Burns最新文献

{"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}

{"title":"Identifying risk and protective factors for burn wound infection: A retrospective study","authors":"Noah Borges ,&nbsp;Soetkin Rapol ,&nbsp;Ignace De Decker ,&nbsp;Liesbet De Bus ,&nbsp;Pieter Depuydt ,&nbsp;Stan Monstrey ,&nbsp;Karel E.Y. Claes ,&nbsp;Jan Fierens","doi":"10.1016/j.burns.2025.107826","DOIUrl":"10.1016/j.burns.2025.107826","url":null,"abstract":"<div><h3>Background</h3><div>Severe burn injuries remain associated with high morbidity and mortality due to secondary complications such as burn wound infections (BWIs). However, understanding of risk and protective factors for BWIs remains limited.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included burn patients admitted to Ghent University Hospital between 2013 and 2023. Comorbidities, demographics, severity-of-illness scores, burn characteristics, and patient flow parameters were analysed. Penalised logistic regression and Cox survival analysis were performed. Patients without BWI served as controls.</div></div><div><h3>Results</h3><div>Among 492 burn patients, 68 (13.8 %) developed BWI, with a median onset of 4.7 days (IQR: 3.0–7.7). Penalised logistic regression identified vascular disease (aOR: 4.82, 95 % CI: [1.68–13.88], p = 0.005), age (p = 0.001), full-thickness burns (aOR: 3.26, 95 % CI: [1.55–6.89], p = 0.002) and TBSA (p &lt; 0.001) as independent risk factors. In Cox models, debridement performed early after admission (days 2–4) was associated with a lower hazard of BWI, with no significant difference from day 5 onwards.</div></div><div><h3>Conclusion</h3><div>This study underscores the association between vascular disease, age, TBSA, and full-thickness burns with BWI. Early debridement (within days 2–4 of admission) was significantly associated with reduced BWI hazard. These findings may provide valuable insights for refining early burn care and treatment protocols.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107826"},"PeriodicalIF":2.9,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736252","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":"Looking beyond the scalpel: Assessing patient risk factors for complications following surgical excision of hidradenitis suppurativa","authors":"Lily Zhu ,&nbsp;Iman F. Khan ,&nbsp;Rafael Felix P. Tiongco ,&nbsp;Jeffrey Khong ,&nbsp;Lisa C. Smith ,&nbsp;Rena Atayeva ,&nbsp;Tomer Lagziel ,&nbsp;Carisa M. Cooney ,&nbsp;Julie A. Caffrey","doi":"10.1016/j.burns.2025.107822","DOIUrl":"10.1016/j.burns.2025.107822","url":null,"abstract":"<div><h3>Introduction</h3><div>Hidradenitis suppurativa (HS) is a chronic inflammatory disease affecting intertriginous skin. Severe HS presents a reconstructive challenge due to high complication rates; however, risk factors for complications are understudied. This study examines patient-level risk factors for increased complications and operative techniques used at our institution.</div></div><div><h3>Methods</h3><div>We conducted an IRB-approved retrospective review of patients (≥18 years) who underwent primary or secondary wide local excision of HS between 12/1/2015–06/02/2022. Sociodemographic, intraoperative, and complication data were analyzed using descriptive statistics and Fisher’s exact tests. Multiple logistic regression was used to determine the association between patient demographic factors and occurrence of any complications. Significance was set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>Of the 347 patients identified, 239 met inclusion criteria (median age 35 years, follow-up time 13 months). Most patients were Black (76 %) and non-Hispanic/non-Latino (95 %). Common HS risk factors included current smoking (20 %), former smoking (18 %), and diabetes (15 %). Patients were classified as Hurley Stage I (6 %), II (23 %), and III (45 %). Overall, 284 complications were reported, with more severe complications (e.g., flap/graft failure, hypertrophic granulation, keloid formation, hypertrophic scarring) predominantly occurring in Stage III. Complication rates of “other” complications differed significantly across Hurley stages I, II, and III (7 %, 2 %, 21 %, respectively; <em>p</em> &lt; 0.01), with Stage III having the highest rates. Unplanned reoperations also demonstrated significant differences across stages (27 %, 4 %, 18 %, respectively; <em>p</em> = 0.01). Regression analysis showed White race was significantly associated with lower complication risk (<em>p</em> = 0.039), while prior immunomodulator use increased risk (<em>p</em> = 0.02).</div></div><div><h3>Conclusions</h3><div>Disease severity and demographic factors significantly impact HS surgical outcomes. Patients in Hurley Stage III experienced higher complication rates. White race was associated with decreased complication risk while prior immunomodulator use was associated with increased complication risk, suggesting sociodemographic disparities and disease complexity contribute to poorer post-operative outcomes.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107822"},"PeriodicalIF":2.9,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835239","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":"The impact of COVID-19 on patterns of burns evaluated in pediatric emergency departments","authors":"Stephanie Ruest ,&nbsp;Laurie H. Johnson ,&nbsp;Katherine T. Flynn-O’Brien ,&nbsp;Christina Georgeades ,&nbsp;Holly R. Hanson ,&nbsp;Andrew W. Kiragu ,&nbsp;Michelle T. Ruda ,&nbsp;Mark R. Zonfrillo ,&nbsp;Wendy J. Pomerantz","doi":"10.1016/j.burns.2025.107823","DOIUrl":"10.1016/j.burns.2025.107823","url":null,"abstract":"<div><h3>Background</h3><div>Fire- and burn-related injuries are among the top 10 causes of death for children &lt; 18 years in the United States and are associated with significant morbidity. Data regarding the impact of the COVID-19 pandemic on pediatric burns in emergency department (ED) settings are limited.</div></div><div><h3>Objective</h3><div>To examine differences in pediatric burn-related injury patterns before and during the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>This is a subanalysis of a multi-center cross-sectional study of 741,418 injury-related visits to 40 pediatric EDs for children &lt; 18 years. Burn visits were identified by International Classification of Diseases, 10th Revision (ICD-10) codes. Patient demographics and burn-related injury patterns for 3/17/2019–12/31/2019 (control period) vs. 3/15/2020–12/31/2020 (pandemic study period) were compared.</div></div><div><h3>Results</h3><div>Burn-related visits comprised 2.2 % (N = 12,908) of all injury visits. In 2020 there were 3.7 % fewer burn visits, but the proportion of burn visits relative to other injuries was higher (2.5 % vs. 2.0 %, p &lt; 0.001). There were significant differences in burn visits in 2020 by race (p &lt; 0.05) and ethnicity (p = 0.01), with higher proportions of White and non-Hispanic patients. There were significant differences in the geographic distribution of burn visits in 2020 (p &lt; 0.001) and significantly higher proportions of more urgent triage levels (p &lt;0.05) and trauma activations (p &lt; 0.05). Body region affected (p &lt; 0.01), intent (p &lt; 0.001) and mechanism (p &lt; 0.001) also differed significantly. A higher proportion were due to flames/fires and fewer due to hot objects.</div></div><div><h3>Conclusions</h3><div>Burns comprised a higher proportion of injury-related ED visits during the pandemic, with significant differences in patient demographics and injury patterns. These results can inform burn prevention education.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 2","pages":"Article 107823"},"PeriodicalIF":2.9,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835335","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":"Chrysin promotes the survival of flaps through the TLR4/NF-κB/NLRP3 signaling pathway","authors":"Jiapeng Deng ,&nbsp;Kai Chen ,&nbsp;Xiaoying Jin ,&nbsp;Danna Chu ,&nbsp;Chaoyang Qi","doi":"10.1016/j.burns.2025.107828","DOIUrl":"10.1016/j.burns.2025.107828","url":null,"abstract":"<div><h3>Purpose</h3><div>Flap necrosis is a common postoperative complication primarily caused by ischemia-reperfusion injury and impaired angiogenesis. This study investigated the therapeutic effects and mechanisms of chrysin, a natural flavonoid compound extracted from medicinal plants including Oroxylum indicum, Scutellaria baicalensis, and Passiflora spp, on the survival of random skin flaps.</div></div><div><h3>Methods</h3><div>We employed network pharmacology to analyze chrysin's mechanism of action, predicting its therapeutic targets in ischemic diseases through cross-analysis of its potential targets with the pathophysiological mechanisms of ischemia-reperfusion injury. Molecular docking technology was used to simulate the optimal binding conformation and affinity between chrysin and its target receptors. Additionally, a modified McFarlane flap model was established in 36 Sprague-Dawley rats randomly divided into control, low-dose (10 mg/kg/day), and high-dose (40 mg/kg/day) groups (n = 12 each). Flap survival was evaluated 7 days postoperatively, along with assessments of TLR4/NF-κB/NLRP3 signaling pathway expression, tissue inflammation, oxidative stress levels, and blood perfusion.</div></div><div><h3>Results</h3><div>Chrysin treatment significantly improved flap survival rate in a dose-dependent manner. The mechanisms involved were 1) inhibiting activation of the TLR4/NF-κB/NLRP3 inflammatory signaling pathway; 2) reducing oxidative stress damage; and 3) promoting angiogenesis through upregulation of VEGF-A expression.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that the plant-derived flavonoid chrysin improves flap survival through multiple mechanisms, including anti-inflammatory, antioxidant, and pro-angiogenic effects, providing a potential phytotherapeutic strategy for preventing and treating flap necrosis. These findings not only elucidate the pharmacological mechanisms of chrysin but also provide theoretical foundations for developing natural product-based adjuvant therapies in surgery.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"52 1","pages":"Article 107828"},"PeriodicalIF":2.9,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736158","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}