Burns最新文献

{"title":"Comment on “Evaluating the association between bronchoscopic severity of burns-related smoke inhalation injury and clinical outcomes: A systematic review and meta-analysis”","authors":"Mengfan Zhai, Hui Wang","doi":"10.1016/j.burns.2025.107838","DOIUrl":"10.1016/j.burns.2025.107838","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107838"},"PeriodicalIF":2.9,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839380","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}

{"title":"Correlation of hemoglobin levels and mortality in burn patients","authors":"Qinghua Wu ,&nbsp;Jingwei Zhang ,&nbsp;Caoyi Liu ,&nbsp;Zhiyong Huang","doi":"10.1016/j.burns.2025.107840","DOIUrl":"10.1016/j.burns.2025.107840","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the correlation between hemoglobin (Hb) levels and 1-year mortality in burn patients in intensive care units.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study, extracting relevant data from the American Intensive Care Unit (ICU) Medical Information Database IV (MIMIC-IV) for burn patients. This data included complete blood counts, biochemistry and coagulation parameters (both maximum and minimum values during ICU hospitalization), Simplified Acute Physiology Score II (SAPSII), Acute Physiology ScoreIII (APSIII), Oxford Acute　Severity of Illness Score (Oasis), Sequential Organ Failure Assessment (SOFA), comorbidities, and outcome. A restricted cubic spline model was utilized to illustrate the relationship between Hb levels and 1-year mortality risk. Patients were stratified into three groups based on gender and the relationship curve (Female: Hb&lt;10.0 g/dL, 10.0 g/dL≤Hb&lt;11.5 g/dL, Hb≥11.5 g/dL; Male: Hb&lt;11.0 g/dL, 11.0 g/dL≤Hb&lt;12.5 g/dL, Hb≥12.5 g/dL). Logistic regression models were employed to assess one-year mortality risk in each group, while sensitivity analysis was conducted via subgroup analysis and propensity score matching (PSM) analysis.</div></div><div><h3>Results</h3><div>A total of 278 burn patients were included in the study, revealing a one-year mortality rate of 12.2 %. Classifying the patients according to their Hb levels in 3 groups, the numerical mortality rates was different (Q1:22.1 %, Q2:8.9 %, Q3:7.0 %). Whether treating Hb as a continuous or categorical variable, both univariate and multivariate logistic regression analyses indicated a gradual decrease in mortality as Hb levels increased. In models adjusted for all confounding factors, the mortality risk for the second and third Hb groups was significantly lower compared to the first group (OR=0.29, 95 % CI=0.10–0.79, p = 0.016; vs. OR=0.36, 95 % CI=0.14–0.93, p = 0.035). Subgroup analysis displayed consistent correlations between reduced Hb levels and increased mortality across various ages, genders, and comorbidities, including chronic pulmonary disease, cerebrovascular disease, liver disease, kidney diseases, and diabetes. After stratifying patients into two groups (Female: Hb&lt;11.0 g/dL and Hb≥11.0 g/dL; Male: Hb&lt;12.0 g/dL and Hb≥12.0 g/dL) and adjusting for potential confounders using Propensity Score Matching (PSM) analysis, as well as applying propensity score adjustment and weighted pairwise analysis (PA), the results remained stable (OR=0.34, CI=0.14–0.83, p = 0.017).</div></div><div><h3>Conclusion</h3><div>Lower Hb levels in burn patients during ICU hospitalization are associated with higher one-year mortality.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107840"},"PeriodicalIF":2.9,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023643","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}

{"title":"Characterization and analysis of the skin mycobiome in keloid: A case-control study","authors":"Yuyan Yang ,&nbsp;Mengyuan Zhang ,&nbsp;Yixin Sun ,&nbsp;Tianhao Li ,&nbsp;Junxian Wen ,&nbsp;Zhijin Li ,&nbsp;Lin Jin ,&nbsp;Yakun Bi ,&nbsp;Wei Wei ,&nbsp;Ang Zeng ,&nbsp;Xiaojun Wang ,&nbsp;Nanze Yu ,&nbsp;Xiao Long","doi":"10.1016/j.burns.2025.107839","DOIUrl":"10.1016/j.burns.2025.107839","url":null,"abstract":"<div><div>Altered skin bacteriome has been associated with keloid, yet the relation of fungal community to this disease remains unclear. This study aimed to characterize the skin mycobiome in patients with keloid and its correlation to disease severity. A case-control study was designed to investigate the fungal landscape in participants with keloid and healthy controls. Disease severity was assessed using Vancouver Scar Scale. Swabs of the keloid lesion (KL) and non-lesional (KNL) skin of keloid patients and corresponding skin sites of healthy controls (C) were obtained for ITS rRNA sequencing. Our findings revealed decreased richness and evenness in the fungal community within the KL as well as KNL groups compared to C (P &lt; 0.01). Notably, fungal composition was more similar between KNL and C compared to KL (KL-C, ANOSIM: R=0.12, P = 0.004; KL-KNL, ANOSIM: R=0.10, P = 0.021; KNL-C, ANOSIM: R=0.03, P = 0.215). Skin mycobiome in KL was more enriched with <em>Malassezia</em> (P &lt; 0.05), and depleted in <em>Cladosporium</em>, <em>Alternaria</em>, <em>Aspergillus</em> and <em>Debaryomyces</em> (P &lt; 0.05). Correlation analysis identified a positive association between the relative abundance of <em>Malassezia</em> and disease severity (r_s=0.56, P = 0.007). The present study shows a decreased fungal diversity and altered fungal composition structure in keloid lesions. The overabundance of <em>Malassezia</em> and its correlation to disease severity highlight a potential role of these fungi in the pathogenesis of keloid and offer insights into novel disease-management approaches.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107839"},"PeriodicalIF":2.9,"publicationDate":"2025-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842581","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}

{"title":"Educational impact of a cost-efficient burns excision and skin grafting porcine simulation model","authors":"Ameen Mahmood ,&nbsp;Ayushi Gianchandani ,&nbsp;Cheuk Ying Kyleen Kiew ,&nbsp;Anuska Shah ,&nbsp;Hasan Zaidi ,&nbsp;Abith Kamath ,&nbsp;Rananjay Singh ,&nbsp;Nikita Kartikapallil ,&nbsp;Marya Abuarqoub ,&nbsp;Daniel Markeson","doi":"10.1016/j.burns.2025.107836","DOIUrl":"10.1016/j.burns.2025.107836","url":null,"abstract":"<div><h3>Introduction</h3><div>Burns education is underrepresented in UK undergraduate and early postgraduate medical training, despite being a core emergency presentation. This limits exposure to essential principles and skills. Porcine skin is anatomically similar to human tissue and cost-efficient, offering a valuable tool. This study evaluates the educational impact of a low-cost burns excision and skin-grafting porcine-based simulation model.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted through a workshop comprising a lecture on burns followed by hands-on practice using porcine models. Participants completed pre- and post-workshop surveys, including multiple choice questions and evaluated self-rated confidence and perceptions using five-point Likert scales. Technical skills were assessed using supervisor-rated Objective Structured Assessment of Technical Skills (OSATS). Statistical analysis utilised Wilcoxon signed-rank and McNemar’s Tests.</div></div><div><h3>Results</h3><div>Thirty participants (28 medical students and two resident doctors) with no prior experience in burns management or grafting partook in the workshop. Theoretical knowledge significantly improved from 1.8 ± 0.7 to 3.9 ± 0.9 (p &lt; 0.01), and surgical skills increased from 1.6 ± 0.7 to 3.6 ± 1.0 (p &lt; 0.01). OSATS scoring showed significant improvements across all domains (p &lt; 0.01). Knowledge-based assessments improved significantly in graft layers, total body surface area (TBSA), and viability assessment (p &lt; 0.01). Participants rated the workshop's effectiveness score at 4.6 ± 0.7 and recommendation likelihood at 4.3 ± 0.5.</div></div><div><h3>Conclusions</h3><div>The model significantly improves knowledge, confidence, and technical skills in burns management and grafting.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107836"},"PeriodicalIF":2.9,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835332","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}

{"title":"Comment on: “The effect of robot-assisted training on burn rehabilitation: A systematic review and meta-analysis”","authors":"Wangqi Tan","doi":"10.1016/j.burns.2025.107835","DOIUrl":"10.1016/j.burns.2025.107835","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107835"},"PeriodicalIF":2.9,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842460","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}

{"title":"How deep does it really burn? Social and emotional implications of paediatric burn injuries and care on Aboriginal and Torres Strait Islander families","authors":"Hayley M. Williams ,&nbsp;Kate Hunter ,&nbsp;Bronwyn Griffin ,&nbsp;Roy Kimble ,&nbsp;Kathleen Clapham","doi":"10.1016/j.burns.2025.107837","DOIUrl":"10.1016/j.burns.2025.107837","url":null,"abstract":"<div><h3>Background</h3><div>Paediatric burns are highly painful and traumatic injuries that affect Aboriginal and Torres Strait Islander children at disproportionate rates, yet their experiences are often omitted from burns research. This study aimed to better understand the social and emotional impacts and unmet support needs that paediatric burn injuries and care cause Aboriginal and Torres Strait Islander families.</div></div><div><h3>Methods</h3><div>This decolonial ethnographic study followed 20 Aboriginal and Torres Strait Islander families’ experiences of paediatric burns care at a tertiary hospital in Queensland, Australia. Three methods were combined, including <em>participant observations</em> of burns care appointments/procedures (n = 54); <em>retrospective thinking aloud</em> sessions with burn specialists (n = 62); and <em>yarning sessions</em> with families (n = 14). Grounded theory analysis was conducted and triangulated for in-depth explorations of each family’s experiences.</div></div><div><h3>Results</h3><div>Paediatric burn injuries and care cause profound and prolonged social and emotional impacts for all members of Aboriginal and Torres Strait Islander families. These include, but are not limited to, panic, shock, distress, guilt, and fear; along with social isolation, family disruptions, physical implications, and financial and food insecurities. These burdens were worsened when burns care was uncollaborative, culturally unsafe, and included minimal supports.</div></div><div><h3>Discussion</h3><div>Paediatric burn specialists play vital roles in supporting Aboriginal and Torres Strait Islander families throughout burns care and beyond. However, several barriers continue to hinder their ability to provide collaborative and culturally and trauma-responsive care. There is a strong need for burns care to incorporate routine mental health screening, and cultural and mental health supports for all members of Aboriginal and Torres Strait Islander families.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 3","pages":"Article 107837"},"PeriodicalIF":2.9,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039690","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}

{"title":"Comment on: “Effect of nature-based sounds on pain and anxiety during dressing changes in hospitalized burn patients: A randomized controlled clinical trial”","authors":"Shuxuan Li,&nbsp;Xinxia Lv,&nbsp;Guang Yang","doi":"10.1016/j.burns.2025.107834","DOIUrl":"10.1016/j.burns.2025.107834","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107834"},"PeriodicalIF":2.9,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842459","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}

{"title":"Burned for the likes: A comparative study of train surfing injuries, high-voltage trauma, and social media perspectives","authors":"Luzie Hofmann ,&nbsp;Aijia Cai ,&nbsp;Tabea Breckwoldt,&nbsp;Gregory Reid,&nbsp;Lukas Naef,&nbsp;Mauro Vasella,&nbsp;Jennifer A. Watson,&nbsp;Bong-Sung Kim","doi":"10.1016/j.burns.2025.107833","DOIUrl":"10.1016/j.burns.2025.107833","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107833"},"PeriodicalIF":2.9,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835270","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}

{"title":"Comments on: “Evaluation of the effect of post-burn pruritus on patients’ quality of life and experiences”","authors":"Runze Zhang ,&nbsp;Chenlu Zhao ,&nbsp;Maocan Tao","doi":"10.1016/j.burns.2025.107832","DOIUrl":"10.1016/j.burns.2025.107832","url":null,"abstract":"","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107832"},"PeriodicalIF":2.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842461","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}

{"title":"Fire safety measures in commercial complex residents: Application of protection motivation theory","authors":"Mohammadreza Shokouhi ,&nbsp;Fahimeh Ramezani ,&nbsp;Ali Fardi ,&nbsp;Maryam Afshari ,&nbsp;Salman Khazaei ,&nbsp;Forouzan Rezapur-Shahkolai","doi":"10.1016/j.burns.2025.107830","DOIUrl":"10.1016/j.burns.2025.107830","url":null,"abstract":"<div><h3>Background</h3><div>Fires in commercial buildings are of particular concern given their essential role in economic and social development. While fire safety research has often emphasized structural aspects of buildings, comparatively less attention has been paid to residents’ behavioral responses during fire incidents. Moreover, a considerable portion of the existing literature on fire safety lacks a robust theoretical foundation. To address this gap, the present study applies the Protection Motivation Theory (PMT) to examine factors influencing fire prevention behaviors among residents of commercial complexes.</div></div><div><h3>Materials and methods</h3><div>This cross-sectional study was conducted between September and December 2024 among 910 residents of commercial complexes in Hamadan. Participants were selected using a stratified sampling method based on complex size, followed by simple random sampling for individual inclusion. Data were collected through structured interviews with a questionnaire consisting of two sections: demographic and background information, and constructs derived from the PMT.</div></div><div><h3>Results</h3><div>The mean age of participants was 41.6 years, with an average of 7.6 working hours per day. Most participants were male (81.2 %) and had a middle school level of education (52.2 %). Nearly 12.2 % reported previous experience with a fire incident. In addition, higher scores of perceived susceptibility, perceived severity, fear, self-efficacy, response efficacy, perceived rewards, and protection motivation were associated with increased engagement in preventive measures. Daily working hours were also found to have a statistically significant correlation with the adoption of protective behaviors against fire in commercial buildings.</div></div><div><h3>Conclusion</h3><div>The findings of this study highlight the critical importance of fire prevention among individuals working in commercial complexes, given their unique occupational conditions. To ensure effective planning and implementation of preventive and intervention programs, it is essential to comprehensively identify the determinants of protective behaviors.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107830"},"PeriodicalIF":2.9,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835373","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}