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    Diabetes mellitus after injury in burn and non-burned patients: A population based retrospective cohort study.
    Burns 2018 Jan 3. Epub 2018 Jan 3.
    Burn Injury Research Unit, University of Western Australia, Western Australia, Australia; Burns Service of Western Australia, Fiona Stanley Hospital and Princess Margaret Hospital, Western Australia, Australia.
    Objective: To compare hospitalisations for diabetes mellitus (DM) after injury experienced by burn patients, non-burn trauma patients and people with no record of injury admission, adjusting for socio-demographic, health and injury factors.

    Methods: Linked hospital and death data for a burn patient cohort (n=30,997) in Western Australia during the period 1980-2012 and two age and gender frequency matched comparison cohorts: non-burn trauma patients (n=28,647); non-injured people (n=123,399). The number of DM admissions and length of stay were used as outcome measures. Read More

    Assessing the feasibility of implementing low-cost virtual reality therapy during routine burn care.
    Burns 2018 Jan 2. Epub 2018 Jan 2.
    West Virginia University, Department of Psychology, P.O. Box 6040, Morgantown, WV 26506-6040, United States. Electronic address:
    Burn care often involves procedures that result in significant pain experiences for patients which, in turn, can lead to poorer physical and psychological health outcomes. Distraction and virtual reality (VR) are an effective adjunct to pharmacological interventions in reducing pain. Much of the research that has demonstrated efficacy for VR in burn care has involved expensive and extensive technology. Read More

    Evaluation of the penetration of nanocrystalline silver through various wound dressing mediums: An in vitro study.
    Burns 2017 Dec 28. Epub 2017 Dec 28.
    Cnr Steve Biko and Dr Savage Road, Prinshoff Campus, Pretoria, Gauteng, South Africa. Electronic address:
    Background: The nanocrystalline silver (NCS) dressing Acticoat is commonly used in clinical practice for the treatment of burns and other open wounds as a topical antimicrobial. The dressing may dry resulting in traumatic dressing changes; hence the variety of contact layer dressings used in conjunction with it. Dressing combinations that do not permit NCS penetration are not cost effective and deprives the wound of the needed anti-microbial. Read More

    Rehabilitation practices for burn survivors in low and middle income countries: A literature review.
    Burns 2017 Dec 28. Epub 2017 Dec 28.
    The George Institute for Global Health, University of New South Wales, Sydney, Australia.
    Objective: To systematically review the delivery and effectiveness of rehabilitation for burn survivors in low and middle income countries (LMIC).

    Methods: We systematically searched the literature through 11 electronic databases and the reference lists of relevant studies. Studies were suitable for inclusion if they were primary research with a focus on burns rehabilitation in LMIC settings describing either service delivery or treatment effectiveness. Read More

    Effect of nano-silver, nano-copper, deconex and benzalkonium chloride on biofilm formation and expression of transcription regulatory quorum sensing gene (rh1R) in drug-resistance Pseudomonas aeruginosa burn isolates.
    Burns 2017 Dec 28. Epub 2017 Dec 28.
    Department of Microbiology and Virology, Kerman University of Medical Sciences, Kerman, Iran.
    Background: Biofilm forming drug-resistant Pseudomonas aeruginosa are responsible for major death in burn center of different hospitals across the globe.

    Objective: The aims of this study were to evaluate the effect of nano-silver (Ag), nano-copper (Cu), and two hospital disinfectants (deconex and benzalkonium chloride) on biofilm formation and expression of transcription regulatory quorum sensing gene rh1R in P. aeruginosa burn isolates. Read More

    Predictors of post-traumatic stress disorder among burn patients in Pakistan: The role of reconstructive surgery in post-burn psychosocial adjustment.
    Burns 2017 Dec 26. Epub 2017 Dec 26.
    CMH Lahore Medical College and Institute of Dentistry, Lahore, Pakistan.
    Background: Burns are a common cause of morbidity and mortality worldwide. Post-traumatic stress disorder (PTSD) is among the most prevalent psychopathologies documented among burn patients. However, little is known regarding the risk factors for post-burn PTSD outside the well-documented Western world context. Read More

    Response to Letter to the Editor 'Platelet count: A predictor of sepsis and mortality in severe burns'.
    Burns 2017 Dec 26. Epub 2017 Dec 26.
    The Scar Free Foundation Birmingham Centre for Burns Research, Birmingham, UK; NIHR Surgical Reconstruction and Microbiology Research Centre, University Hospitals Birmingham NHS Foundation Trust, UK; Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Birmingham B15 2WB, UK. Electronic address:

    Efficacy of non-pharmacological interventions for procedural pain relief in adults undergoing burn wound care: A systematic review and meta-analysis of randomized controlled trials.
    Burns 2017 Dec 26. Epub 2017 Dec 26.
    Jena University Hospital, Institute of Psychosocial Medicine and Psychotherapy, Jena, Germany. Electronic address:
    The aim of the present meta-analysis was to investigate the efficacy of non-pharmacological interventions for procedural pain relief in adults undergoing burn wound care compared to standard care alone or an attention control. Through a comprehensive literature search in various electronic databases 21 eligible randomized controlled trials (RCTs) were included, comprising a total of 660 patients. Random effects meta-analyses revealed significant positive treatment effects on pain outcomes, Hedges' g=0. Read More

    Parental presence or absence during paediatric burn wound care procedures.
    Burns 2017 Dec 18. Epub 2017 Dec 18.
    Association of Dutch Burn Centres, P.O. Box 1015, 1940 EA Beverwijk, The Netherlands; Department of Psychology, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands. Electronic address:
    Aim: Differing views on benefits and disadvantages of parental presence during their child's wound care after burn injury leave the topic surrounded by controversies. This study aimed to describe and explain parents' experiences of their presence or absence during wound care.

    Methods: Shortly after the burn event, 22 semi-structured interviews were conducted with parents of children (0-16 years old) that underwent hospitalization in one of the three Dutch burn centers. Read More

    The role of preliminary hospitals in the management of a mass burn casualty disaster.
    Burns 2017 Dec 16. Epub 2017 Dec 16.
    Chang Gung Memorial Hospital, Trauma and Critical Care Center, Linkou, Taoyuan, Taiwan.
    Purpose: The Formosa Fun Coast explosion is an internationally-known event that occurred in Taiwan on June 27th, 2015. The blast involved 495 casualties in total, with 253 patients receiving 2nd degree or deeper burns on greater than 40% of the total body surface area (TBSA). Questions were raised regarding whether these victims were sent to the appropriate hospitals or not. Read More

    Burns Centre and fire services: What information can be exchanged to manage the burn patient?
    Burns 2017 Nov 24. Epub 2017 Nov 24.
    Queen Elizabeth Hospital Birmingham, United Kingdom.
    Aim: To describe the experience of using a "Burns Extrication Form" at a regional Burns Centre. Communication between the fire services and burns team previously has been regarded as poor. Significant information is collected by the fire services at the scene and this can aid the management of the patient. Read More

    A comparison of two different fluid resuscitation management protocols for pediatric burn patients: A retrospective study.
    Burns 2017 Dec 8. Epub 2017 Dec 8.
    Department of Nursing, Guangzhou Red Cross Hospital, Fourth Affiliated Hospital of Jinan University, Guangzhou, 510220, China. Electronic address:
    Objective: Pediatric burn patients are more susceptible to burn shock than adults, and an effective fluid management protocol is critical to successful resuscitation. Our research aim was to investigate the safety and efficacy of two protocols for pediatric burn patients for use within the first 24h.

    Methods: A total of 113 pediatric burn patients were enrolled from January 2007 to October 2012. Read More

    Cell-spray auto-grafting technology for deep partial-thickness burns: Problems and solutions during clinical implementation.
    Burns 2017 Nov 25. Epub 2017 Nov 25.
    Department of Surgery and Bioengineering, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address:
    Cell-spray autografting is an innovative early treatment option for deep partial-thickness burn wounds. As an alternative to non-operative management, cell-spray autografting can achieve rapid wound re-epithelialization, particularly in large wounds. When compared to traditional mesh autografting for deep partial-thickness burn wounds, cell-spray autografting can accomplish re-epithelialization with a much smaller donor site. Read More

    Evaluation of a multidisciplinary burn care journal club: Lessons learned.
    Burns 2017 Nov 22. Epub 2017 Nov 22.
    Firefighters' Burn Unit, Health Sciences Centre, Winnipeg, Manitoba, Canada; Departments of Surgery and Psychiatry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:
    Background: Journal clubs allow discussion of the quality and findings of recent publications. However, journal clubs have not historically been multidisciplinary. Burn care is recognized as a true collaborative care model, including regular multidisciplinary rounds. Read More

    Burn injury models of care: A review of quality and cultural safety for care of Indigenous children.
    Burns 2017 Nov 23. Epub 2017 Nov 23.
    Flinders University, SA 5001, Australia; The George Institute for Global Health, University of NSW, NSW 2050, Australia; Sydney Medical School, The University of Sydney, The Children's Hospital at Westmead, NSW 2145, Australia. Electronic address:
    Safety and quality in the systematic management of burn care is important to ensure optimal outcomes. It is not clear if or how burn injury models of care uphold these qualities, or if they provide a space for culturally safe healthcare for Indigenous peoples, especially for children. This review is a critique of publically available models of care analysing their ability to facilitate safe, high-quality burn care for Indigenous children. Read More

    Relationship between multidisciplinary critical care and burn patients survival: A propensity-matched national cohort analysis.
    Burns 2017 Nov 20. Epub 2017 Nov 20.
    St. Andrews Centre for Burns, Broomfield Hospital, Chelmsford CM1 7ET, UK.
    Objective: The aims of this study are: firstly, to investigate if admission to specialized burn critical care units leads to better clinical outcomes; secondly, to elucidate if the multidisciplinary critical care contributes to this superior outcome.

    Methods: A multi-centre cohort analysis of a prospectively collected national database of 1759 adult burn patients admitted to 13 critical care units in England and Wales between 2005 and 2011. Units were contacted via telephone to establish frequency and constitution of daily ward rounds. Read More

    Aromatherapy for the relief of symptoms in burn patients: A systematic review of randomized controlled trials.
    Burns 2017 Nov 20. Epub 2017 Nov 20.
    Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, South Korea. Electronic address:
    Background: Aromatherapy is often used to manage several conditions, including pain, psychological distress, and burn-related symptoms. The objective of this review was to assess the current evidence regarding the efficacy of aromatherapy as a treatment for burn wounds.

    Methods: The following fifteen databases and trial registries were searched for studies published between their dates of inception and January 2017: AMED, CINAHL, EMBASE, MEDLINE, and the Cochrane Central Register of Controlled Trials (CENTRAL), as well as six Korean medical databases and four Iranian databases. Read More

    Burn clinical trials: A systematic review of registration and publications.
    Burns 2017 Nov 20. Epub 2017 Nov 20.
    Division of Physical Medicine and Rehabilitation, Departments of Clinical Neurosciences, Pediatrics and Surgery, Faculty of Medicine, University of Calgary, Alberta, Canada; Calgary Firefighters' Burn Treatment Centre, Canada. Electronic address:
    Background: Randomized controlled clinical trials (CTs) are gold standard tools for assessing interventions. Although burn CTs have improved care, their status, publication frequency, and publication quality are not known.

    Objectives: (1) Characterize burn CTs by analyzing location, completion status, temporal trend, and funding sources. Read More

    Efficacy and feasibility of opioids for burn analgesia: An evidence-based qualitative review of randomized controlled trials.
    Burns 2017 Nov 20. Epub 2017 Nov 20.
    Department of Burn and Plastic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:
    Opioids are commonly used for burn analgesia, but no comprehensive reviews have been published on such use. We aimed to assess the literature regarding the effectiveness and side effects of opioids both in adult and pediatric burn patients. We conducted a systematic search of the PubMed, Embase, Cochrane, and Web of Science databases. Read More

    Determining the role of nasolaryngoscopy in the initial evaluation for upper airway injury in patients with facial burns.
    Burns 2017 Nov 6. Epub 2017 Nov 6.
    Department of Surgery, University of South Alabama School of Medicine, 2451 Fillingim Street, Mobile, AL, 36695, USA. Electronic address:
    Background: Upper airway injuries can be fatal in burn patients if not recognized, a scenario that causes a significant amount of anxiety for physicians providing initial assessment of burn patients. Early elective intubation is often performed; sometimes unnecessarily. However, some providers employ nasolaryngoscopy for patients presenting with facial burns or signs/symptoms of upper airway injury in order to assess the need for intubation, but this practice is not considered standard of care and may also be unnecessary. Read More

    Towards a reliable paradigm shift in emergency medical service for improving mass burn casualty response.
    Burns 2017 Dec;43(8):1821-1822
    Department and Graduate School of Safety and Environment Engineering, National Yunlin University of Science & Technology, 123, Section 3, University Road, Douliou, Yunlin 640, Taiwan, ROC; Research Center for Soil & Water Resources and Natural Disaster Prevention (SWAN), National Yunlin University of Science & Technology, 123, Section 3, University Road, Douliou, Yunlin 640, Taiwan, ROC. Electronic address:

    Accelerant-related burns and drug abuse: Challenging combination.
    Burns 2017 Oct 31. Epub 2017 Oct 31.
    Division of Plastic & Reconstructive Surgery, University of British Columbia, Vancouver, B.C., Canada.
    Background: Accelerants are flammable substances that may cause explosion when added to existing fires. The relationships between drug abuse and accelerant-related burns are not well elucidated in the literature. Of these burns, a portion is related to drug manufacturing, which have been shown to be associated with increased burn complications. Read More

    Characterization of variables for potential impact on vancomycin pharmacokinetics in thermal or inhalation injury.
    Burns 2017 Oct 30. Epub 2017 Oct 30.
    Medical Director, Department of Plastic Surgery, Firefighters Regional Burn Center, Regional One Health, 877 Jefferson Avenue, Memphis, TN 38103, USA; Professor, Department of Plastic Surgery, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38103, USA. Electronic address:
    Objective: To characterize the pharmacokinetics of vancomycin dosing in thermal or inhalation injury as they relate to percent total body surface area burn (TBSA) and days since injury (DSI).

    Methods: This retrospective 3-year study included patients with thermal or inhalation injury receiving vancomycin. Patient demographics and course data were collected using the institution's electronic medical record. Read More

    Response to Letter to the Editor: 'Cardiovascular risk profile in burn survivors: Methodological issues'.
    Burns 2017 Dec 28;43(8):1824-1826. Epub 2017 Oct 28.
    Burns, Trauma and Critical Care Research Centre, School of Medicine, University of Queensland, Brisbane, Herston, 4029, Australia; School of Allied Health Sciences, Griffith University, Southport, Gold Coast, 4222, Australia. Electronic address:

    Up-regulation of α1-adrenoceptors in burn and keloid scars.
    Burns 2017 Oct 28. Epub 2017 Oct 28.
    Burn Injury Research Unit, School of Surgery, University of Western Australia, Australia; The Fiona Wood Foundation, Perth, Western Australia, Australia.
    Stimulation of α1-adrenoceptors evokes inflammatory cytokine production, boosts neurogenic inflammation and pain, and influences cellular migration and proliferation. Hence, these receptors may play a role both in normal and abnormal wound healing. To investigate this, the distribution of α1-adrenoceptors in skin biopsies of burn scars (N=17), keloid scars (N=12) and unscarred skin (N=17) was assessed using immunohistochemistry. Read More

    Burned patients who die from causes other than the burn affect the model used to predict mortality: A national exploratory study; Methodological issues.
    Burns 2017 Dec 28;43(8):1826. Epub 2017 Oct 28.
    Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran; Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

    Response to comments on: Burned patients who die from causes other than the burn affect the model used to predict mortality: A national exploratory study.
    Burns 2017 Dec 28;43(8):1827. Epub 2017 Oct 28.
    Department of Plastic Surgery, Hand Surgery, and Burns, Linköping University, Linköping, Sweden; Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Department of Anaesthesiology and Intensive Care, Linköping University, Linköping, Sweden.

    Massage has no observable effect on distress in children with burns: A randomized, observer-blinded trial.
    Burns 2017 Oct 28. Epub 2017 Oct 28.
    Department of Pediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
    Importance: In a previous observational study we found that massage therapy reduced anxiety and stress in pediatric burn patients. We aimed to test this effect in a randomized controlled trial.

    Objective: To determine whether (1) aromatherapy massage can provide relaxation to hospitalized children with burns; (2) massage with aromatherapy oil is more effective than without; and (3) massage sessions are more effective when repeated. Read More

    Pre-burn malnutrition increases operative mortality in burn patients who undergo early excision and grafting in a sub-Saharan African burn unit.
    Burns 2017 Oct 28. Epub 2017 Oct 28.
    Department of Surgery, University of North Carolina at Chapel Hill, United States; Kamuzu Central Hospital, Lilongwe, Malawi. Electronic address:
    Introduction: In the developed world, pre-existing malnutrition in the burn population influences operative outcomes. However, studies on pre-existing malnutrition and operative outcomes of burn patients in the developing world are lacking. We therefore sought to characterize the burn injury outcomes following operative intervention based on nutritional status. Read More

    Extension of flaps associated with burn scar reconstruction: A key difference between island and skin-pedicled flaps.
    Burns 2017 Oct 28. Epub 2017 Oct 28.
    Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.
    Objective: The choice between local flap designs for burn reconstruction is largely shaped by aesthetic, vascularity, procedural complexity, and wound-closure considerations. However, another key consideration is how well specific local flap designs release post-burn scar contractures. This is because constant tension on wound edges can generate pathological scarring. Read More

    The impact of operative time and hypothermia in acute burn surgery.
    Burns 2017 Dec 28;43(8):1673-1681. Epub 2017 Oct 28.
    Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Canada; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Canada.
    Background: Prolonged operative time and intraoperative hypothermia are known to have deleterious effects on surgical outcomes. Although millions of burn injuries undergo operative treatment globally every year, there remains a paucity of evidence to guide perioperative practice in burn surgery. This study evaluated associations between hypothermia and operative time on post-operative complications in acute burn surgery. Read More

    Clinical outcomes after burns in elderly patients over 70 years: A 17-year retrospective analysis.
    Burns 2017 Oct 20. Epub 2017 Oct 20.
    Department of Surgery, RWJ Barnabas Health, Livingston, NJ, USA; Saint George's University School of Medicine, Grenada.
    Introduction: In the United Stated population >70years is likely to double by the year 2050. Elderly population (>70years) are most vulnerable to burns and outcomes following such injuries in this special group is poorly studied. This study aimed to look at outcomes following burns in patients >70years over a period of 17 years. Read More

    Burns caused by electronic vaping devices (e-cigarettes): A new classification proposal based on mechanisms.
    Burns 2017 Oct 19. Epub 2017 Oct 19.
    Department of Plastic Reconstructive Surgery, Burn Center, Hôpital Saint Louis, AP-HP 1 Avenue Claude Vellefaux, 75010 Paris, France.
    Introduction With more than 10 million of daily users, e-cigarettes encountered a great success. But in the past few years, the number of medical reports of injuries caused by the explosion of e-cigarettes has significantly increased. This article aims at reporting our series and reviewing the literature to propose a new classification based on the mechanisms of injuries related to e-cigarettes that can guide non-specialists and specialists in the management of these patients. Read More

    Eschar removal by bromelain based enzymatic debridement (Nexobrid®) in burns: An European consensus.
    Burns 2017 Dec 13;43(8):1640-1653. Epub 2017 Oct 13.
    BG Trauma Center, Hand-, Plastic and Reconstructive Surgery, Burn Center, University of Heidelberg, Ludwigshafen, Germany.
    Early debridement and/or eschar removal is regarded as a significant step in the treatment of deep partial and full thickness burns. It aims to control wound bioburden and allows early wound closure by conservative treatment or skin grafting. Preservation of viable dermis accompanied by early wound closure, is regarded as a necessary step to reduce scar related complication, e. Read More

    Nationwide web survey of pediatric scalds: Prevalence and the relationship with household vacuum flasks.
    Burns 2017 Oct 9. Epub 2017 Oct 9.
    Department of Burns and Plastic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, PR China. Electronic address:
    Objective: To explore the prevalence of pediatric (0-72 months old) scalds, and to clarify its relationship with household vacuum flasks.

    Methods: A cross sectional online survey based on the largest social media in China. Online questionnaire was pushed twice a day to our target respondents for successive seven days. Read More

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