N Hassayoune, I Saidi, A Lenne, N Hans, D Ciarafoni, S Jennes, N Cambier

引用次数: 0

Use of high flow nasal cannula in critical burn patient during deep sedation in enzymatic bromelain debridement (nexobrid^®): a single center brief report. 在深度镇静的酶解溴兰清创术（nexobrid®）中对重症烧伤患者使用高流量鼻插管：单中心简要报告。

Annals of burns and fire disasters Pub Date : 2024-12-31 eCollection Date: 2024-12-01

F Coletta, I Mataro, C Sala, D Gentile, E Santoriello, C Petroccione, F Schettino, G P De Marco, V Schettini, A Tomasello, R Villani

{"title":"Use of high flow nasal cannula in critical burn patient during deep sedation in enzymatic bromelain debridement (nexobrid®): a single center brief report.","authors":"F Coletta, I Mataro, C Sala, D Gentile, E Santoriello, C Petroccione, F Schettino, G P De Marco, V Schettini, A Tomasello, R Villani","doi":"","DOIUrl":"","url":null,"abstract":"The use of new oxygen supports associated to non-invasive respiratory strategies is well-established in clinical practice, especially after its extensive application in the management of Covid-19 respiratory failure. The use of high flow nasal cannula (HFNC) in patients undergoing procedural sedation and analgesia (PSA) is dramatically increasing. Enzymatic debridement in critical burn patients is a painful treatment that requires an optimal burn pain control protocol as well as a deep sedation for the entire duration of the procedure. Both hypnosis and opioid-analgesia may lead to significant respiratory depression. Fourteen patients undergoing enzymatic debridement under deep sedation have been included in this case study. All patients receiving oxygen through HFNC were evaluated. All patients underwent continuous monitoring of vital parameters, antithrombotic prophylaxis with low molecular weight heparins and fluid therapy calculated using the Parkland formula. Sedation was successful and well tolerated by all patients and physicians were able to carry out the enzymatic debridement procedure safely. No severe desaturation events were observed. Continuous monitoring of vital signs was carried out. Neither bradycardia events nor hypotensive or hypertensive events requiring treatment occurred. Enzymatic debridement procedures did not lead to any serious adverse events. Based on our experience, the administration of O2 by HFNC at an average concentration of 50% was proven safe and efficacious in the management of drug-induced respiratory depression.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 4","pages":"294-299"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916426","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

[Epidemiology of burns in mayotte in 2022: an exhaustive study on a particular health area]. [2022年马约特岛烧伤流行病学：对特定卫生领域的详尽研究]。

Annals of burns and fire disasters Pub Date : 2024-12-31 eCollection Date: 2024-12-01

E Robert, R Beschon, J Robert, R Le Floch, S Vernaz

{"title":"[Epidemiology of burns in mayotte in 2022: an exhaustive study on a particular health area].","authors":"E Robert, R Beschon, J Robert, R Le Floch, S Vernaz","doi":"","DOIUrl":"","url":null,"abstract":"The last French department, created in 2011, Mayotte still lacks its integration into official health statistics, making it difficult to adapt care facilities to needs, as well as planning for prevention. We conducted a retrospective epidemiological study including all patients treated in the Mayotte burns unit between February 1st, 2022 and January 31st, 2023 (339 patients). We first studied burn patients on the island, i.e. 300 people. The average age is 10.7 years with 75% of patients under 12 years old. The overall incidence rate is 100/100,000 inhabitants, which seems higher than in the other departments, but 16/100,000 among hospitalized patients only, a figure comparable with the metropolitan level. Burns are most often caused by scalding (82.7%), affect a low surface <10% (91%) and are partial thickness (66.7%). Low-income people are over-represented in the burned population, due to very degraded housing conditions. The other group (39 cases) are patients burned in the Comoros and treated in Mayotte after an average delay of 10 days following the incident. The burns are significantly more extensive (TBSA 16.6% vs. 4.6%), deeper (full thickness 66.7 vs. 2.0%) and caused by flames (66.7% vs. 10.7%). They are more often hospitalized (71.8% vs. 16%), for a total of 608 days in the unit compared to 480 days for the other 300 patients. The Mayotte burns unit must therefore take care of both a particularly precarious local population and an external population suffering from especially serious burns.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 4","pages":"259-269"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916054","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

Investigation of high-risk areas of electrical damage in the province of tehran. 对德黑兰省电力损坏高危地区的调查。

Annals of burns and fire disasters Pub Date : 2024-12-31 eCollection Date: 2024-12-01

T Bagheri, S H Salehi, M J Fatemi, S Hoveidamanesh, A Rahbar, M Momeni

引用次数: 0

Serum lactate and base deficit as prognostic markers in acute burns patients. 血清乳酸和碱性缺陷作为急性烧伤患者的预后指标。

Annals of burns and fire disasters Pub Date : 2024-12-31 eCollection Date: 2024-12-01

R Samdyan, D Karki, S Chakrabarti, T Sharma, D Karki

{"title":"Serum lactate and base deficit as prognostic markers in acute burns patients.","authors":"R Samdyan, D Karki, S Chakrabarti, T Sharma, D Karki","doi":"","DOIUrl":"","url":null,"abstract":"Resuscitation of burns remains a fundamental problem in burn care. Traditional endpoints such as mean arterial pressure and urine output guide fluid therapy for optimal resuscitation, but an ideal marker remains controversial. Base deficit and serum lactate are markers of global tissue acidosis and inadequate oxygenation. The aim of this study was to determine whether serum lactate and base deficit together can be used as prognostic markers in acute burns and their association with sepsis and mortality. A prospective observational study with a sample size of 250 was conducted over 18 months, which included patients with 20-60% total body surface area (TBSA) having thermal burns or scald. Resuscitation was done according to hospital protocol and fluid administration was adapted according to clinical parameters. Serum lactate and base deficit values were analysed at the time of admission, then on day one, two, three and finally on day seven after admission. The two parameters were compared among survivors and non survivors. Patients were followed up till discharge, death or 30th post burn day. Baseline serum lactate levels are high and base deficit levels low in the patients sustaining burns and the levels normalised over seven days with adequate resuscitation in survivors. Persistently high serum lactate and low base deficit are associated with sepsis and increased mortality. This study indicates that serum lactate and base deficit are useful parameters to predict mortality and promising predictive tools for assessing resuscitation and development of sepsis. Using these tools to guide fluid resuscitation may help mortality and improve overall outcomes.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 4","pages":"287-293"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916417","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

Hyaluronic acid-based dermal substitute with stromal vascular fraction vs. partial thickness skin grafts for the treatment of intermediate-deep burns of the hand: a retrospective case-control study. 透明质酸真皮替代物与间质血管组分对比：部分厚度皮肤移植治疗手部中深度烧伤的回顾性病例对照研究

Annals of burns and fire disasters Pub Date : 2024-12-31 eCollection Date: 2024-12-01

M Maruccia, S Magistri, R Elia, G Maggio, G Giudice

{"title":"Hyaluronic acid-based dermal substitute with stromal vascular fraction vs. partial thickness skin grafts for the treatment of intermediate-deep burns of the hand: a retrospective case-control study.","authors":"M Maruccia, S Magistri, R Elia, G Maggio, G Giudice","doi":"","DOIUrl":"","url":null,"abstract":"Deep intermediate burns of the hand are a challenge for both the functional and aesthetic result. In this study we compare the efficacy of early selective enzymatic escarolysis followed by the application of stromal vascular fraction (SVF) extracted from autologous adipose tissue on a dermal substitute scaffold (DS) versus reconstruction by partial thickness skin grafts (PTSG). We enrolled all patients admitted to our referral Burn Center from September 2020 to January 2022 with deep intermediate burns of the hands: clinical data were collected, then the first group of 4 patients were treated with PTSG surgical reconstruction, and the second group of 7 patients with DS+SVF. Subsequently, the morpho-functional and aesthetic outcome (with quickDASH and POSAS questionnaires), the healing time and the number of accesses in the operating room were evaluated. A total of 11 patients and 18 hands were treated in the period considered for the study. The mean TBSA was 22.5±15.2% in Group 1, 23.6±13.6% in Group 2; the mean age in Group 1 was 47.3±17.6 yo, in Group 2 51.4±16.3 yo. The mean follow up was 10±2.5 months. At six months qDASH and POSAS in Group 1 were: qDASH 53.4±2.5; OSAS 53.3±5.1; POSAS 51.3±4.3; in Group 2: qDASH 20.8±7.8; OSAS 19.7±8.1; POSAS 17.4±7.8. Group 1 had an average healing time of 75±15 days vs 20.4±9.3 days for Group 2, and 2.5±0.5vs1 accesses in the operating room. SVF combined with hyaluronic acid-based dermal substitute demonstrated a better morpho-functional and aesthetic outcome, and reduced patient healing time and accesses in the operating room compared to surgical partial thickness skin graft reconstruction in the treatment of intermediate-deep burns of the hand.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 4","pages":"305-311"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916266","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