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Beyond the patient: A dyadic intervention paradigm for improved post-burn recovery outcomes 超越病人:改善烧伤后恢复结果的双重干预范式
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2026-01-18 DOI: 10.1016/j.burns.2026.107868
Jonathan Bayuo
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引用次数: 0
Comment on: Characterization and analysis of the skin mycobiome in keloid: A case-control study 点评:瘢痕疙瘩中皮肤真菌群的特征和分析:一项病例对照研究
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2026-01-12 DOI: 10.1016/j.burns.2026.107866
Yan-Yan Chen , Yi-Fei Yang , Yu-Yun Xiong, Hui Sun , Yu-Mei Li
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引用次数: 0
Corrigendum to “Impact of hospital procedure volume on inpatient outcomes of burns covering 20–50 % of the total body surface receiving skin allograft: An analysis of the US Nationwide Inpatient Sample 2005–2020” [Burns 51(8) (2025) 107647] “医院手术量对烧伤住院患者结果的影响,烧伤覆盖20 - 50% %的体表接受同种异体皮肤移植:2005-2020年美国全国住院患者样本分析”[烧伤51(8)(2025)107647]
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2026-01-24 DOI: 10.1016/j.burns.2025.107831
Chao-Ming Wu
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引用次数: 0
“A window of looking at the good, bad, and the stress:” A mixed-methods art therapy study with hospitalized adult burn patients “看到好的,坏的和压力的窗口:”住院成人烧伤患者的混合方法艺术治疗研究
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-07 DOI: 10.1016/j.burns.2025.107821
Bani Malhotra , Linwood R. Haith Jr. , Patricia A. Shewokis , Johanna Czamanski-Cohen , Minjung Shim , Megan Stair-Buchmann , Girija Kaimal

Background

Improving psychosocial functioning in hospitalized burn survivors involves minimizing distress and pain and fostering emotion regulation. Art therapy could uniquely address the non-verbal aspects of distressing experiences, facilitating healthy emotional expression.

Method

This small N mixed-methods study examined the effect of 4-session art therapy intervention among 12 adult hospitalized burn patients on psychosocial outcomes of distress (Distress thermometer), affect (Positive and Negative Affect Schedule), change-perception (Patient Global Impression of Change), pain (Graphic Numeric Rating Scale), and self-expression and regulation (Self-Expression and Emotion Regulation in Art Therapy Scale, SERATS).

Results

Quantitative results using repeated ANOVA showed significant improvements in distress (F[1,9]=6.84, p = .028), positive affect (F[1,8]=5.5, p = 0.047), negative affect (F[1,8]=8.12, p = .022), and pain (F[1,9]=13.22, p = .005) across the four sessions. The global percentage change indicated positive trends in the outcomes. Changes did not reach statistical significance within-sessions. One-sample t-test showed a significant improvement in patients’ impression of change (t[10]=−4.183, two-sided p = .002) with mean responses approaching ‘much improved.’ Patients perceived art therapy as fostering emotional expression and regulation ‘often’ indicated by mean response scores approaching “4” for each item on SERATS. Thematic analysis elaborated on symptom management, expanded expression and perspective with art serving as tangible reminders, and creative engagement across sessions and with varied art media. Mixed-methods integration demonstrated congruent findings across art therapy sessions.

Conclusion

Art therapy can be a viable intervention to boost psychosocial health in hospitalized burn patients.
背景:改善住院烧伤幸存者的社会心理功能包括尽量减少痛苦和痛苦,培养情绪调节能力。艺术疗法可以独特地解决痛苦经历的非语言方面,促进健康的情感表达。方法采用小N混合方法,对12例住院烧伤患者进行4期艺术治疗干预,观察其在痛苦(痛苦温度计)、情绪(积极和消极情绪量表)、改变感知(患者对变化的整体印象)、疼痛(图形数字评定量表)和自我表达和调节(艺术治疗自我表达和情绪调节量表,SERATS)等心理社会结局方面的影响。结果重复方差分析的定量结果显示,焦虑症状有显著改善(F[1,9]=6.84, p = )。028),积极的影响(F (1,8) = 5.5, p = 0.047),消极影响(F (1,8) = 8.12, p = 。022),疼痛(F[1,9]=13.22, p = )。(2005)。全球百分比变化表明结果呈积极趋势。在会议期间,变化没有达到统计学意义。单样本t检验显示患者对改变的印象有显著改善(t[10]=−4.183,双侧p = )。002),平均回答接近“大大改善”。患者认为艺术治疗是促进情绪表达和调节的“通常”,在SERATS上每个项目的平均反应得分接近“4”。专题分析详细阐述了症状管理、以艺术作为有形提醒的扩展表达和视角,以及跨会议和不同艺术媒体的创造性参与。混合方法整合在艺术治疗过程中显示出一致的结果。结论艺术治疗是促进烧伤住院患者心理健康的有效干预手段。
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引用次数: 0
Comments on "Analyzing burns incidence trends in BRICS from 1990 to 2021: Findings from the Global Burden of Disease" 对《分析金砖国家1990年至2021年烧伤发病率趋势:来自全球疾病负担的发现》的评论
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-08 DOI: 10.1016/j.burns.2025.107824
Ruihan Zhang, Keqiang Ma, Shuyang Chen, Chenyu Zhao
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引用次数: 0
Comment on: “The effect of robot-assisted training on burn rehabilitation: A systematic review and meta-analysis” 评论:“机器人辅助训练对烧伤康复的影响:系统回顾和荟萃分析”
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-19 DOI: 10.1016/j.burns.2025.107835
Wangqi Tan
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引用次数: 0
Burned for the likes: A comparative study of train surfing injuries, high-voltage trauma, and social media perspectives 为喜欢而燃烧:火车冲浪伤害,高压创伤和社交媒体视角的比较研究。
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-16 DOI: 10.1016/j.burns.2025.107833
Luzie Hofmann , Aijia Cai , Tabea Breckwoldt, Gregory Reid, Lukas Naef, Mauro Vasella, Jennifer A. Watson, Bong-Sung Kim

Background

This study presents the clinical course of train surfing (TS) high-voltage (HV) injuries versus other HV burn victims (non-TS, NT) in Switzerland and explores the potential role of social media in promoting this risky behavior.

Methods

HV accidents involving unauthorized individuals on railroad tracks from 2016 to 2023 were retrospectively collected from the Federal Office of Transport (FOT) and the Swiss Transportation Safety Investigation Board (STSB). Additionally, clinical data of TS and NT patients treated at the University Hospital Zurich (USZ) Burn Center during 2016–2024 were retrospectively analyzed to compare injury severity, clinical course, and healthcare costs. An exploratory social media content analysis was also conducted to assess the potential influence of TS trends on TikTok and Instagram on the behavior’s popularity and perception.

Results

The FOT and STSB recorded 29 train-related HV accidents. 41 HV patients were treated at USZ, including 12 TS patients. TS were younger (43.6 vs. 20.3 years) and suffered more severe injuries (18.5 % vs. 44.3 % burned total body surface area, TBSA), higher rates secondary injuries (100 % vs. 31 %), longer ICU stays (48.5 vs. 13.2 days), and more complications (100 % vs. 58.6 %) than NT patients. As a result, rehabilitation time and hospitalization costs increased for TS (109 vs. 73 days and CHF 503 152 vs. CHF 174 307). Social media analysis revealed that TS-related content was popular and often glamorized the activity, with safety warnings frequently bypassed, potentially contributing to increased engagement in this risky behavior.

Conclusion

TS causes worse outcomes and higher medical costs compared to NT. Review of social media posts suggested that TS-related content achieved high visibility (measured by views, likes, and shares) and was often portrayed in an appealing or thrill-seeking manner, hence ‘glamorized’ the activity. This underscores the urgent need for targeted prevention and awareness efforts to reduce these avoidable injuries.
背景:本研究介绍了瑞士火车冲浪(TS)高压(HV)损伤与其他HV烧伤受害者(非TS, NT)的临床过程,并探讨了社交媒体在促进这种危险行为中的潜在作用。方法:回顾性收集2016年至2023年联邦交通局(FOT)和瑞士运输安全调查委员会(STSB)的铁路轨道上涉及未经授权人员的HV事故。此外,回顾性分析2016-2024年在苏黎世大学医院(USZ)烧伤中心治疗的TS和NT患者的临床数据,比较损伤严重程度、临床病程和医疗费用。我们还进行了探索性的社交媒体内容分析,以评估TikTok和Instagram上的TS趋势对该行为的受欢迎程度和认知度的潜在影响。结果:FOT和STSB共记录了29起与列车相关的高压事故。41例HV患者在USZ接受治疗,其中12例为TS患者。TS患者更年轻(43.6岁对20.3岁),损伤更严重(18.5% %对44.3% %烧伤总体表面积,TBSA),继发性损伤发生率更高(100 %对31. %),ICU住院时间更长(48.5天对13.2天),并发症更多(100 %对58.6 %)。结果,TS患者的康复时间和住院费用增加(109天对73天,503 152瑞士法郎对174 307瑞士法郎)。社交媒体分析显示,与ts相关的内容很受欢迎,而且经常美化这项活动,安全警告经常被忽略,这可能会增加人们对这种危险行为的参与。结论:与NT相比,TS会导致更糟糕的结果和更高的医疗费用。对社交媒体帖子的回顾表明,TS相关内容获得了很高的知名度(以浏览量、点赞和分享来衡量),并且经常以吸引人或寻求刺激的方式被描绘出来,因此“美化”了这项活动。这强调了迫切需要有针对性的预防和认识工作,以减少这些可避免的伤害。
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引用次数: 0
Comment on: “Effect of nature-based sounds on pain and anxiety during dressing changes in hospitalized burn patients: A randomized controlled clinical trial” 评论:“基于自然的声音对住院烧伤患者换药期间疼痛和焦虑的影响:一项随机对照临床试验”
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.burns.2025.107834
Shuxuan Li, Xinxia Lv, Guang Yang
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引用次数: 0
Impact of sex on the development of bacteremia in critically ill burn patients: A retrospective cohort study 性别对危重烧伤患者菌血症发生的影响:一项回顾性队列研究。
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-25 DOI: 10.1016/j.burns.2025.107845
Nicole J.M. Schweizer , Thomas C. Scheier , Philipp K. Buehler , Bong-Sung Kim , Mauro Vasella , Chun-Chi Chang , Silvio D. Brugger , Pascal M. Frey , Daniel A. Hofmaenner

Background

Burn injuries are associated with significant morbidity and mortality, with infections being a major factor influencing outcomes. Given evidence of sex-related differences in infection risk, we investigated whether such disparities extend to bacteremia in critically ill burn patients.

Methods

We conducted a single-centre cohort study of critically ill patients with severe burn injuries admitted to the Burn Center at the University Hospital Zurich between January 2017 and December 2021. The primary outcome was the association between sex and the development of a first bacteremia episode, analysed using a competing risk regression model accounting for the competing risk of death. Secondary outcomes included the association between sex and ICU mortality, assessed with Cox regression, and the variation of pathogens causing bacteremia by sex.

Results

269 patients were included, of whom 69 (26 %) were female. Median age was 50 years (interquartile range [IQR] 33–65), and the affected median total body surface area was 19 % (IQR 11–30). A first bacteremia occurred in 61 patients (23 %) after a median of 7 days (IQR 5–13), including 21 of 69 female patients (30 %) and 40 of 200 male patients (20 %, p = 0.10). In the fully adjusted competing risk regression model, female sex was associated with the development of bacteremia (subhazard ratio [SHR] 1.98, 95 % CI 1.06–3.70, p = 0.03). Overall ICU mortality was 15 % (n = 40). Although crude mortality was higher among female patients (25 % vs. 12 %, p = 0.01), this difference was not significant after adjustment. Among those with bacteremia (n = 61), the most frequently identified pathogens were Staphylococcus aureus (19 %), Klebsiella pneumoniae (8 %), and Streptococcus mitis/oralis (8 %), with no difference in pathogen distribution between sexes (p = 0.21).

Conclusion

Female sex was associated with a higher bacteremia risk, suggesting sex-specific vulnerability that warrants further investigation. These findings support more tailored infection monitoring and diagnostic strategies in female burn patients during ICU care.
背景:烧伤与显著的发病率和死亡率相关,感染是影响预后的主要因素。鉴于感染风险的性别相关差异,我们调查了这种差异是否延伸到危重烧伤患者的菌血症。方法:我们对2017年1月至2021年12月在苏黎世大学医院烧伤中心住院的严重烧伤危重患者进行了一项单中心队列研究。主要结果是性别与首次菌血症发作之间的关系,使用考虑死亡竞争风险的竞争风险回归模型进行分析。次要结局包括性别与ICU死亡率之间的关系,用Cox回归评估,以及引起菌血症的病原体的性别差异。结果:纳入269例患者,其中女性69例(26% %)。中位年龄为50岁(四分位数范围[IQR] 33-65),受影响的中位体表面积为19. % (IQR 11-30)。61例患者(23 %)在中位7天后(IQR 5-13)发生首次菌血症,其中69例女性患者中有21例(30 %),200例男性患者中有40例(20 %,p = 0.10)。在完全调整竞争风险回归模型中,女性与菌血症的发生相关(亚危险比[SHR] 1.98, 95 % CI 1.06-3.70, p = 0.03)。ICU总死亡率为15 % (n = 40)。虽然女性患者的粗死亡率较高(25 % vs. 12 %,p = 0.01),但调整后差异不显著。在菌血症(n = 61)中,最常见的病原体是金黄色葡萄球菌(19 %)、肺炎克雷伯菌(8 %)和唇形链球菌(8 %),性别间病原体分布无差异(p = 0.21)。结论:女性与较高的菌血症风险相关,表明性别特异性易感性值得进一步研究。这些发现支持在ICU护理期间对女性烧伤患者进行更有针对性的感染监测和诊断策略。
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引用次数: 0
Effects on health-related quality of life of therapeutic exercise in burn survivors: A systematic review and meta-analyses 治疗性运动对烧伤幸存者健康相关生活质量的影响:系统回顾和荟萃分析
IF 2.9 3区 医学 Q2 CRITICAL CARE MEDICINE Pub Date : 2026-03-01 Epub Date: 2025-12-08 DOI: 10.1016/j.burns.2025.107829
Laëtitia Vigneron , Javier Martín Núñez , Jesús Zamora Tortosa , Julia Raya Benítez , Alejandro Heredia Ciuró , Araceli Ortiz Rubio , Marie Carmen Valenza

Background

Burn injuries often result in long-term physical and psychological impairments that negatively impact health-related quality of life. Although therapeutic exercise is a key component of burn rehabilitation, its specific effects on health-related quality of life among adult burn survivors are unclear. The aim of this study was to systematically evaluate and meta-analyze the evidence on the effectiveness of therapeutic exercise in improving health-related quality of life among adult burn survivors.

Methods

We performed a systematic search of the PubMed, Scopus, Web of Science, PEDro, and Cochrane Library databases from their inception until January 2025. The research question was formulated using the PICOS model, and only clinical trials or randomized controlled trials involving adults were included. Therapeutic exercise interventions followed American College of Sports Medicine (ACSM) guidelines for either aerobic or resistance training, with usual care serving as the comparator. The Cochrane Risk of Bias Tool was used to assess risk of bias. The protocol was registered in PROSPERO (CRD42024527745).

Results

Seven studies involving 340 burn patients were included, and three studies were pooled for a meta-analysis using RevMan 5. Therapeutic exercise significantly improved burn-specific health-related quality of life (Short Form-36, the Burn Specific Health Scale–Brief, WHOQOL-BREF and EuroQol-5D) particularly in simple abilities (mean difference [MD] = 0.69; 95 % confidence interval [CI] = 0.26–1.12; p = 0.002) and affective aspects (MD = 1.63; 95 % CI = 1.00–2.26; p < 0.001) of the Burn Specific Health Scale–Brief. However, no significant effect was observed in interpersonal relationships (p = 0.09). Substantial heterogeneity (I² = 83 %) was observed, requiring cautious interpretation of the results.

Conclusions

This systematic review and meta-analysis provide evidence that therapeutic exercise interventions significantly improve health-related quality of life in adult burn survivors. The findings are consistent across most health-related quality of life domains, in particular, the results of our meta-analysis show significant improvements in affect and simple skills.
背景:烧伤通常会导致长期的身体和心理损伤,对健康相关的生活质量产生负面影响。虽然治疗性运动是烧伤康复的关键组成部分,但其对成人烧伤幸存者健康相关生活质量的具体影响尚不清楚。本研究的目的是系统地评估和荟萃分析治疗性运动在改善成人烧伤幸存者健康相关生活质量方面的有效性证据。方法:我们对PubMed、Scopus、Web of Science、PEDro和Cochrane图书馆数据库进行了系统的检索,从它们建立到2025年1月。研究问题采用PICOS模型制定,仅纳入涉及成人的临床试验或随机对照试验。治疗性运动干预遵循美国运动医学学院(ACSM)有氧或阻力训练指南,常规护理作为对照。采用Cochrane偏倚风险工具评估偏倚风险。该协议已在PROSPERO (CRD42024527745)中注册。结果:纳入了7项研究,涉及340例烧伤患者,其中3项研究使用RevMan 5进行了荟萃分析。治疗性运动显著改善了烧伤特异性健康相关生活质量(Short Form-36,烧伤特异性健康量表- brief, WHOQOL-BREF和EuroQol-5D),特别是在简单能力方面(平均差异[MD] = 0.69; 95 %置信区间[CI] = 0.26-1.12; p = 0.002)和情感方面(MD = 1.63; 95 % CI = 1.00-2.26;结论:本系统综述和荟萃分析提供了证据,证明治疗性运动干预可显著改善成人烧伤幸存者的健康相关生活质量。这些发现在大多数与健康有关的生活质量领域都是一致的,特别是,我们的荟萃分析结果显示,在情感和简单技能方面有显著改善。
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引用次数: 0
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Burns
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