Pub Date : 2025-12-03DOI: 10.1016/j.burns.2025.107819
Kimberly De Mey , Julie van Durme , Jozef Verbelen , Ignace De Decker , Henk Hoeksema , Tine Nuyttens , Petra De Coninck , Nathalie Roche , Stan Monstrey , Karel E.Y. Claes
Background
Hypertrophic scarring (HTS) is a major concern after burns. While conservative therapy is standard for superficial partial thickness burns and debridement for deep burns, the optimal treatment for intermediate depth burns remains unclear. This retrospective study assesses whether enzymatic debridement with Nexobrid® (EDNX) can reduce HTS in intermediate depth burns.
Methods
Patients with intermediate depth burns (healing potential (HP) 14–21 days), assessed by laser Doppler imaging (LDI), were retrospectively analysed for HTS following conservative therapy or EDNX. Regions of interest (ROIs) were analysed for flux values, surface area, and wound closure time. HTS within ROIs was evaluated at 3–6, 6–12, and 12–24 months post-injury, independently by two burn specialists.
Results
In total, 87 ROIs were analyzed in 62 patients, with 44 ROIs treated conservatively and 43 ROIs treated with EDNX. HTS was still present after 12 months in 13.6 % (6/44) of ROIs in the conservative group and 9.3 % (4/43) in the EDNX group, showing no statistically significant difference between the two groups (p = 0.186). The conservative group and EDNX group were comparable, with no statistically significant difference in flux values (346.41 ± 22.90 vs. 340.19 ± 20.75, p = 0.275) or wound closure time (22.70 ± 7.90 vs. 23.42 ± 7.47, p = 0.862). A statistically significant correlation was found between HTS formation and wound closure time (p = 0.001); however, no significant correlation was observed between HTS formation and flux values (p = 0.262).
Conclusion
The overall incidence of HTS after scar maturation was low in both the conservative group (13.6 %) and in the EDNX group (9.3 %). A small, but in significant difference was observed in HTS prevalence between intermediate depth burns treated conservatively and those treated with EDNX. These findings support conservative management through local wound care as the preferred approach for intermediate depth burns.
{"title":"Does enzymatic debridement reduce the occurrence of hypertrophic scarring in intermediate depth burns?","authors":"Kimberly De Mey , Julie van Durme , Jozef Verbelen , Ignace De Decker , Henk Hoeksema , Tine Nuyttens , Petra De Coninck , Nathalie Roche , Stan Monstrey , Karel E.Y. Claes","doi":"10.1016/j.burns.2025.107819","DOIUrl":"10.1016/j.burns.2025.107819","url":null,"abstract":"<div><h3>Background</h3><div>Hypertrophic scarring (HTS) is a major concern after burns. While conservative therapy is standard for superficial partial thickness burns and debridement for deep burns, the optimal treatment for intermediate depth burns remains unclear. This retrospective study assesses whether enzymatic debridement with Nexobrid® (EDNX) can reduce HTS in intermediate depth burns.</div></div><div><h3>Methods</h3><div>Patients with intermediate depth burns (healing potential (HP) 14–21 days), assessed by laser Doppler imaging (LDI), were retrospectively analysed for HTS following conservative therapy or EDNX. Regions of interest (ROIs) were analysed for flux values, surface area, and wound closure time. HTS within ROIs was evaluated at 3–6, 6–12, and 12–24 months post-injury, independently by two burn specialists.</div></div><div><h3>Results</h3><div>In total, 87 ROIs were analyzed in 62 patients, with 44 ROIs treated conservatively and 43 ROIs treated with EDNX. HTS was still present after 12 months in 13.6 % (6/44) of ROIs in the conservative group and 9.3 % (4/43) in the EDNX group, showing no statistically significant difference between the two groups (p = 0.186). The conservative group and EDNX group were comparable, with no statistically significant difference in flux values (346.41 ± 22.90 vs. 340.19 ± 20.75, p = 0.275) or wound closure time (22.70 ± 7.90 vs. 23.42 ± 7.47, p = 0.862). A statistically significant correlation was found between HTS formation and wound closure time (p = 0.001); however, no significant correlation was observed between HTS formation and flux values (p = 0.262).</div></div><div><h3>Conclusion</h3><div>The overall incidence of HTS after scar maturation was low in both the conservative group (13.6 %) and in the EDNX group (9.3 %). A small, but in significant difference was observed in HTS prevalence between intermediate depth burns treated conservatively and those treated with EDNX. These findings support conservative management through local wound care as the preferred approach for intermediate depth burns.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107819"},"PeriodicalIF":2.9,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-03DOI: 10.1016/j.burns.2025.107818
Lu Cen
{"title":"Comments on “Association between platelet‑to‑lymphocyte ratio at admission and short‑term mortality in severe burn patients”","authors":"Lu Cen","doi":"10.1016/j.burns.2025.107818","DOIUrl":"10.1016/j.burns.2025.107818","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107818"},"PeriodicalIF":2.9,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-02DOI: 10.1016/j.burns.2025.107811
Servet Elçin Alpat , Burak Kaya , Hilal Göktürk Nakkaş , Pınar Bayram , Şule Kızıl , Belgin Can , Serdar Mehmet Gültan
Objective
Despite notable advancements in burn care, morbidity and mortality remain high, with progressive tissue loss typically occurring in the first 48 h post-injury. While microneedling and topical retinyl palmitate are recognized for their regenerative effects in dermatology, their roles in acute burn wound management are not well defined. This study aimed to evaluate the early therapeutic impact of microneedling and retinyl palmitate on burn wound progression in a standardized rat model.
Materials and methods
Twenty-four male Wistar albino rats were randomized into four groups (n = 6 each): untreated control, microneedling, microneedling plus retinyl palmitate, and retinyl palmitate alone. Under general anesthesia, a standardized comb burn injury was inflicted on the dorsal skin. Microneedling was performed once, 30 min after injury. Retinyl palmitate was applied topically once daily for 28 days. Wound healing progression was evaluated macroscopically by monitoring wound size and preservation of the zone of stasis. Histological assessment included H&E, Masson’s Trichrome, PAS, Verhoeff–Van Gieson staining, and immunohistochemistry for collagen types I and III.
Results
Microneedling significantly reduced wound area and improved preservation of the stasis zone (p < 0.05). Histologically, microneedling induced near-complete re-epithelialization, minimal inflammatory infiltration, and organized collagen type I deposition resembling normal skin architecture. Retinyl palmitate monotherapy failed to improve healing and was associated with persistent inflammation and delayed neovascularization. Combination therapy did not offer additional benefits.
Conclusion
Microneedling applied in the acute phase of burn injury accelerates healing, preserves viable tissue, and promotes favorable collagen remodeling. Retinyl palmitate showed no therapeutic benefit in this model. These findings highlight microneedling as a promising stand-alone intervention for early burn treatment and encourage clinical exploration of this technique in acute burn care.
{"title":"Microneedling accelerates burn wound healing and promotes collagen remodeling: Insights from a rodent model","authors":"Servet Elçin Alpat , Burak Kaya , Hilal Göktürk Nakkaş , Pınar Bayram , Şule Kızıl , Belgin Can , Serdar Mehmet Gültan","doi":"10.1016/j.burns.2025.107811","DOIUrl":"10.1016/j.burns.2025.107811","url":null,"abstract":"<div><h3>Objective</h3><div>Despite notable advancements in burn care, morbidity and mortality remain high, with progressive tissue loss typically occurring in the first 48 h post-injury. While microneedling and topical retinyl palmitate are recognized for their regenerative effects in dermatology, their roles in acute burn wound management are not well defined. This study aimed to evaluate the early therapeutic impact of microneedling and retinyl palmitate on burn wound progression in a standardized rat model.</div></div><div><h3>Materials and methods</h3><div>Twenty-four male Wistar albino rats were randomized into four groups (n = 6 each): untreated control, microneedling, microneedling plus retinyl palmitate, and retinyl palmitate alone. Under general anesthesia, a standardized comb burn injury was inflicted on the dorsal skin. Microneedling was performed once, 30 min after injury. Retinyl palmitate was applied topically once daily for 28 days. Wound healing progression was evaluated macroscopically by monitoring wound size and preservation of the zone of stasis. Histological assessment included H&E, Masson’s Trichrome, PAS, Verhoeff–Van Gieson staining, and immunohistochemistry for collagen types I and III.</div></div><div><h3>Results</h3><div>Microneedling significantly reduced wound area and improved preservation of the stasis zone (p < 0.05). Histologically, microneedling induced near-complete re-epithelialization, minimal inflammatory infiltration, and organized collagen type I deposition resembling normal skin architecture. Retinyl palmitate monotherapy failed to improve healing and was associated with persistent inflammation and delayed neovascularization. Combination therapy did not offer additional benefits.</div></div><div><h3>Conclusion</h3><div>Microneedling applied in the acute phase of burn injury accelerates healing, preserves viable tissue, and promotes favorable collagen remodeling. Retinyl palmitate showed no therapeutic benefit in this model. These findings highlight microneedling as a promising stand-alone intervention for early burn treatment and encourage clinical exploration of this technique in acute burn care.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107811"},"PeriodicalIF":2.9,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.burns.2025.107816
María Rojas-Goldsack , Rolando Saavedra , Karina Zalavari , Johanna Díaz , Francisca Besio , Rodrigo Fuentes , Orlando Flores
Background
Burns are injuries that lead to sequelae requiring long-term treatment and rehabilitation. Despite their significance, there is limited research specifically addressing the need for rehabilitation in pediatric burn patients and the duration of such treatment.
Objective
To describe the demographic and clinical factors associated with rehabilitation needs in pediatric burn patients, and to report the duration of rehabilitation among those who required and received it.
Methods
A retrospective cohort study was conducted including all pediatric patients from a Chilean district who were admitted to a specialized outpatient burn center during 2011. The treatment received by these patients until December 31, 2024, was reviewed. Data were extracted from clinical records. We analyzed demographic, epidemiological, and clinical variables. To evaluate the risk of requiring rehabilitation, we calculated adjusted relative risks with 95 % confidence intervals.
Results
From 436 patients (median age at injury: 3.0 (IQR:6.0–1.0) years) admitted in 2011 from burn injuries, 20.9 % required rehabilitation, and 30.8 % of them received rehabilitation treatment for more than a year. Intermediate (RR 10.13; 95 % CI: 3.51–29.26) and deep burns (RR 23.03 95 % CI 6.95–76.29), as well as re-epithelialization time exceeding 15 days (RR 1.03 95 % CI 1.00–1.05), were significantly associated with rehabilitation need. The median rehabilitation duration was 0.18 years (95 % CI: 0.04–0.29).
Conclusions
A significant proportion of pediatric burn patients require rehabilitation, often lasting more than one year. Deep burn depth is the strongest predictor of the need for rehabilitation. Rehabilitation duration may vary from a few days to several years. Further research is warranted to elucidate the variables affecting rehabilitation duration.
{"title":"Rehabilitation requirement after burns: An observational study of 436 pediatric patients in Chile","authors":"María Rojas-Goldsack , Rolando Saavedra , Karina Zalavari , Johanna Díaz , Francisca Besio , Rodrigo Fuentes , Orlando Flores","doi":"10.1016/j.burns.2025.107816","DOIUrl":"10.1016/j.burns.2025.107816","url":null,"abstract":"<div><h3>Background</h3><div>Burns are injuries that lead to sequelae requiring long-term treatment and rehabilitation. Despite their significance, there is limited research specifically addressing the need for rehabilitation in pediatric burn patients and the duration of such treatment.</div></div><div><h3>Objective</h3><div>To describe the demographic and clinical factors associated with rehabilitation needs in pediatric burn patients, and to report the duration of rehabilitation among those who required and received it.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted including all pediatric patients from a Chilean district who were admitted to a specialized outpatient burn center during 2011. The treatment received by these patients until December 31, 2024, was reviewed. Data were extracted from clinical records. We analyzed demographic, epidemiological, and clinical variables. To evaluate the risk of requiring rehabilitation, we calculated adjusted relative risks with 95 % confidence intervals.</div></div><div><h3>Results</h3><div>From 436 patients (median age at injury: 3.0 (IQR:6.0–1.0) years) admitted in 2011 from burn injuries, 20.9 % required rehabilitation, and 30.8 % of them received rehabilitation treatment for more than a year. Intermediate (RR 10.13; 95 % CI: 3.51–29.26) and deep burns (RR 23.03 95 % CI 6.95–76.29), as well as re-epithelialization time exceeding 15 days (RR 1.03 95 % CI 1.00–1.05), were significantly associated with rehabilitation need. The median rehabilitation duration was 0.18 years (95 % CI: 0.04–0.29).</div></div><div><h3>Conclusions</h3><div>A significant proportion of pediatric burn patients require rehabilitation, often lasting more than one year. Deep burn depth is the strongest predictor of the need for rehabilitation. Rehabilitation duration may vary from a few days to several years. Further research is warranted to elucidate the variables affecting rehabilitation duration.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107816"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-28DOI: 10.1016/j.burns.2025.107815
Rachel Nzungize , Cameron Gibson , Eléazar Ndabarora , Bernard Umutoniwase , Ronald Tubasiime
Introduction
Burns are the fourth most common type of injury presenting to emergency departments in Rwanda; however, research related to the epidemiology of burn injuries is limited. The objectives of this study were to investigate the epidemiology and treatment of burns in a rural region of Rwanda to better inform local public health initiatives.
Methods
Data collection took place at Kibogora Level Two Teaching Hospital in the Western Province of Rwanda from July 2023 to November 2024. Patients enrolled in the study included all burn patients who presented to the hospital during the study period. Data were collected through patient interviews and electronic medical records using a standardized form.
Results
Eighty burn patients presented to the hospital during the study period. Children most often presented with burn injuries, with 70 % (n = 56) of the study population being 0–15 years old. Scald was the most common type of burn (n = 60, 75 %). Burns were mostly related to cooking activities (n = 60, 75 %). Traditional medicine was used as first aid in 57.5 % (n = 46) of the cases. Time from injury to treatment was > 24 h in 32.5 % (n = 26) of the patients. Complications were common at 43.8 % (n = 35), with the most frequent type being burn wound infection (n = 30, 37.5 %). All patients survived their burn injuries.
Conclusion
Prevention efforts should prioritize reaching children and their caregivers while highlighting kitchen safety and the dangers of hot liquids that can cause scald burn injuries. Burn wound infection prevention is also a priority for education.
{"title":"Epidemiology and care of burns in rural Rwanda: A prospective cohort study","authors":"Rachel Nzungize , Cameron Gibson , Eléazar Ndabarora , Bernard Umutoniwase , Ronald Tubasiime","doi":"10.1016/j.burns.2025.107815","DOIUrl":"10.1016/j.burns.2025.107815","url":null,"abstract":"<div><h3>Introduction</h3><div>Burns are the fourth most common type of injury presenting to emergency departments in Rwanda; however, research related to the epidemiology of burn injuries is limited. The objectives of this study were to investigate the epidemiology and treatment of burns in a rural region of Rwanda to better inform local public health initiatives.</div></div><div><h3>Methods</h3><div>Data collection took place at Kibogora Level Two Teaching Hospital in the Western Province of Rwanda from July 2023 to November 2024. Patients enrolled in the study included all burn patients who presented to the hospital during the study period. Data were collected through patient interviews and electronic medical records using a standardized form.</div></div><div><h3>Results</h3><div>Eighty burn patients presented to the hospital during the study period. Children most often presented with burn injuries, with 70 % (n = 56) of the study population being 0–15 years old. Scald was the most common type of burn (n = 60, 75 %). Burns were mostly related to cooking activities (n = 60, 75 %). Traditional medicine was used as first aid in 57.5 % (n = 46) of the cases. Time from injury to treatment was > 24 h in 32.5 % (n = 26) of the patients. Complications were common at 43.8 % (n = 35), with the most frequent type being burn wound infection (n = 30, 37.5 %). All patients survived their burn injuries.</div></div><div><h3>Conclusion</h3><div>Prevention efforts should prioritize reaching children and their caregivers while highlighting kitchen safety and the dangers of hot liquids that can cause scald burn injuries. Burn wound infection prevention is also a priority for education.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107815"},"PeriodicalIF":2.9,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-27DOI: 10.1016/j.burns.2025.107812
Danni Huang, Linping Zhu
{"title":"Comments on: “Effect of Acceptance and Commitment Therapy on psychological wellbeing and physical function in rehabilitation patients after burns: A randomized controlled trial”","authors":"Danni Huang, Linping Zhu","doi":"10.1016/j.burns.2025.107812","DOIUrl":"10.1016/j.burns.2025.107812","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107812"},"PeriodicalIF":2.9,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We evaluated the incidence of short-term mechanical ventilation (STMV) in patients admitted to our national burn centre (CENAQUE) and clinical findings (CF) associated with prolonged mechanical ventilation (PMV).
Methods
Retrospective review of all burn adults admitted to CENAQUE with endotracheal intubation (EI) between 2010 and 2023. Data included demographics, injury characteristics, and CF at intubation. Patients were categorised as ≤ 2 days ventilation (STMV) or > 2 days (PMV). Multivariable logistic regression analysed associations between CF and PMV. Sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV) were calculated for each CF.
Results
Among 973 patients, STMV incidence was 42.3 % (n = 412). PMV was significantly associated with total body surface area burn (TBSA) (OR 1.094; 1.076–1.113; p < 0.001), age (OR 1.031; 1.022–1.040; p < 0.001), full-thickness facial burn (FTFB) (OR 2.152; 1.131–4.096; p = 0.020), shock (OR 10.662; 3.623–31.375; p < 0.001), and oral oedema (OR 0.590; 0.368–0.944; p = 0.028). Shock (SE 21.2 %, SP 99.0 %) and FTFB (SE 24.6 %, SP 95.4 %) were the most sensitive and specific CF for detecting PMV, with high PPV (96.7 % and 87.8 %) but low NPV (48.1 % and 48.3 %), respectively. In patients with TBSA < 20 %, NPV increased to 60.6 % for shock and 61.2 % for FTFB.
Conclusions
STMV for prophylactic reasons is frequent in burn patients in our country and may represent potentially unnecessary intubations. PMV was associated with higher TBSA, age, FTFB, and shock. FTFB and shock showed the best overall diagnostic performance for detecting PMV, with moderate NPV in patients with TBSA < 20 %. New protocols should be established in our region for airway management of burn patients.
{"title":"Factors associated with prolonged mechanical ventilation in the burn patient","authors":"Sofía Kohn, Alejandra Stolovas, Florencia Urrestarazu, Eliana Robatto, Juan Silva, Ignacio Aramendi","doi":"10.1016/j.burns.2025.107813","DOIUrl":"10.1016/j.burns.2025.107813","url":null,"abstract":"<div><h3>Introduction</h3><div>We evaluated the incidence of short-term mechanical ventilation (STMV) in patients admitted to our national burn centre (CENAQUE) and clinical findings (CF) associated with prolonged mechanical ventilation (PMV).</div></div><div><h3>Methods</h3><div>Retrospective review of all burn adults admitted to CENAQUE with endotracheal intubation (EI) between 2010 and 2023. Data included demographics, injury characteristics, and CF at intubation. Patients were categorised as ≤ 2 days ventilation (STMV) or > 2 days (PMV). Multivariable logistic regression analysed associations between CF and PMV. Sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV) were calculated for each CF.</div></div><div><h3>Results</h3><div>Among 973 patients, STMV incidence was 42.3 % (n = 412). PMV was significantly associated with total body surface area burn (TBSA) (OR 1.094; 1.076–1.113; p < 0.001), age (OR 1.031; 1.022–1.040; p < 0.001), full-thickness facial burn (FTFB) (OR 2.152; 1.131–4.096; p = 0.020), shock (OR 10.662; 3.623–31.375; p < 0.001), and oral oedema (OR 0.590; 0.368–0.944; p = 0.028). Shock (SE 21.2 %, SP 99.0 %) and FTFB (SE 24.6 %, SP 95.4 %) were the most sensitive and specific CF for detecting PMV, with high PPV (96.7 % and 87.8 %) but low NPV (48.1 % and 48.3 %), respectively. In patients with TBSA < 20 %, NPV increased to 60.6 % for shock and 61.2 % for FTFB.</div></div><div><h3>Conclusions</h3><div>STMV for prophylactic reasons is frequent in burn patients in our country and may represent potentially unnecessary intubations. PMV was associated with higher TBSA, age, FTFB, and shock. FTFB and shock showed the best overall diagnostic performance for detecting PMV, with moderate NPV in patients with TBSA < 20 %. New protocols should be established in our region for airway management of burn patients.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107813"},"PeriodicalIF":2.9,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-27DOI: 10.1016/j.burns.2025.107804
Zoë Edger-Lacoursière, Valérie Calva, Noémie Germain, Ingrid Malo Leclerc, Elisabeth Marois-Pagé, Geneviève Schneider, Danielle Shashoua, Chloé Tremblay, Ariane Vaillancourt, Jakub Sawicki, Tara Packham, José A Correa, Bernadette Nedelec
Hand burns represent a frequent injury site, often leading to significant functional limitations. However, there is no systematically validated performance-based outcome (PerfO) assessment for burn survivors, making it difficult to plan, implement, and monitor interventions for hand function. The MacHAND performance assessment short (MPA-S) has recently been proposed as a quick, updated, and globally accessible tool for individuals with traumatic hand injuries and could be a suitable PerfO for hand burns, meriting evaluation. This study aimed to 1) translate the MPA-S and Sollerman Hand Function Test (SHFT) into French Canadian (MPA-SF and SHFT-F), and 2) evaluate the psychometric properties of the MPA-SF, including test-retest, inter-rater, and intra-rater reliability, as well as minimal detectable change with 95 % confidence (MDC95 %) and construct validity by examining its correlation with the French Canadian Burnt Hand Outcome Tool (BHOT-F) and SHFT-F. The secondary objective was to explore the relationship between the MPA-SF, SHFT-F, and BHOT-F scores with % total body surface area (TBSA) burned, presence of hand graft, and hand diagnoses. The translation process followed a standardized forwards-backwards method. Psychometric testing was conducted with 31 participants who sustained hand burns (50 hands). The MPA-SF exhibited excellent reliability and strong positive correlations with the SHFT-F; and weak to moderate negative correlations with the BHOT-F. The intra-rater MDC95 % was 0, and the inter-rater MDC95 % was 4.35 %. These findings suggest that the MPA-SF is a reliable tool for assessing hand function after burns, supporting its use in clinical practice and research. All instruction manuals and training videos are open-source.
{"title":"Psychometric testing of a French Canadian version of the MacHAND performance assessment short (MPA-SF) for the adult burn survivor population.","authors":"Zoë Edger-Lacoursière, Valérie Calva, Noémie Germain, Ingrid Malo Leclerc, Elisabeth Marois-Pagé, Geneviève Schneider, Danielle Shashoua, Chloé Tremblay, Ariane Vaillancourt, Jakub Sawicki, Tara Packham, José A Correa, Bernadette Nedelec","doi":"10.1016/j.burns.2025.107804","DOIUrl":"https://doi.org/10.1016/j.burns.2025.107804","url":null,"abstract":"<p><p>Hand burns represent a frequent injury site, often leading to significant functional limitations. However, there is no systematically validated performance-based outcome (PerfO) assessment for burn survivors, making it difficult to plan, implement, and monitor interventions for hand function. The MacHAND performance assessment short (MPA-S) has recently been proposed as a quick, updated, and globally accessible tool for individuals with traumatic hand injuries and could be a suitable PerfO for hand burns, meriting evaluation. This study aimed to 1) translate the MPA-S and Sollerman Hand Function Test (SHFT) into French Canadian (MPA-SF and SHFT-F), and 2) evaluate the psychometric properties of the MPA-SF, including test-retest, inter-rater, and intra-rater reliability, as well as minimal detectable change with 95 % confidence (MDC95 %) and construct validity by examining its correlation with the French Canadian Burnt Hand Outcome Tool (BHOT-F) and SHFT-F. The secondary objective was to explore the relationship between the MPA-SF, SHFT-F, and BHOT-F scores with % total body surface area (TBSA) burned, presence of hand graft, and hand diagnoses. The translation process followed a standardized forwards-backwards method. Psychometric testing was conducted with 31 participants who sustained hand burns (50 hands). The MPA-SF exhibited excellent reliability and strong positive correlations with the SHFT-F; and weak to moderate negative correlations with the BHOT-F. The intra-rater MDC95 % was 0, and the inter-rater MDC95 % was 4.35 %. These findings suggest that the MPA-SF is a reliable tool for assessing hand function after burns, supporting its use in clinical practice and research. All instruction manuals and training videos are open-source.</p>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"107804"},"PeriodicalIF":2.9,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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