5,911 results match your criteria Burns[Journal]


In-situ characterization of the bacterial biofilm associated with Xeroform™ and Kaltostat™ dressings and evaluation of their effectiveness on thin skin engraftment donor sites in burn patients.

Burns 2019 Apr 16. Epub 2019 Apr 16.

Plastic and Reconstructive Surgery Department, University of Montreal Hospital Center (CHUM), Montreal, Canada. Electronic address:

Biofilm forms when bacteria surrounded by an extracellular matrix aggregate on a surface. It can develop on many surfaces, including wound dressings; this can be particularly nefarious for burn patients undergoing skin grafting (autograft) for burn wound coverage as they often suffer from compromised immune system function. Autograft donor sites are particularly vulnerable to biofilm formation; as such, timely healing of these sites is essential. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.024DOI Listing

Identification of substance use disorders in burn patients using simple diagnostic screening tools (AUDIT/DAST-10).

Burns 2019 Apr 1. Epub 2019 Apr 1.

University of Utah School of Medicine, Department of Surgery, 30 N 1900 E, Salt Lake City, UT, 84132, United States; The Ohio State University, Department of Surgery, 395 W 12th Ave #670, Columbus, OH, 43210, United States. Electronic address:

Introduction And Objectives: Substance use is disproportionately high in burn patients and associated with adverse outcomes. Screening methods for substance use disorders may help predict or avoid adverse outcomes. The University of Utah Burn Center records self-reported Alcohol Use Disorders Identification Tests (AUDIT) and Drug Abuse Screening Tests (DAST-10) for all adult burn admissions. Read More

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http://dx.doi.org/10.1016/j.burns.2019.03.004DOI Listing
April 2019
1 Read

Safety and efficacy of intraoperative gastric feeding during burn surgery.

Burns 2019 Apr 1. Epub 2019 Apr 1.

University of Colorado School of Medicine, United States. Electronic address:

Background: Large burns are associated with a dramatic increase in metabolic demand, and adequate nutrition is vital to prevent poor wound healing and septic complications. However, enteral nutrition (EN) support is frequently withheld perioperatively, risking nutritional deficits. We retrospectively examined the safety and feasibility of continuing EN during surgery in patients with an established airway, and estimated the impact of perioperative fasting on overall caloric intake. Read More

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http://dx.doi.org/10.1016/j.burns.2018.12.009DOI Listing
April 2019
1 Read

Seasonal impact in burn profiles in a dedicated burn unit.

Burns 2019 Apr 1. Epub 2019 Apr 1.

Department of Plastic and Reconstructive Surgery, Hospital São José (Centro Hospitalar Lisboa Central), Lisbon, Portugal.

Introduction: The number of burns in Portugal remains considerably large and therefore constitutes a major public health problem. There is a shortage of studies describing the epidemiological and clinical impact of seasonality on burn centre admissions, particularly in high income countries.

Methods: This retrospective analysis included all patients (>18 years old) with acute burns admitted to a specialized Burn Center in Lisbon (Hospital São José) between 20 of September 2010 and 19 of September 2017 (7 years). Read More

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http://dx.doi.org/10.1016/j.burns.2019.03.008DOI Listing
April 2019
1 Read

Comparison of the effects of inhalation aromatherapy using Damask Rose aroma and the Benson relaxation technique in burn patients: A randomized clinical trial.

Burns 2019 Apr 1. Epub 2019 Apr 1.

Statistic and Mathematics Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Burn injuries are often accompanied by painful and distressing consequences, which can lead to long-term psychological issues. The most common form of anxiety in burn patients is pain anxiety. It is described as the feeling of fear and pain prediction caused by painful procedures. Read More

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http://dx.doi.org/10.1016/j.burns.2019.03.001DOI Listing
April 2019
1 Read

The prevalence and development of burn scar contractures: A prospective multicenter cohort study.

Burns 2019 Apr 1. Epub 2019 Apr 1.

Burn Centre, Dept of Plastic and Reconstructive Surgery, Red Cross Hospital, Beverwijk, The Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences VU University Medical Centre, Amsterdam, The Netherlands.

Objective: The objective of this study was to identify the prevalence and development of after burn joint limitation by scar contracture.

Methods: In 2011-2012, consecutive patients were enrolled in this prospective multi center cohort study. Eligible were all patients admitted to the 2 participating Dutch Burn Centers with acute burns across or adjacent to the neck, shoulder, elbow, wrist, hip, knee and ankle. Read More

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http://dx.doi.org/10.1016/j.burns.2019.03.007DOI Listing
April 2019
1 Read

A voltage-based analysis of fluid delivery and outcomes in burn patients with electrical injuries over a 6-year period.

Burns 2019 Mar 29. Epub 2019 Mar 29.

Eskenazi Health, Department of Pharmacy, 720 Eskenazi Avenue, Indianapolis, IN, 46202, United States. Electronic address:

Introduction: Electrical injuries are associated with significant morbidity for affected patients. While cardiac and surgical interventions have been extensively reported, no practice guidelines or studies have specifically addressed fluid delivery and associated outcomes of patients with electrical injuries. The study objective was to evaluate the differences in fluid delivery in patients with high (≥1000V) and low (<1000V) voltage electrical injuries. Read More

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http://dx.doi.org/10.1016/j.burns.2018.08.020DOI Listing
March 2019
1 Read

Admission factors associated with the in-hospital mortality of burns patients in resource-constrained settings: A two-year retrospective investigation in a South African adult burns centre.

Burns 2019 Mar 27. Epub 2019 Mar 27.

Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden; University of South Africa, Pretoria, South Africa. Electronic address:

Objective: Little is known concerning the factors associated with in-hospital mortality of trauma patients in resource-constrained settings, not least in burns centres. We investigated this question in the adult burns centre at Tygerberg Hospital in Cape Town. We further assessed whether the Abbreviated Burn Severity Index (ABSI) is an accurate predictive score of mortality in this setting. Read More

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http://dx.doi.org/10.1016/j.burns.2019.03.005DOI Listing
March 2019
1 Read

No difference observed in short-interval intracortical inhibition in older burn-injury survivors compared to non-injured older adults: A pilot study.

Burns 2019 Mar 20. Epub 2019 Mar 20.

Burn Injury Research Unit, School of Surgery, University of Western Australia, Crawley, Western Australia, Australia; Burns Service of Western Australia, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.

Objective: The study aimed to investigate short-interval intracortical inhibition (SICI) in burns survivors and non-injured controls, and establish whether paired-pulse transcranial magnetic stimulation (TMS) is a sensitive tool to investigate SICI after burn-injury.

Methods: Burn survivors underwent experimental assessments at 6- and 12-weeks after injury, and control participants underwent two equivalent sessions 6 weeks apart. Single-pulse transcranial magnetic stimulation (TMS) was used to record motor-evoked potentials (MEPs) from a hand muscle and paired-pulse TMS was used to measure SICI. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.020DOI Listing

Burn survivors injured as children exhibit resilience in long-term community integration outcomes: A life impact burn recovery evaluation (LIBRE) study.

Burns 2019 Mar 5. Epub 2019 Mar 5.

Spaulding Rehabilitation Hospital, Harvard Medical School, United States; Massachusetts General Hospital, Shriners Hospitals for Children-Boston, Harvard Medical School, United States. Electronic address:

Introduction: There is limited understanding of how burn injuries at different ages are associated with normal growth and development as well as the burn recovery process. This study provides new useful insights by comparing social participation outcomes among burn survivors injured in childhood compared with injuries sustained in middle age, and older adulthood.

Methods: Items from the development of the LIBRE profile were administered to 601 adult burn survivors with ≥5% TBSA burned or burns to critical areas (hands, feet, face, or genitals). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183048
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http://dx.doi.org/10.1016/j.burns.2019.02.008DOI Listing
March 2019
5 Reads

Predicting Adolescents' Intentions to Engage in Fire Risk Behaviors: An Application of the Theory of Planned Behavior.

Burns 2019 Mar 5. Epub 2019 Mar 5.

West Penn Allegheny Health System, West Penn Burn Center,4800 Friendship Avenue, Pittsburgh, PA 15224, United States.

The current study examined the utility of Ajzen's Theory of Planned Behavior (TPB) in explaining adolescents' intentions to engage in fire-risk behaviors (e.g., using accelerants to start a fire), while controlling for relevant background variables. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.006DOI Listing

The epidemiology and prognosis of patients with massive burns: A multicenter study of 2483 cases.

Burns 2019 May 2;45(3):705-716. Epub 2019 Mar 2.

Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou, China.

Objective: Epidemiological features of massively burned patients in China remains unclear. This study was designed to investigate the epidemiological characteristics and evaluate the burn index (BI) and other risk factors associated with the prognosis of massively burned patients.

Methods: Data of patients with ≥30% total body surface area burned admitted in 2014 were retrieved from 106 burn centers in the mainland of China. Read More

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http://dx.doi.org/10.1016/j.burns.2018.08.008DOI Listing
May 2019
2 Reads

Burn intensive care treatment over the last 30 years: Improved survival and shift in case-mix.

Burns 2019 Mar 2. Epub 2019 Mar 2.

Department of Trauma and Burn Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands; Association of Dutch Burn Centers, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands; Trauma Research Unit Department of Surgery, Erasmus MC, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. Electronic address:

Purpose: Mortality in burn intensive care unit (ICU) has been decreasing and treatment appears to be changing. The aims of this study: (1) examine outcome in burn patients, (2) examine changes in ICU indication and (3) explore the influence of a changing case-mix.

Methods: Retrospective study in patients admitted to ICU (1987-2016). Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.005DOI Listing
March 2019
1 Read

One-hit wonder: Late after burn injury, granulocytes can clear one bacterial infection but cannot control a subsequent infection.

Burns 2019 May 2;45(3):627-640. Epub 2019 Mar 2.

Department of Microbiology and Immunology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA; Department of Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA; Jaycee Burn Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. Electronic address:

Objective: Burn injury induces an acute hyperactive immune response followed by a chronic immune dysregulation that leaves those afflicted susceptible to multiple secondary infections. Many murine models are able to recapitulate the acute immune response to burn injury, yet few models are able to recapitulate long-term immune suppression and thus chronic susceptibility to bacterial infections seen in burn patients. This has hindered the field, making evaluation of the mechanisms responsible for these susceptibilities difficult to study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183071
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http://dx.doi.org/10.1016/j.burns.2018.08.019DOI Listing
May 2019
4 Reads

Liposome-encapsulated farnesol accelerated tissue repair in third-degree burns on a rat model.

Burns 2019 Mar 1. Epub 2019 Mar 1.

Department of Biomedical Engineering, I-Shou University, Kaohsiung, Taiwan. Electronic address:

Third-degree or full-thickness burns refer to lesions that extend to the epidermis, dermis, and subcutaneous tissue. The pathophysiology of burn wounds is characterized by tissue inflammation, edema, and hypertrophic scarring. Farnesol is a natural 15-carbon organic compound that possesses many biological effects. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.010DOI Listing
March 2019
3 Reads

An effective procedure for skin stiffness measurement to improve Paediatric Burn Care.

Burns 2019 Mar 1. Epub 2019 Mar 1.

Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032 Zurich, Switzerland. Electronic address:

Background: The objective evaluation of scar quality plays a crucial role in improving burn surgery and scar rehabilitation. Suction-based skin measurements were proposed as a method to objectively determine the mechanical properties of scars, yet their use is limited, in particular for paediatric burn care. A new device was developed which provides essential advantages for scar assessment. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.004DOI Listing

Impacts of low-energy extracorporeal shockwave therapy on pain, pruritus, and health-related quality of life in patients with burn: A randomized placebo-controlled study.

Burns 2019 Feb 28. Epub 2019 Feb 28.

Department of Physical Therapy, New Kasr El-Aini Teaching Hospital, Faculty of Medicine, Cairo University, Egypt; Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Saudi Arabia.

Background: The management of post-burn pain and pruritus remain a potent challenge because of their bad effects on health-related quality of life (HRQOL). The main purpose of this study was to evaluate the impacts of low-energy extracorporeal shockwave therapy (low-energy ESWT) in the management of pain, pruritus, and HRQOL in patients with burn.

Methods: Forty-five adult patients with burn, their age ranged from 18 to 55 years, were included in the study, they randomly assigned into 22 patients in the study group (low-energy ESWT) and 23 patients in the placebo group. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.007DOI Listing
February 2019
1 Read

Anti-Xa guided enoxaparin dose adjustment improves pharmacologic deep venous thrombosis prophylaxis in burn patients.

Burns 2019 Feb 28. Epub 2019 Feb 28.

Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery, UC San Diego School of Medicine, United States. Electronic address:

Introduction: Patients recovering from burn injury are at high risk of developing deep venous thrombosis (DVT). While 30-mg twice-daily enoxaparin is accepted as the standard prophylactic dose, recent evidence in injured patients suggests this dosing strategy may result in sub-optimal pharmacologic DVT prophylaxis. We hypothesized that standard enoxaparin dosing would result in inadequate DVT prophylaxis in burn patients. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.011DOI Listing
February 2019
4 Reads

Laser speckle contrast imaging in children with scalds: Its influence on timing of intervention, duration of healing and care, and costs.

Burns 2019 Feb 28. Epub 2019 Feb 28.

Department of Hand Surgery, Plastic Surgery and Burns, Linköping University, Linköping, Sweden; Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden. Electronic address:

Background: Scalds are the most common type of burn injury in children, and the initial evaluation of burn depth is a problem. Early identification of deep dermal areas that need excision and grafting would save unnecessary visits and stays in hospital. Laser speckle contrast imaging (LSCI) shows promise for the evaluation of this type of burn. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.001DOI Listing
February 2019
1 Read

Just the tip of the iceberg - Inconsistent information on a global scale and the need for a "standard" model of burn 1st aid.

Burns 2019 May 27;45(3):746-748. Epub 2019 Feb 27.

1 Christina Close, Wheelers Hill, Victoria, 3150, Australia. Electronic address:

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http://dx.doi.org/10.1016/j.burns.2019.01.009DOI Listing

Potential role of adipose tissue and its hormones in burns and critically III patients.

Burns 2019 Feb 27. Epub 2019 Feb 27.

Institute of Inflammation and Ageing, Birmingham University Medical School, Birmingham B15 2TT, United Kingdom; Scar Free Foundation Centre for Burns Research, University Hospital Birmingham Foundation Trust, Birmingham B15 2WB, United Kingdom; NIHR Surgical Reconstruction and Microbiology Research Centre, University Hospital Birmingham Foundation Trust, Birmingham B15 2WB, United Kingdom.

Obesity has become a world-wide pandemic and is considered a major risk factor for various diseases. Despite this, recent intriguing clinical observations have been made suggesting that being overweight has some advantages. Overweight and some obese patients were reported to have significantly lower all-cause mortality, described as the 'obesity paradox'. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.012DOI Listing
February 2019

Prevalence and Risk Factors for Hypertrophic Scarring of Split Thickness Autograft Donor Sites in a Pediatric Burn Population.

Burns 2019 Feb 26. Epub 2019 Feb 26.

University of Cincinnati Medical Center Division of Plastic, Reconstructive and Hand Surgery, 231 Albert Sabin Way (ML0558), Cincinnati, OH 45219-0461, United States; Shriners Hospital for Children - Cincinnati, 3229 Burnett Avenue, Cincinnati, OH 45229, United States. Electronic address:

Title: Prevalence and Risk Factors for Hypertrophic Scarring of Split Thickness Autograft Donor Sites in a Pediatric Burn Population.

Objective: The split-thickness autograft remains a fundamental treatment for burn injuries; however, donor sites may remain hypersensitive, hyperemic, less pliable, and develop hypertrophic scarring. This study sought to assess the long-term scarring of donor sites after pediatric burns. Read More

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http://dx.doi.org/10.1016/j.burns.2019.02.003DOI Listing
February 2019

Burn injury as a result of interpersonal violence in the Northern Territory Top End.

Burns 2019 Feb 25. Epub 2019 Feb 25.

National Critical Care and Trauma Response Centre, Level 8 Royal Darwin Hospital, 105 Rocklands Drive, Tiwi, NT, 0810, Australia.

Aim: To describe the demographics, circumstances, burn wound characteristics and current tertiary centre management of interpersonal violence (IPV) burn victims in the Northern Territory Top End. It is anticipated that such knowledge gained will be of benefit to key stakeholders across the spectrum of injury prevention and management in this region.

Methods: All adult admissions to the Royal Darwin Hospital (RDH) during 2010-2015 were identified through the Burns Registry of Australia and New Zealand. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.013DOI Listing
February 2019

A systematic review of oil tanker truck disasters: Identifying prevention targets.

Burns 2019 Feb 23. Epub 2019 Feb 23.

The University of North Carolina School of Medicine, United States; Gillings School of Global Public Health, University of North Carolina, NC, United States.

Introduction: Oil tanker truck disasters have been reported worldwide; however, the circumstances, causes, and health effects of these disasters have not been described. To address this gap, we performed a systematic review using PRISMA criteria to better understand this public health problem and identify prevention targets.

Methods: The academic and lay literatures were systematically searched for terms related to oil tanker truck disasters. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183067
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http://dx.doi.org/10.1016/j.burns.2018.12.010DOI Listing
February 2019
5 Reads

Capacity building in burns and mental health care.

Burns 2019 May 18;45(3):749-753. Epub 2019 Feb 18.

College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia. Electronic address:

Delivery of safe quality care in health is augmented by better research capacity building. This can include financial investment in research and system development, and, mostly notably, human capacity to undertake research. Establishing capacity to undertake research warrants attention to a range of activities to build and sustain health professions' impact on health outcomes. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.008DOI Listing
May 2019
2 Reads

In hot water: The impact of burn injuries from hot water bottles - Experience of a UK burns unit and review of the literature.

Burns 2019 Feb 12. Epub 2019 Feb 12.

Burns Unit, Chelsea and Westminster Hospital NHS Foundation Trust, United Kingdom. Electronic address:

Introduction: Hot water bottles (HWBs) are a common domestic item in the UK. Their use is associated with burns injuries, either by contact for prolonged periods with the skin, or through the HWB leaking or bursting.

Methods: We used electronic health records to retrospectively review HWB related burns treated by the Burns Service at Chelsea and Westminster Hospital between January 2017-March 2018. Read More

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http://dx.doi.org/10.1016/j.burns.2018.12.006DOI Listing
February 2019

Partial thickness wound: Does mechanism of injury influence healing?

Burns 2019 May 8;45(3):531-542. Epub 2019 Feb 8.

Faculty Biology, Medicine and Health, University of Manchester, Oxford Rd, Manchester, M13 9PT, United Kingdom; Department of Burns and Plastic Surgery, Manchester University NHS Foundation Trust, Manchester, M13 9WL, United Kingdom. Electronic address:

Wound healing is a complex multistep process which is temporally and spatially controlled. In partial thickness wounds, regeneration is possible from the stem cells in the edges of the wound and from the remnants of the epidermal appendages (such as hair follicles and sebaceous glands). This study examines whether the mechanism of injury influences healing of wounds of similar depth. Read More

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http://dx.doi.org/10.1016/j.burns.2018.08.010DOI Listing
May 2019
1 Read

Head and neck burns are associated with long-term patient-reported dissatisfaction with appearance: A Burn Model System National Database study.

Burns 2019 Mar 4;45(2):293-302. Epub 2019 Feb 4.

Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States. Electronic address:

Introduction: Burns affecting the head and neck (H&N) can lead to significant changes in appearance. It is postulated that such injuries have a negative impact on patients' social functioning, quality of life, physical health, and satisfaction with appearance, but there has been little investigation of these effects using patient reported outcome measures. This study evaluates the effect of H&N burns on long-term patient reported outcomes compared to patients who sustained burns to other areas. Read More

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http://dx.doi.org/10.1016/j.burns.2018.12.017DOI Listing
March 2019
1 Read

Work-related burn injuries and claims for post-traumatic stress disorder in Korea.

Burns 2019 Mar 2;45(2):461-465. Epub 2019 Feb 2.

Department of Psychiatry, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Republic of Korea. Electronic address:

Objective: The objective of this study is to broaden our understanding of psychiatric disorders due to work-related burn injury compensated by the Industrial Accident Compensation Insurance operated by the Korea Workers' Compensation and Welfare Service (KCOMWEL).

Methods: Using the KCOMWEL electronic database, we collected data on psychiatric disorders due to work-related burn injury based on workers' compensation records from 2005 to 2014 and analyzed the characteristics of the claims.

Results: The average number of claims per year for post-traumatic stress disorder was 67 and the approval rate from 2005 to 2014 was 53. Read More

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http://dx.doi.org/10.1016/j.burns.2018.08.016DOI Listing
March 2019
2 Reads

The scourge of burn contractures: Who will bell the cat?

Burns 2019 Jan 28. Epub 2019 Jan 28.

Department of Plastic Surgery, Seth GSMC and KEM Hospital, Mumbai, 4000012, India. Electronic address:

Introduction: Majority of burn injuries occur in developing world. There have been many advances in burn care management. But this advance comes at a price of ever increasing burn sequel of scarring. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.001DOI Listing
January 2019
10 Reads
1.836 Impact Factor

Dysphagia in the burn patient: Experience in a National Burn Reference Centre.

Burns 2019 Jan 25. Epub 2019 Jan 25.

Department of Speech, Language and Hearing Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Introduction: Major burn patients are exposed to different invasive procedures for wound management or medical stabilization. Dysphagia is a frequent adverse effect of burns in the presence of invasive airway procedures and facial wounds.

Objective: To estimate the prevalence of dysphagia, to determine the degree of severity, and to report clinical characteristics that could contribute to the appearance of dysphagia in patients admitted to a National Burn Reference Centre. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.002DOI Listing
January 2019
2 Reads

Hospitalisations with burns in children younger than five years in Portugal, 2011-2015.

Burns 2019 Jan 25. Epub 2019 Jan 25.

MEDCIDS - Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Portugal; CINTESIS - Centre for Health Technology and Services Research, Portugal.

Introduction: Paediatric population still represents a high burden of hospitalisations among burns inpatients. Children under five years old have a distinct aetiology distribution comparing to other age groups, representing in Portugal a fifth of all hospitalisations with burns. We aimed to describe the demographic and clinical burden of burns requiring hospitalization, as well as hospitalization charges, among this age group in Portugal. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183060
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http://dx.doi.org/10.1016/j.burns.2019.01.003DOI Listing
January 2019
3 Reads

New fluid therapy protocol in acute burn from a tertiary burn care centre.

Burns 2019 Mar 25;45(2):335-340. Epub 2019 Jan 25.

Department of Burns, Plastic and Maxillofacial Surgery, Vardhaman Mahaveer Medical College and Safdarjang Hospital, New Delhi, 110 029, India.

Background: Ringer lactate is the main fluid for resuscitation of acute burns. However it is not a complete fluid alone, as it does not take care of sugar and electrolyte balance adequately. This study has been carried out to compare the use of Ringer lactate (RL) alone and combination of RL with Dextrose Normal Saline (DNS) as fluid replacement therapy in acute burn. Read More

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http://dx.doi.org/10.1016/j.burns.2018.03.011DOI Listing
March 2019
2 Reads

The association of patient and burn characteristics with itching and pain severity.

Burns 2019 Mar 25;45(2):348-353. Epub 2019 Jan 25.

Department of Emergency Medicine, HSC-L4-080 Stony Brook Medicine, Stony Brook, NY 11794-8350, United States. Electronic address:

Introduction: Itch after burn injury causes significant distress to patients and can hamper functional recovery. Itching can persist on a time scale ranging from several weeks to even years after injury. In this study, we sought to determine predictors of itching after burn injury. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183052
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http://dx.doi.org/10.1016/j.burns.2018.06.011DOI Listing
March 2019
2 Reads

Red blood cell distribution width is an independent risk factor in the prediction of acute respiratory distress syndrome after severe burns.

Burns 2019 Jan 24. Epub 2019 Jan 24.

Department of Burns, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province 230022, PR China. Electronic address:

Background: The occurrence of acute respiratory distress syndrome (ARDS) significantly increases the mortality and morbidity of major burns; there are few laboratory markers that predict the development of ARDS in severe burns. This study was to investigate the relationship between complete blood count (CBC) parameters and the incidence of ARDS in severe burn patients.

Methods: An eight-year retrospective study was performed on 610 severe burn patients who were admitted to the First Affiliated Hospital of Anhui Medical University and Rui Jin Hospital of Shanghai Jiao Tong University from January 2008 to December 2015. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.006DOI Listing
January 2019
3 Reads

Opioid creep in burn center discharge regimens: Doubled amounts and complexity of narcotic prescriptions over seven years.

Burns 2019 Mar 25;45(2):328-334. Epub 2019 Jan 25.

Burn & Shock Trauma Research Institute, Loyola University Medical Center, Maywood, IL, USA.

Prescription opioid misuse is an epidemic international health crisis. Although burn providers are increasingly mindful of balancing pain relief with risk of opioid dependence, several burn centers have noticed their patients are still receiving an increased amount of opioids, termed "opioid creep." We examined discharge narcotic prescriptions at a single burn center in the Midwest United States and found that patients discharged in 2015 received nearly twice the amount of narcotics (mean=600 morphine equivalents [ME]) than those discharged in 2008 (mean=350 ME), with a significantly increased likelihood of a more complex narcotic discharge regimen. Read More

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http://dx.doi.org/10.1016/j.burns.2018.08.004DOI Listing
March 2019
1 Read

Platelet-rich fibrin as an alternative adjunct to tendon-exposed wound healing: A randomized controlled clinical trial.

Burns 2019 Jan 24. Epub 2019 Jan 24.

Department of Plastic and Reconstructive Surgery, The Second Affiliated Hospital of AnHui Medical University, China.

Background: The use of platelet-rich fibrin (PRF) has attracted great interest in the treatment of oral and maxillofacial procedures, gingival recessions, and bone healing. However, PRF has been reported hardly to prepare wound bed before skin grafting. This randomized clinical study sought to identify the effect of PRF as an alternative adjunct to tendon-exposed wound healing. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.007DOI Listing
January 2019

Candidemia in major burn patients and its possible risk factors: A 6-year period retrospective study at a burn ICU.

Burns 2019 Jan 24. Epub 2019 Jan 24.

State Key Laboratory of Trauma, Burn and Combined Injury, Institute of Burn Research, Southwest Hospital, the Third Military Medical University, Chongqing 400038, China. Electronic address:

Objective: The aims of this study were to evaluate the epidemiological and clinical characteristics of candidemia in a typical burn ICU, and to determine the risk factors associated with candidemia among major burn patients.

Method: This retrospective observational study of candidemia from 2012 to 2017 in a burn ICU was conducted in the Department of Burn, Southwest hospital, Chongqing, China.

Results: The study included 410 major burn patients (≥40% total body surface area), 39 (9. Read More

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http://dx.doi.org/10.1016/j.burns.2019.01.005DOI Listing
January 2019

Tissue expanders; review of indications, results and outcome during 15 years' experience.

Burns 2019 Jan 23. Epub 2019 Jan 23.

Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Tissue expanders (TE) are frequently used worldwide. In this study we surveyed outcome of our patients retrospectively during 15 years.

Materials And Methods: We had 1105 patients for whom 3059 TEs have been used. Read More

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http://dx.doi.org/10.1016/j.burns.2018.11.017DOI Listing
January 2019
2 Reads

The role of recruited minced skin grafting in improving the quality of healing at the donor site of split-thickness skin graft-A comparative study.

Burns 2019 Jan 17. Epub 2019 Jan 17.

Plastic Surgery, PGIMER, Chandigarh, India. Electronic address:

Introduction: The donor area of split thickness skin graft harvest usually takes 2-3 weeks to heal. A few studies have shown that application of minced skin grafting helps to reduce this time. The objective of this comparative study was to find the role of recruited minced skin grafting on the overall quality of healing at the split thickness skin graft donor area. Read More

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http://dx.doi.org/10.1016/j.burns.2018.11.018DOI Listing
January 2019
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Social support and posttraumatic growth in Iranian burn survivors: The mediating role of spirituality.

Burns 2019 May 14;45(3):732-740. Epub 2019 Jan 14.

Reconstructive and Burn Surgery Department, Urmia University of Medical Sciences, Urmia, Iran.

Background: Social support and spirituality are important issues among burn survivors that appear to affect their posttraumatic growth (PTG).

Aim: To investigate the relationship between social support and PTG in Iranian burn survivors, as mediated by their perceptions of spiritual well-being.

Method: This is a correlation study with a cross-sectional design, and it uses anonymous questionnaires as study instruments (i. Read More

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http://dx.doi.org/10.1016/j.burns.2018.10.013DOI Listing
May 2019
1 Read

Burn camps for burns survivors-Realising the benefits for early adjustment: A systematic review.

Burns 2019 Jan 8. Epub 2019 Jan 8.

School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia. Electronic address:

Objectives: Child and adolescent burn survivors benefit from skills to cope with the physical and mental challenges associated with their injuries. Burn camps can offer an opportunity to build these skills. In this study, we systematically review the best available evidence on burn camps in order to better assess their impact on burn survivors. Read More

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http://dx.doi.org/10.1016/j.burns.2018.12.005DOI Listing
January 2019
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Infant burns: A single institution retrospective review.

Burns 2019 Jan 8. Epub 2019 Jan 8.

Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.

Thermal injuries amongst infants are common and a cause of significant mortality and morbidity in South Africa. This has been attributed to the lack of an enabling environment (poverty-related lack of safe living conditions) and the cognitive and physical developmental immaturity of infants, who depend on their surroundings and adults to keep them safe. This is a retrospective observational study of 548 infant admissions over 48 months. Read More

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http://dx.doi.org/10.1016/j.burns.2018.11.005DOI Listing
January 2019
2 Reads

Survey of national and local practice of compression therapy timing for burn patients in the United States.

Burns 2019 Jan 7. Epub 2019 Jan 7.

Division of Trauma, Critical Care, and Burn, Department of Surgery, College of Medicine, The Ohio State University, Columbus, Ohio, United States; Research Department, Shriners Hospitals for Children, Cincinnati, Ohio, United States. Electronic address:

Objective: Compression therapy (CT) has been an important, but debated, treatment for burn scars. To better understand one source of variation in observed outcomes after CT, an evaluation of CT timing of application is needed.

Materials And Methods: Following IRB approval, 126 burn centers were contacted to complete a 17-question survey regarding the center's practice pattern for compression garment therapy. Read More

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http://dx.doi.org/10.1016/j.burns.2018.12.016DOI Listing
January 2019
1 Read

Randomized controlled trial of the immediate and long-term effect of massage on adult postburn scar.

Burns 2019 02 26;45(1):128-139. Epub 2018 Oct 26.

Hôpital de réadaptation Villa Medica, Montreal, Quebec, Canada.

Background: One objective of massage therapy applied to hypertrophic scar (HSc), is to improve the structural properties so skin possesses the strength and elasticity required for normal mobility. However, research supporting this effect is lacking. The objective of this study was to characterize the changes in scar elasticity, erythema, melanin, and thickness immediately after a massage therapy session and after a 12-week course of treatment compared to intra-individual matched control scars. Read More

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http://dx.doi.org/10.1016/j.burns.2018.08.018DOI Listing
February 2019
6 Reads

"An improvement on burn care" - A full audit cycle on accuracy & appropriateness of burn injury referrals from an Emergency Department through a Burns Network.

Burns 2019 Mar 5;45(2):506-508. Epub 2019 Jan 5.

University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, Leicestershire, LE1 5WW, UK. Electronic address:

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http://dx.doi.org/10.1016/j.burns.2018.11.016DOI Listing
March 2019
1 Read

Epidemiology and outcomes of burn injuries at a tertiary burn care center in Bangladesh.

Burns 2019 Jan 3. Epub 2019 Jan 3.

New York Medical College, 40 Sunshine Cottage Rd, Valhalla, NY 10595, USA.

Globally, burns are among some of the most devastating injuries and account for more than 265,000 deaths worldwide. In Bangladesh alone, nearly 3000 people die annually from burn-related injuries. This study was conducted at the National Institute of Burn and Plastic Surgery in Dhaka, Bangladesh in June of 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183036
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http://dx.doi.org/10.1016/j.burns.2018.12.011DOI Listing
January 2019
8 Reads

Use of the burn intervention score to calculate the charges of the care of burns.

Burns 2019 Mar 3;45(2):303-309. Epub 2019 Jan 3.

The Plastic Surgery Unit, Surgery Department, Suez Canal University, Ismailia, Egypt; Department of Hand Surgery, Plastic Surgery and Burns, Department of Clinical and Experimental Medicine, 8 Linköping University, Linköping, Sweden. Electronic address:

Background: To our knowledge this is the first published estimate of the charges of the care of burns in Sweden. The Linköping Burn Interventional Score has been used to calculate the charges for each burned patient since 1993. The treatment of burns is versatile, and depends on the depth and extension of the burn. Read More

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http://dx.doi.org/10.1016/j.burns.2018.12.007DOI Listing
March 2019
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Is the burns research community committed to filling in the gaps in the evidence? An analysis of the burns section of the Cochrane Database of Systematic Reviews.

Burns 2019 May 3;45(3):741-742. Epub 2019 Jan 3.

Queen Victoria Hospital NHS Foundation Trust, East Grinstead, United Kingdom.

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http://dx.doi.org/10.1016/j.burns.2018.02.019DOI Listing
May 2019
1 Read