Annals of burns and fire disasters最新文献_第8页

Surgical Burden of Traumatic Lower Limb Amputations in the Pediatric Age Group. 儿科创伤性下肢截肢的手术负担。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

S Emsieh, K Terro, C Rabay, A Ibrahim, B Atiyeh

{"title":"Surgical Burden of Traumatic Lower Limb Amputations in the Pediatric Age Group.","authors":"S Emsieh, K Terro, C Rabay, A Ibrahim, B Atiyeh","doi":"","DOIUrl":"","url":null,"abstract":"Although the burden of traumatic lower limb amputation (TLLA) has been well described when it concerns the adult population, there is an evident scarcity in literature concerning this matter in the pediatric population. Our objective is to review the surgical burden and long-term outcome of lower limb amputation among pediatric trauma victims who have experienced lower extremity amputation as the result of an accident or injury. A PICO format was utilized. The population of interest includes only children and adolescents suffering TTLA. The generation of data to be reviewed was executed using MEDLINE and PUBMED. Altogether, all data that includes trauma in the pediatric population in the timeframe 1949-2019 was revised and yielded 13 observational studies. This systematic review includes statistical comparisons between the group of interest of this review and the adult population. Other comparisons include those between the different sources. Our outcomes include a consistent pattern. This consistency between different studies was opposed by certain contradictions. Disparity between the different reviewed studies was displayed in terms of the distribution of the most cited complications of TLLA among different sources and the frequency of additional surgery. The dichotomy in the results of the reviewed studies highlights a gap in the data relevant to TLLA in the pediatric population. In addition to the discrepancies in the available literature, the significant physio-anatomical differences between the pediatric and the adult populations which are relevant to TLLA highlight a requirement for further studies regarding TTLA in the pediatric age group.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"337-346"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869078","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

[Which Management of Burn Sequelae to the Limbs in a Peculiar Context?] [在特殊情况下如何处理四肢烧伤后遗症？］

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

D M Adendjingue, V Andjeffa, F Sinik, M Mouassede, G Nadji, A Toure

{"title":"[Which Management of Burn Sequelae to the Limbs in a Peculiar Context?]","authors":"D M Adendjingue, V Andjeffa, F Sinik, M Mouassede, G Nadji, A Toure","doi":"","DOIUrl":"","url":null,"abstract":"Burns are frequent lesions, often leading to serious functional or even life-threatening sequelae. Their care poses a problem in the countries of the South due to the lack of specialized centres. Through this study, we would like to share our experience. This was a descriptive retrospective study carried out over 36 months on 24 patients treated and followed up in the department for burn sequelae involving a limb. Functional results were classified as excellent, good, fairly good, fair and poor. Aesthetically, they have been categorized into satisfactory, unsatisfactory and poor. We recorded 1480 patients who underwent surgery, 24 of whom were operated on after burns. We noted a female predominance (sex ratio of 1.6) with an average age of 24.2 years (range 16-40). Domestic accidents (n=19) were the main circumstance of occurrence and there was a preponderance of thermal burns by flame (n=21). Twenty people were treated in the first year after burn with excellent, good and fair results in 10, 9 and 4 cases respectively. Burns can cause significant functional sequelae, the management of which requires specialized nursing staff. Training of caregivers oriented towards burn care without forgetting the related means remains a key element to minimizing the occurrence of these sequelae.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"331-336"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869648","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

[Headphone Explosion Burn]. [耳机爆炸燃烧］

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

G B Cherkaoui, A Ankiz, A A Oufkir

引用次数: 0

Mortality Rate of Burn Injury Patients Post Closure of Burn Unit Due to COVID-19 Pandemic. 因 COVID-19 大流行而关闭烧伤科后烧伤患者的死亡率。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

H Soedjana

引用次数: 0

The Combination of Stromal Vascular Fraction Cells and Platelet-Rich Plasma Mediates the Inflammatory Process in Deep Dermal Burn Injury. 基质血管馏分细胞与富血小板血浆相结合可调理深层皮肤烧伤的炎症过程

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

A P Pakan, F Josh, T H Soekamto, J Hendarto

{"title":"The Combination of Stromal Vascular Fraction Cells and Platelet-Rich Plasma Mediates the Inflammatory Process in Deep Dermal Burn Injury.","authors":"A P Pakan, F Josh, T H Soekamto, J Hendarto","doi":"","DOIUrl":"","url":null,"abstract":"The combination of platelet-rich plasma (PRP) and stromal vascular fraction cells (SVFs) was beneficial in accelerating wound healing. This study aims to assess the effect of this combination in balancing the inflammatory process to accelerate burn healing. Thirty eligible Wistar rats were used in this study to establish a deep dermal degree burn wound model. They were randomly divided into four groups: locally injected with the combination of SVFs and PRP (n=9), vaseline (n=9), placebo (n=9), and healthy Wistar rats group (n=3), as treatment group, positive control group, negative control group and healthy control group, respectively. The burn wound tissue was excised from three separated sacrificed rats (8, 24 and 48 hours) to examine polymorphonuclear (PMN) and lymphocyte counts through the standard hematoxylin-eosin procedure and for cyclooxygenase2 (COX-2) expression through the immunohistochemical procedure. The highest PMN, lymphocyte cell count, and COX 2 expression were found at 8 hours in the local injection with the PRP combination SVF group (28,555±11,237, 8,111±3,218, and 4,666±2,309, respectively, p <0.05 except for COX 2). The regression analysis results showed that local injection of a combination of PRP and SVF could reduce PMN cells by 1.068 times, lymphocytes by 1.786 times, and COX 2 by 1.853 times greater than topical application with vaseline. The combined injection of PRP and SVF effectively heals deep burns by acutely increasing the PMN cell and lymphocyte count, and COX 2 expression. Conversely, the treatment decreased the PMN cell and lymphocyte count but not the COX 2 expression in the sub-acute phase of wound healing.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"320-330"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862410","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

Epidemiological Profile of Burns in the Elderly in Lagos, Nigeria: A Preliminary Study. 尼日利亚拉各斯老年人烧伤的流行病学概况：初步研究。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

A Abdulsalam, A O Ogunkeyede, E Bada, M K Chira

{"title":"Epidemiological Profile of Burns in the Elderly in Lagos, Nigeria: A Preliminary Study.","authors":"A Abdulsalam, A O Ogunkeyede, E Bada, M K Chira","doi":"","DOIUrl":"","url":null,"abstract":"The elderly population is on the increase globally according to the current global demographic changes and is more vulnerable to burn injuries. Despite recent advances in burn care, the outcome of burns in the elderly has only marginally improved when compared with children and younger adults. The objective of this study was to determine the patterns and outcomes of burns in the elderly and eventually proffer prevention strategies. A retrospective review of all the elderly (65 years and older) burn patients managed at the Burn Centre of National Orthopaedic Hospital Igbobi Lagos (NOHIL) between January 2015 and December 2019 was performed. The socio-demographic data, clinical information surrounding the burn injury and management were extracted from the medical records, analyzed and presented. A total of 21 patients were included in this study, with a male to female ratio of 1:1.1. Flame burns represented the commonest cause of burns (85.7%) and the majority had pre-injury comorbidities (57.1%). All the patients with %TBSA of less than 40% were successfully managed and discharged while death occurred in all the patients with %TBSA of 40% and above, with a mortality rate of 11.1%. This study provided an epidemiological profile of elderly burn patients in Nigeria. One in five burn admissions is elderly, with flame burns being the major cause of burns. Most of the burns occurred indoors and were related to cooking activities. Prevention strategies were recommended to improve home safety and make the home a safer place for the elderly.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"299-306"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872470","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

"Minimally Invasive" Skin Grafting With Enzymatic Debridement and Autologous Skin Cell Spray: A Retrospective Case Series. 利用酶清创和自体皮肤细胞喷雾进行 "微创 "植皮：回顾性病例系列。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

S A Kahn, N Raghava, G Gaweda, A Hink, J Holmes Iv, W Hickerson, J E Carter

{"title":"\"Minimally Invasive\" Skin Grafting With Enzymatic Debridement and Autologous Skin Cell Spray: A Retrospective Case Series.","authors":"S A Kahn, N Raghava, G Gaweda, A Hink, J Holmes Iv, W Hickerson, J E Carter","doi":"","DOIUrl":"","url":null,"abstract":"Minimally invasive surgery is becoming the standard of care across surgical subspecialties. Several new \"minimally invasive\" options for burn debridement and autografting exist. Enzymatic bromelain-based debridement (BBD) and autologous skin cell spray (ASCS) have independently proven to reduce the rate of split-thickness skin grafting (STSG) and decrease donor site size when grafting is performed. There is a paucity in the literature regarding the combination of these two therapies. The purpose of this study is to characterize a cohort of patients treated with both BBD and ASCS and qualitatively compare data to expected outcomes without these therapies. This retrospective study of a single academic burn center's experience using BBD and ASCS together included 13 patients with a total burn surface area (TBSA) from 1-30% and all had >50% deep partial thickness. All patients received BBD and ASCS. Deeper burns additionally received STSG with ASCS overspray. Median burn size was 14% TBSA (IQR:5.45,20), donor site size was 225 sq cm (IQR:28.5,556.5), and ratio of donor site area to total treatment area of 0.082 (IQR: 0.039, 0.241) was observed. Median observed length of stay (LOS) was 19 days (IQR:10,27), expected LOS was 15.4 days, and O/E ratio 1.06. Donor sites in both groups of patients were much smaller than expected versus treatment with conventional meshed STSG alone and length of stay is lower than expected based on burn size. An emphasis on expenses and scar development will guide future studies into the patient subset and wound features that are best for this combination treatment.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"355-360"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854649","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

Analysis of Factors Affecting Burns Mortality: A National Burn Centre Experience From Pakistan 2007-2021. 影响烧伤死亡率的因素分析：2007-2021年巴基斯坦国家烧伤中心的经验。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

M Rehan, T Iqbal, M Sarwar, M S Khan, M H Tariq, U Waheed

{"title":"Analysis of Factors Affecting Burns Mortality: A National Burn Centre Experience From Pakistan 2007-2021.","authors":"M Rehan, T Iqbal, M Sarwar, M S Khan, M H Tariq, U Waheed","doi":"","DOIUrl":"","url":null,"abstract":"Burns are a public health concern burdening the healthcare delivery system across the globe. Mortality rates are significant outcome parameters after a burn injury. The objective of the current study was to analyze the characteristics of the patients admitted to our burn care center and identify the factors related to mortality in the burn patients. This was a cross-sectional single-center study involving a retrospective analysis of mortality rates in burn patients over a period of 15 years from July 2007 to December 2021. During the study period, 7,866 burn patients were admitted to the ICU of the burn care center. Patients who died [Group 1] were compared to the group of survivors (control cases [Group 2]) to ascertain the contributing factors that might forecast a high risk for mortality. The mortality rate was calculated as 23.16% (1,822/7,866). The majority of the patients (both groups) had a total body surface area (TBSA) of >50% (p 0.001). The average duration of stay at the burn care center was 15.5 days for the survivors' group (Group 2) while it was 11.4 days for the patients who died (Group 1) during the course of their treatment. About 23.16% of all admitted patients died mostly from flame burns, and sepsis was the commonest cause of death. Patients with risk factors should be classified as high risk for mortality at the time of ICU admission. It is necessary to initiate educational and awareness programs for sensitization related to the prevention of burn injuries.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"286-292"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870495","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

The Silent Threat-Alkali Foot Burn: A Case Report. 无声的威胁--碱足烧伤：病例报告。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

P Machado, T Barbosa, M Jarnalo, M Mendes, I Brito, R Horta, P Egipto

{"title":"The Silent Threat-Alkali Foot Burn: A Case Report.","authors":"P Machado, T Barbosa, M Jarnalo, M Mendes, I Brito, R Horta, P Egipto","doi":"","DOIUrl":"","url":null,"abstract":"Despite current workplace protection measures, chemical burn accidents are not uncommon. Among these, alkali burn is the most challenging due to its silent behaviour and aggressive mechanism. Characterized by its initial painless onset, allowing a prolonged exposure, it tends to result in deeper and more destructive burns, creating major reconstructive and therapeutic challenges. This case concerns a 53-year-old male who sustained a full thickness burn of his left instep foot after prolonged contact with an alkali substance. The wound was submitted to several surgical debridement procedures, with preservation of the major tendinous and vascular-nervous structures. The skin defect was then repaired with skin graft. Early recognition and prompt management with copious and prolonged wound irrigation is paramount. As in this type of burn it is difficult to initially assess its true depth, even after initial surgical debridement, a more cautious approach is recommended. Chronic pain is associated with chemical burns and it should be treated early in the process with the use of multimodal analgesia in order to prevent future complications. No matter the absence of major complaints in the 4 week-postoperative evaluation, the possible long-term consequences are still unknown. Despite the prolonged exposure time and the initial presentation with a deep burn, after several surgical debridement procedures, preservation of major tendon and neurovascular structures was assured, which allowed a plain approach for reconstruction of the wound with a skin graft. The case illustrates different challenges associated with evaluation and treatment of patients with deep alkali burns. Also, usage auditing and awareness of regular users appear to be essential.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"317-319"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873815","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

Enzymatic Debridement With Nexobrid^®Reduces Surgery in Laser Doppler Imaging-Confirmed Deep Burns. 使用 Nexobrid® 进行酶清创可减少激光多普勒成像确认的深度烧伤的手术次数。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01

K E Y Claes, I De Decker, T Vyncke, J Verbelen, N Dhooghe, S Monstrey, H Hoeksema

{"title":"Enzymatic Debridement With Nexobrid®Reduces Surgery in Laser Doppler Imaging-Confirmed Deep Burns.","authors":"K E Y Claes, I De Decker, T Vyncke, J Verbelen, N Dhooghe, S Monstrey, H Hoeksema","doi":"","DOIUrl":"","url":null,"abstract":"In contrast to tangential excision, enzymatic debridement with NexoBrid® selectively removes non-viable tissue, allowing some deep dermal burn wounds to still heal conservatively. In this retrospective study, we investigated the reduction in surgery and associated scarring following enzymatic debridement in definitely deep burns as proven by laser Doppler imaging. One hundred two exclusively laser Doppler imaging-blue regions of interest where there was no doubt at all about the surgical indication, were selected for analysis in 32 patients treated with NexoBrid®. The total surface area of the 102 exclusively blue regions of interest was 5,086.4cm2. NexoBrid® resulted in a substantial reduction in the need for autografts as 1,986.9cm2 (39%) healed with conservative treatment. This corresponded with a significant reduction in patients (56.3%) requiring surgery. Exclusively laser Doppler imaging-blue regions of interest treated surgically with split thickness skin grafts required significantly more time to heal compared to conservative treatment (37.8±17.5 vs. 27.0±10.5 days). A very limited rate of hypertrophic scarring (16.7%) was observed. This is the first paper demonstrating a proven and significant reduction in the extent of autografting as well as in the number of surgical procedures after selective enzymatic debridement in objectively laser Doppler imaging-defined and therefore proven deep burns. Even after extended conservative treatment with prolonged healing times following NexoBrid®, hypertrophic scar formation was limited (5/54 regions of interest, 9.3%). Also in operated patients, the incidence of hypertrophic scarring following a strict regimen of aftercare was low (12/48 regions of interest, 25%).","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 4","pages":"347-354"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872594","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