{"title":"儿童烧伤后皮肤愈合紧急策略的系统研究:综合回顾和多学科视角。","authors":"Luigi Coppola, Alessandra Cianflone, Pasquale Primo, Alessandra Macrì, Fiorenza Mastrodonato, Angela Iannicelli, Rosanna Parasole, Francesca Zamparelli, Marcello Zamparelli, Peppino Mirabelli","doi":"10.1186/s13052-025-02066-9","DOIUrl":null,"url":null,"abstract":"<p><p>Burn injuries are a significant cause of morbidity and mortality in pediatric populations. Our study aims to provide an in-depth overview of the current emergency treatment strategies for dermal injuries in children. While advances in burn care have led to improved outcomes for patients with dermal injuries, there remains considerable variability in treatment approaches, and numerous opportunities exist to enhance patient care through the adoption of novel therapies and more effective management of healthcare resources. Children with severe burns often experience profound physiological changes that can result in a range of complications, including infections, fluid and metabolism imbalance due to increased catabolism and protein requirements. Our systematic review focuses on emergency treatment approaches that have demonstrated direct application in pediatric burn care. To this aim, we consulted the scientific databases PubMed, Embase, Web of Science, and Cochrane Library, selecting n = 6 studies that outline the emergency therapeutic approach used in the pediatric setting after a burn, highlighting the most widely adopted techniques and their clinical applications. Study selection was guided by defined eligibility criteria; only original articles published in English that investigated emergency interventions in pediatric populations (0 to 17 years) were considered. Studies were excluded if they involved subjects over 17 years of age, focused on conditions unrelated to burns, employed in vitro or in vivo models, or were review articles. Through a comprehensive examination of these approaches, our study aims to identify areas for improvement and potential advancements in pediatric burn management, suggesting possible future approaches based on Advanced therapy medicinal products (ATMPs) storage approaches.</p>","PeriodicalId":14511,"journal":{"name":"Italian Journal of Pediatrics","volume":"51 1","pages":"233"},"PeriodicalIF":3.2000,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261643/pdf/","citationCount":"0","resultStr":"{\"title\":\"A systematic study of emergency strategies for skin healing after pediatric burns: a comprehensive review and a multidisciplinary perspective.\",\"authors\":\"Luigi Coppola, Alessandra Cianflone, Pasquale Primo, Alessandra Macrì, Fiorenza Mastrodonato, Angela Iannicelli, Rosanna Parasole, Francesca Zamparelli, Marcello Zamparelli, Peppino Mirabelli\",\"doi\":\"10.1186/s13052-025-02066-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Burn injuries are a significant cause of morbidity and mortality in pediatric populations. 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引用次数: 0
摘要
烧伤是儿童发病率和死亡率的重要原因。我们的研究旨在对目前儿童皮肤损伤的紧急治疗策略进行深入的概述。虽然烧伤护理的进步改善了皮肤损伤患者的预后,但治疗方法仍存在相当大的差异,通过采用新疗法和更有效地管理医疗资源,存在许多机会来加强患者护理。严重烧伤的儿童通常会经历深刻的生理变化,这可能导致一系列并发症,包括感染、由于分解代谢和蛋白质需求增加而导致的体液和代谢失衡。我们的系统综述侧重于急诊治疗方法,已证明直接应用于儿科烧伤护理。为此,我们查阅了PubMed、Embase、Web of Science和Cochrane Library等科学数据库,选择了n = 6项研究,概述了儿科烧伤后的紧急治疗方法,突出了最广泛采用的技术及其临床应用。研究选择以明确的资格标准为指导;仅考虑了调查儿科人群(0至17岁)紧急干预措施的英文原版文章。如果研究对象年龄超过17岁,关注与烧伤无关的疾病,采用体外或体内模型,或为综述性文章,则排除研究。通过对这些方法的综合研究,我们的研究旨在确定儿科烧伤管理的改进领域和潜在进展,并提出基于先进治疗药物(ATMPs)储存方法的可能的未来方法。
A systematic study of emergency strategies for skin healing after pediatric burns: a comprehensive review and a multidisciplinary perspective.
Burn injuries are a significant cause of morbidity and mortality in pediatric populations. Our study aims to provide an in-depth overview of the current emergency treatment strategies for dermal injuries in children. While advances in burn care have led to improved outcomes for patients with dermal injuries, there remains considerable variability in treatment approaches, and numerous opportunities exist to enhance patient care through the adoption of novel therapies and more effective management of healthcare resources. Children with severe burns often experience profound physiological changes that can result in a range of complications, including infections, fluid and metabolism imbalance due to increased catabolism and protein requirements. Our systematic review focuses on emergency treatment approaches that have demonstrated direct application in pediatric burn care. To this aim, we consulted the scientific databases PubMed, Embase, Web of Science, and Cochrane Library, selecting n = 6 studies that outline the emergency therapeutic approach used in the pediatric setting after a burn, highlighting the most widely adopted techniques and their clinical applications. Study selection was guided by defined eligibility criteria; only original articles published in English that investigated emergency interventions in pediatric populations (0 to 17 years) were considered. Studies were excluded if they involved subjects over 17 years of age, focused on conditions unrelated to burns, employed in vitro or in vivo models, or were review articles. Through a comprehensive examination of these approaches, our study aims to identify areas for improvement and potential advancements in pediatric burn management, suggesting possible future approaches based on Advanced therapy medicinal products (ATMPs) storage approaches.
期刊介绍:
Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues.
The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.
Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.