Burns最新文献

英文中文

Corrigendum to “Preparation and evaluation of olycaprolactone/chitosan/Jaft biocompatible nanofibers as a burn wound dressing” [Burns 48 (7) 2022 1690–1705] “聚己内酯/壳聚糖/Jaft生物相容性纳米纤维作为烧伤创面敷料的制备和评价”[Burns 48(7) 2022 1690-1705]。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-17 DOI: 10.1016/j.burns.2025.107736

Seyedeh-Sara Hashemi , Zohreh Saadatjo , Reza Mahmoudi , Hamdollah Delaviz , Hassan Bardania , Seyedeh-Somayeh Rajabi , Alireza Rafati , Mohammad M. Zarshenas , Mehrzad Jafari Barmak

引用次数: 0

Non-pharmacological interventions in pediatric burn care still require efforts on multiple fronts 儿童烧伤护理的非药物干预仍然需要多方面的努力。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-16 DOI: 10.1016/j.burns.2025.107748

Lin Luo, Jing Gong

引用次数: 0

Corrigendum to “Multi-omics analysis to explore the molecular mechanisms related to keloid” [Burns 51 (2025) 107396] “探索瘢痕疙瘩相关分子机制的多组学分析”[Burns 51(2025) 107396]的更正。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-16 DOI: 10.1016/j.burns.2025.107715

Hailin Xu , Keai Li , Xiaofeng Liang , Zhiyong Wang , Bin Yang

引用次数: 0

An insight into the clinical condition of burn patients with venous catheters 烧伤患者静脉置管的临床情况分析

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-15 DOI: 10.1016/j.burns.2025.107749

Mohammad Hossein Sobhkhizi, Mozhdeh Mohammadghasemi, Negin Mohammadghasemi, Zahra Shahraki

引用次数: 0

Red blood cell transfusion risk factors and outcomes in burn patients: A retrospective cohort study 红血球输血的危险因素和烧伤患者的预后：一项回顾性队列研究。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-14 DOI: 10.1016/j.burns.2025.107746

Zoé Bellas , Benjamin Deniau , Louis Boutin , Emmanuel Dudoignon , Maxime Coutrot , Maïté Chaussard , Lucie Guillemet , Alexandre Pharaboz , Alexandru Cupaciu , Thaïs Walter , Mourad Benyamina , Marc Chaouat , Benoit Plaud , Anne-Claire Lepretre , Aliénor Xhaard , François Dépret

Introduction

Patients with burn injuries often develop a state of multifactorial anemia, resulting in significant red blood cell transfusion, which may cause adverse effects. We aimed to identify clinical factors associated with red blood cell transfusion and to assess the relationship between red blood cell transfusion and outcomes in critically ill burn patients.

Materials and methods

We conducted a retrospective single-center study at the Burn Intensive Care Unit of Saint Louis Hospital in Paris from 2012 to 2022, approved by the local ethics committee. The primary outcome was the occurrence of red blood cell transfusion. Secondary outcomes included 28- and 90-day in-hospital mortality and acute kidney injury.

Results and discussion

Of the 1704 patients included in the study, 564 (33 %) received red blood cell transfusions. Age, extent of burn, burn depth, length of stay in the Burn Intensive Care Unit, presence of anemia on admission, and timing of surgical procedures were associated with the likelihood of red blood cell transfusion. Red blood cell transfusion was associated with an increased risk of acute kidney injury (OR 4.53 [3.03; 6.80], p < 0.001) but with a decreased risk of 28-day mortality (OR 0.43 [0.20, 0.89], p = 0.026). However, after patients who died within the first 48 h of hospitalization were excluded, red blood cell transfusion was no longer significantly associated with 28-day mortality (OR 0.9 [0.43, 1.90], p = 0.78). Red blood cell transfusion was not associated with 90-day mortality (OR 0.53 [0.25, 1.08], p = 0.083). We identify three clusters associated with different incidence of red blood cell transfusion (9.8 %, 67.8 % and 89 % in cluster 1, 0 and 2 respectively).

Conclusion

Red blood cell transfusion is closely related to burn severity and is associated with an increased risk of acute kidney injury. Future controlled, randomized trials are needed to determine whether restrictive transfusion strategies could reduce the risk of acute kidney injury in critically ill burn patients.

导读：烧伤患者常出现多因子贫血状态，导致大量红细胞输血，可能引起不良反应。我们旨在确定与红细胞输注相关的临床因素，并评估红细胞输注与危重烧伤患者预后之间的关系。材料和方法：经当地伦理委员会批准，我们于2012 - 2022年在巴黎圣路易斯医院烧伤重症监护室进行了回顾性单中心研究。主要结局是红细胞输注的发生。次要结局包括28天和90天住院死亡率和急性肾损伤。结果和讨论：在纳入研究的1704例患者中，564例（33 %）接受了红细胞输注。年龄、烧伤程度、烧伤深度、在烧伤重症监护病房的住院时间、入院时是否存在贫血以及手术时机与红细胞输血的可能性相关。红细胞输注与急性肾损伤风险增加相关（OR 4.53 [3.03; 6.80], p ）结论：红细胞输注与烧伤严重程度密切相关，与急性肾损伤风险增加相关。未来的对照、随机试验需要确定限制性输血策略是否可以降低危重烧伤患者急性肾损伤的风险。

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引用次数: 0

Flap reconstruction of post-burn neck contractures: A systematic review 皮瓣重建烧伤后颈部挛缩：系统回顾

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-14 DOI: 10.1016/j.burns.2025.107745

Aidan Shulkin , Alexandra Katz , Gabriel Bouhadana , Ali Izadpanah , Alain Michel Danino , Johnny Ionut Efanov

Background and objectives

Post-burn neck contractures present a complex reconstructive challenge. Flap-based reconstruction remains the standard in surgical management, yet no consensus exists regarding optimal flap selection or outcome evaluation. This systematic review aims to evaluate the effectiveness of flap reconstruction for post-burn neck contractures and to identify gaps in the literature.

Methods

A systematic search of MEDLINE, Embase, and Web of Science was conducted following PRISMA guidelines. Studies reporting flap-based reconstruction for post-burn neck contractures published from inception to January 2025 were included.

Results

54 studies encompassing 1346 subjects and 1466 flap procedures were identified. Scapular/parascapular (27.3 %) and supraclavicular artery (25.7 %) flaps were the most frequently reported among a diverse range of techniques. Functional outcomes, mainly assessed by range of motion, were reported in 83.3 % of studies, with over 90.0 % of patients achieving near-normal mobility. Aesthetic outcomes, mostly based on subjective observations, were reported in 90.7 % of studies, with the majority demonstrating favorable improvements. Patient satisfaction was reported in 33.3 % of studies and was consistently high. Major complications (5.7 %), minor complications (7.2 %), and contracture recurrence (<1.0 %) were rare. There were no significant differences in complication rates between local, pedicle and free flaps (p > 0.05).

Discussion

Flap-based reconstruction reliably achieves positive outcomes following post-burn neck contractures. However, inconsistent use of contracture classification systems and lack of standardized, objective, and patient-reported outcome measures limit cross-study comparability. While treatment algorithms exist, they remain underutilized in practice.

Summary and conclusion

Surgeons can confidently select from a variety of flap options to effectively reconstruct post-burn neck contractures. Nonetheless, significant heterogeneity in outcome reporting limits direct comparisons across studies. To address this, we propose a standardized guide for consistent and comprehensive outcome reporting to improve comparability, inform clinical decision-making, and ultimately enhance patient care.

背景与目的烧伤后颈部挛缩是一个复杂的重建挑战。皮瓣重建仍然是外科治疗的标准，但关于最佳皮瓣选择或结果评估尚未达成共识。本系统综述旨在评估皮瓣重建治疗烧伤后颈部挛缩的有效性，并找出文献中的空白。方法按照PRISMA指南对MEDLINE、Embase和Web of Science进行系统检索。研究报告基于皮瓣重建烧伤后颈部挛缩从开始到2025年1月发表。结果共纳入54项研究，1346名受试者，1466例皮瓣手术。肩胛/肩胛旁动脉皮瓣（27.3% %）和锁骨上动脉皮瓣（25.7% %）是各种技术中最常报道的。83.3 %的研究报告了主要通过活动范围评估的功能结果，超过90.0 %的患者实现了接近正常的活动能力。美学结果，主要基于主观观察，在90.7% %的研究中报告，大多数显示出有利的改善。患者满意度报告为33.3% %的研究，并且一直很高。主要并发症（5.7% %）、次要并发症（7.2% %）和挛缩复发（1.0% %）较为罕见。局部皮瓣、带蒂皮瓣和游离皮瓣的并发症发生率无显著差异（p >； 0.05）。讨论基于皮瓣的重建在烧伤后颈部挛缩后获得可靠的积极结果。然而，不一致的挛缩分类系统的使用和缺乏标准化、客观和患者报告的结果测量限制了交叉研究的可比性。虽然存在治疗算法，但在实践中仍未得到充分利用。结论外科医生可以自信地选择多种皮瓣，有效地重建烧伤后颈部挛缩。然而，结果报告的显著异质性限制了研究间的直接比较。为了解决这个问题，我们提出了一个统一的、全面的结果报告的标准化指南，以提高可比性，为临床决策提供信息，并最终提高患者护理。

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引用次数: 0

Comment on "Cutaneous functional units (CFUs) versus total body surface area burned (TBSA) for predicting range of motion outcomes: a comparison of predictive models" 对“预测运动范围结果的皮肤功能单位（cfu）与烧伤总面积（TBSA）：预测模型的比较”的评论。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-14 DOI: 10.1016/j.burns.2025.107747

Jun-er Xu, Yuxuan Wu, Zhenxuan Huang

引用次数: 0

Burn rehabilitation: Evaluation of physiotherapists' knowledge and awareness levels 烧伤康复：物理治疗师的知识和意识水平的评估。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-13 DOI: 10.1016/j.burns.2025.107742

Mine Seyyah , Mustafa Ferit Akkurt , Nergis Yılmaz

Objective

The aim of this study was to evaluate the level of knowledge and awareness of physiotherapists working in Turkey about burn rehabilitation.

Method

This was a cross-sectional study conducted between March and June 2025 and data were collected using Google Form. A total of 324 people were included in the study. The level of knowledge and awareness of the participants about burn rehabilitation was evaluated with 28 questions created by taking expert opinion.

Results

While 25.6 % of participants had experience in burn rehabilitation, only 1.2 % frequently encountered burn patients. Although 60.5 % had taken courses on burn rehabilitation, only 15.1 % considered their knowledge sufficient. Correct response rates to key knowledge questions were 78.7 % for exercise applicability, 79.6 % for timing, 54.6 % for the most common burn type in Turkey, 35.8 % for edema management, and 13 % for pressure garment duration, revealing gaps in clinical knowledge. Additionally, 92.9 % believed early physiotherapy improves recovery, and 98.4 % reported positive effects on quality of life.

Discussion

Our results indicate that although most physiotherapists had taken courses on burn rehabilitation, their knowledge remains insufficient, whereas their awareness is high, underscoring the need for targeted training and certification programs.

目的：本研究的目的是评估在土耳其工作的物理治疗师对烧伤康复的知识和意识水平。方法：本研究是一项横断面研究，于2025年3月至6月进行，数据采用谷歌表格收集。共有324人参与了这项研究。通过采纳专家意见，提出28个问题，评估参与者对烧伤康复的知识和意识水平。结果：25.6 %的参与者有烧伤康复的经验，只有1.2 %的参与者经常遇到烧伤患者。虽然60.5% %的人参加过烧伤康复课程，但只有15.1% %的人认为他们的知识是足够的。关键知识问题的正确答题率在运动适用性方面为78.7% %，在时间方面为79.6% %，在土耳其最常见的烧伤类型方面为54.6% %，在水肿管理方面为35.8% %，在压力服持续时间方面为13% %，显示出临床知识的差距。此外，92.9 %的人认为早期物理治疗可以改善康复，98.4% %的人报告对生活质量有积极影响。讨论：我们的研究结果表明，尽管大多数物理治疗师都参加过烧伤康复课程，但他们的知识仍然不足，而他们的意识却很高，强调了有针对性的培训和认证计划的必要性。

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引用次数: 0

Clinical profile and outcomes of electrical burns in children (≤15 years old): A seven-year prospective study from a tertiary burn centre in northern India 儿童（≤15岁）电烧伤的临床概况和结果：一项来自印度北部三级烧伤中心的7年前瞻性研究。

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-11 DOI: 10.1016/j.burns.2025.107741

P.Umar Farooq Baba , Raheeb Ahmad Shah , Altaf Rasool , Mir Yasir , Mir Mohsin , Eidan Bilal , Shafeen Majid Koul

Background

Pediatric electrical burn injuries, though relatively uncommon, can cause severe deep tissue damage, functional loss, and disfigurement. The higher household voltage in India further increases the severity compared with many Western countries. With increasing exposure to electrical devices both inside and outside the home, these injuries carry a disproportionate burden of morbidity, especially in resource-limited settings.

Objectives

To evaluate the patterns, causes, clinical characteristics, management strategies, and outcomes of electrical burns in children, with a focus on differences between low voltage (LV) and high voltage (HV) injuries.

Methods

A seven-year prospective study of children ≤ 15 years old with electrical burns at a tertiary burn centre in northern India compared LV and HV injuries for patterns, interventions, and outcomes.

Results

Of 46 children, 89.1 % sustained LV injuries, mainly domestic, while 10.9 % had HV injuries from outdoor exposures. HV burns affected older children (10 years vs. 4.24; p = 0.0013), with significantly larger TBSA involvement (19.50 % vs. 2.94 %; p = 0.0001), prolonged hospitalization (27 vs. 9.1 days; p = 0.0012), greater surgical burden, and ICU needs, though no mortality occurred.

Conclusions

Electrical burns in children, though preventable, can result in significant morbidity, particularly with HV exposure. This prospective pediatric study from Kashmir highlights the predominance of LV injuries while underscoring the disproportionate severity and surgical burden of HV burns. Early recognition, prompt surgical management, and targeted prevention strategies are crucial for improving outcomes in this vulnerable population.

背景：儿童电烧伤虽然相对罕见，但可导致严重的深部组织损伤、功能丧失和毁容。与许多西方国家相比，印度较高的家用电压进一步增加了严重程度。随着越来越多地接触家庭内外的电气设备，这些伤害带来了不成比例的发病率负担，特别是在资源有限的环境中。目的：评价儿童电烧伤的模式、原因、临床特征、处理策略和结局，重点分析低压（LV）和高压（HV）损伤的差异。方法：对印度北部三级烧伤中心≤ 15岁电烧伤儿童进行了一项为期7年的前瞻性研究，比较了LV和HV损伤的模式、干预措施和结果。结果：46例儿童中，89.1% %为左室损伤，主要为室内损伤，10.9% %为室外暴露引起的HV损伤。HV烧伤影响的是年龄较大的儿童（10岁vs 4.24岁；p = 0.0013），TBSA受累显著增加（19.50 % vs 2.94 %;p = 0.0001），住院时间延长（27天vs 9.1天；p = 0.0012），手术负担加重，ICU需求增加，但未发生死亡。结论：儿童电烧伤虽然可以预防，但可导致显著的发病率，特别是与HV接触。这项来自克什米尔的前瞻性儿科研究强调了左室损伤的优势，同时强调了HV烧伤的不成比例的严重程度和手术负担。早期识别、及时手术治疗和有针对性的预防策略对于改善这一弱势群体的预后至关重要。

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IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns

Pub Date : 2025-10-10 DOI: 10.1016/j.burns.2025.107740

Sinuo Lu

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