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Burns: Journal of the International Society for Burn Injuries

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https://www.readbyqxmd.com/read/30005990/impact-of-primary-payer-status-on-outcomes-among-patients-with-burn-injury-a-nationwide-analysis
#1
Heather Peluso, Marwan S Abougergi, Julie Caffrey
OBJECTIVE: To study the relationship between insurance provider and important outcomes among patients with burn injury. METHODS: Adults with burn injury were selected from the National Inpatient Sample. The primary outcome was inpatient mortality. Secondary outcomes were morbidity (septic shock and prolonged mechanical ventilation (PMV)), treatment metrics (time to surgery and parenteral or enteral nutrition (P/E-nutrition)) and resource utilization (length of stay (LOS) and total hospitalization costs and charges)...
July 11, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/30005991/care-in-patients-with-epidermal-necrolysis-in-burn-units-a-nursing-perspective
#2
V Lerma, M Macías, R Toro, A Moscoso, Y Alonso, O Hernández, F J de Abajo
OBJECTIVE: To describe how nursing care is delivered to patients with epidermal necrolysis in burn units/specialized units in Spain and a selection of countries. METHOD: Descriptive cross-sectional study. Data were collected through a structured questionnaire which was sent to nurse managers in all burn units in Spain and a selection of countries. Descriptive statistics was used to summarize the results. RESULTS: All BU/SUs in Spain (n=12) and seven BU/SUs from a selection of countries completed the questionnaire...
July 10, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/30005989/microbial-cellulose-dressing-compared-with-silver-sulphadiazine-for-the-treatment-of-partial-thickness-burns-a-prospective-randomised-clinical-trial
#3
Ahmed Aboelnaga, Moustafa Elmasry, Osama A Adly, Mohamed A Elbadawy, Ashraf H Abbas, Islam Abdelrahman, Omar Salah, Ingrid Steinvall
BACKGROUND: The current treatment for partial thickness burns at the trial site is silver sulphadiazine, as it minimises bacterial colonisation of wounds. Its deleterious effect on wound healing, together with the need for repeated, often painful, procedures, has brought about the search for a better treatment. Microbial cellulose has shown promising results that avoid these disadvantages. The aim of this study was therefore to compare microbial cellulose with silver sulphadiazine as a dressing for partial thickness burns...
July 10, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/30005988/estimated-versus-achieved-maximal-oxygen-consumption-in-severely-burned-children-maximal-oxygen-consumption-in-burned-children
#4
Christian Tapking, Daniel Popp, David N Herndon, Ludwik K Branski, Ronald P Mlcak, Oscar E Suman
PURPOSE: In burned children, exercise training increases maximal oxygen consumption (VO2 max) and can be combined with the nonspecific beta-blocker propranolol to decrease cardiac work. VO2 max is estimated if indirect calorimetry is not available. We compared measured and estimated VO2 max in severely burned children treated with or without propranolol to determine the suitability of commonly used formulas in these populations. METHODS: Patients received propranolol or placebo (control) during acute hospitalization...
July 10, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29980328/tracheostomy-and-mortality-in-patients-with-severe-burns-a-nationwide-observational-study
#5
Asuka Tsuchiya, Hayato Yamana, Takuya Kawahara, Yusuke Tsutsumi, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
BACKGROUND: Tracheostomy is often performed in patients with severe burns who are undergoing prolonged mechanical ventilation. However, the appropriate timing of tracheostomy and its effect on mortality remain unknown. The aim of this study was to determine whether tracheostomy can reduce mortality in patients with severe burns. METHODS: Using the Japanese Diagnosis Procedure Combination database from April 2010 to March 2014, we extracted data on adult patients with severe burns (burn index score of ≥15) who started mechanical ventilation within 3days of admission...
July 3, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29958746/assessment-of-quality-of-life-in-patients-with-face-and-neck-burns-the-burn-specific-health-scale-for-face-and-neck-bshs-fn
#6
S Gandolfi, R Carloni, N Bertheuil, J L Grolleau, I Auquit-Auckbur, B Chaput
INTRODUCTION: Burns to the cephalic extremities are particularly implicated in problems of self-image and alterations to personal social relations. The aim of this study was to objectively assess the quality-of-life (QoL) of patients suffering from face-and-neck burns through our newly created scale: The Burn-Specific Health Scale for Face and Neck (BSHS-FN). METHODS: After constructing the BSHS-FN, we compared QoL of patients with or without face-and-neck burns...
June 26, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29958745/preclinical-assessment-of-safety-and-efficacy-of-intravenous-delivery-of-autologous-adipose-derived-regenerative-cells-adrcs-in-the-treatment-of-severe-thermal-burns-using-a-porcine-model
#7
Philippe Foubert, Mike Liu, Samantha Anderson, Rohit Rajoria, Damian Gutierrez, Diana Zafra, Mayer Tenenhaus, John K Fraser
OBJECTIVE: A number of studies have reported that application of autologous adipose-derived cell populations leads to improved outcome in different preclinical models of thermal burn injury. However, these studies were limited to assessment of relatively small injuries amounting to only ∼2% of total body surface area (TBSA) in which the complications associated with large burns (e.g.: systemic inflammation and the need for fluid resuscitation) are absent. In anticipation of translating this approach to a clinical trial in which these complications would be present we applied a preclinical model that more closely resembles a patient with large thermal burn injury requiring skin grafting...
June 26, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29941159/a-systematic-review-on-the-quality-of-measurement-techniques-for-the-assessment-of-burn-wound-depth-or-healing-potential
#8
REVIEW
Mariëlle E H Jaspers, Ludo van Haasterecht, Paul P M van Zuijlen, Lidwine B Mokkink
PURPOSE: Reliable and valid assessment of burn wound depth or healing potential is essential to treatment decision-making, to provide a prognosis, and to compare studies evaluating different treatment modalities. The aim of this review was to critically appraise, compare and summarize the quality of relevant measurement properties of techniques that aim to assess burn wound depth or healing potential. METHODS: A systematic literature search was performed using PubMed, EMBASE and Cochrane Library...
June 22, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29921487/mri-compatibility-of-silver-based-wound-dressings
#9
J Kevin Bailey, Steffen Sammet, Jason Overocker, Beretta Craft-Coffman, Cristina M Acevedo, Martin E Cowan, Heather M Powell
As silver dressings gain more widespread use, it is more likely that patients with silver-based dressings will also undergo magnetic resonance imaging (MRI). In current practice, these dressings are removed prior to imaging due to concerns over heating and image distortion. As dressing changes can be painful, the need to remove dressings simply for MRI may increase pain and contribute to opioid dependency. To examine the need for dressing removal, American Society for Testing and Materials International standards for assessing device deflection and torque were performed on 5 silver containing and 3 non-silver control dressings...
June 16, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29914737/measuring-gastric-residual-volumes-in-critically-ill-burn-patients-a-systematic-review
#10
REVIEW
C H Pham, Z J Collier, W L Garner, C M Kuza, T J Gillenwater
PURPOSE: Measuring gastric residual volumes (GRV) is common in intensive care units (ICU) in patients receiving enteral nutrition (EN) and are a common source of feeding interruptions. Interruptions in EN yield adverse outcomes and are an area of improvement in burn care. The objectives of this study are to summarize the literature's ICU GRV practices and offer practical suggestions to GRV management in the burn patient. METHODS: PubMed, SCOPUS, and OvidSP Medline were systematically reviewed using the keywords: burns; thermal injury; gastric residual volume; enteral feeding; tube feeding; enteral nutrition; gastric intolerance; ICU; critical illness...
June 15, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29903603/comparative-study-of-silver-sulfadiazine-with-other-materials-for-healing-and-infection-prevention-in-burns-a-systematic-review-and-meta-analysis
#11
REVIEW
Heloisa Helena Nímia, Viviane Fernandes Carvalho, Cesar Isaac, Francisley Ávila Souza, Rolf Gemperli, André Oliveira Paggiaro
The aim of this systematic review with meta-analysis was to compare the effect of Silver Sulfadiazine (SSD) with other new dressings, with or without silver, on healing and infection prevention in burns. The electronic search was carried out in the electronic databases of Pubmed, ScienceDirect, Lilacs and BVS. The articles included were randomized clinical trials about burn treatment with SSD, which evaluated the healing and infection of burn wounds in humans. The exclusion criteria included articles, editorials and letters published in the form of abstracts, unpublished reports and case series, cross-sectional, observational experimental studies, and the use of sulfadiazine for other types of wounds...
June 11, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29903602/toxic-epidermal-necrolysis-data-from-the-celeste-multinational-registry-part-ii-specific-systemic-and-local-risk-factors-for-the-development-of-infectious-complications
#12
B Lipový, J Holoubek, M Hanslianová, M Cvanová, L Klein, I Grossová, R Zajíček, P Bukovčan, J Koller, M Baran, P Lengyel, L Eimer, M Jandová, M Košťál, P Brychta
The aim of the study was to identify the most important systemic and local risk factors for the development of infectious complications in patients with toxic epidermal necrolysis (TEN). MATERIAL AND METHODOLOGY: This is a multicentric study that included all patients with TEN who were hospitalized between 2000-2015 in specialized centres in the Czech Republic and Slovakia. The total catchment area included a population of over 12.5 million inhabitants. The actual implementation of the project was carried out using data obtained from the CELESTE (Central European LyEll Syndrome: Therapeutic Evaluation) registry, wherein specific parameters related to epidemiological indicators and infectious complications in patients with TEN were evaluated as a retrospective analysis...
June 11, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29903601/optimal-skin-regeneration-after-full-thickness-thermal-burn-injury-in-the-spiny-mouse-acomys-cahirinus
#13
Malcolm Maden
The spiny mouse, Acomys cahirinus, shows remarkable regenerative abilities after excisional skin wounding by regrowing hair, sebaceous glands, smooth muscle, skeletal muscle and dermis without scarring. We have asked here whether this same regeneration can be seen after full thickness thermal burn injuries. Using a brass rod thermal injury model we show that in contrast to the lab mouse, Mus musculus, which forms a thick scar covered by a hairless epidermis, the spiny mouse regenerates all the tissues injured - skeletal muscle, dermis, hairs, sebaceous glands such that the skin is externally indistinguishable from its original appearance...
June 11, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29903600/revisiting-extracorporeal-membrane-oxygenation-for-ards-in-burns-a-case-series-and-review-of-the-literature
#14
Craig R Ainsworth, Jeffrey Dellavolpe, Kevin K Chung, Leopoldo C Cancio, Phillip Mason
INTRODUCTION: Recent reports on the use of extracorporeal membrane oxygenation (ECMO) in critically ill burn patients with Acute Respiratory Distress Syndrome (ARDS) recommended against the use of ECMO. The authors cited the high mortality rates associated with the use of ECMO in these patients with no appreciable benefit. Accumulating evidence from referral centers suggests improved survival in patients with ARDS receiving ECMO. We report our recent experience treating patients with severe ARDS with ECMO in a burn intensive care unit...
June 11, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29895403/effect-of-tadalafil-on-reduction-of-necrosis-in-the-ischemic-zone-in-a-rat-comb-burn-model
#15
Adam J Singer, Henry Towery, Steve A McClain
OBJECTIVES: A major goal of burn management is to reduce the progression of necrosis in the zone of ischemia surrounding the central zone of necrosis. A rat comb burn model is often used to assess the progression of necrosis in the zone of ischemia. We compared various combinations of naproxen [NPX], N-acetyl cysteine [NAC], and tadalafil [TD] (a phosphodiesterase-5 inhibitor used as a vasodilator to treat erectile dysfunction) in a rat comb burn model to determine their effects on injury progression...
June 9, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29895402/burn-wounds-in-the-young-versus-the-aged-patient-display-differential-immunological-responses
#16
Angel F Farinas, Ravinder Bamba, Alonda C Pollins, Nancy L Cardwell, Lillian B Nanney, Wesley P Thayer
BACKGROUND: Individuals in the geriatric age range are more prone than younger individuals to convert their partial thickness thermal burns into full thickness injuries. We hypothesized that this often observed clinical phenomenon is strongly related to differential local injury responses mediated by the immune system. MATERIALS & METHODS: Skin samples from areas with partial thickness thermal burns were obtained during routine excision and grafting procedures between post burn days 2-6...
June 9, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29887352/accurately-identifying-blast-injuries-in-civilian-burn-practice
#17
LETTER
Joseph A Ward, Georgina Phillips, Niall A J Martin
No abstract text is available yet for this article.
June 7, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29887351/the-recovery-of-post-burn-hypertrophic-scar-in-a-monitored-pressure-therapy-intervention-programme-and-the-timing-of-intervention
#18
Pan Li, Cecilia Wai Ping Li-Tsang, Xue Deng, Xiaoyun Wang, Hanjie Wang, Yuting Zhang, Ziming Tan, Chengqi He
INTRODUCTION: Pressure therapy used to be considered as the mainstay non-invasive treatment of hypertrophic scar. However, the maturation process of hypertrophic scar during pressure therapy process has seldom be reported. Moreover, although early application of pressure therapy after burn injuries is reco6mmended, minimal evidence exists to support it. This study aimed to examine the maturation trajectory of post-burn hypertrophic scars in a 6-month monitored pressure therapy intervention programme and investigate the difference in the trajectory between patients receiving early intervention and patients receiving late intervention...
June 7, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29887350/changes-in-burn-mortality-in-bangladesh-findings-from-bangladesh-health-and-injury-survey-bhis-2003-and-2016
#19
Saidur Rahman Mashreky, Riffat Ara Shawon, Animesh Biswas, Junnatul Ferdoush, Afrida Unjum, A K M Fazlur Rahman
PURPOSE: This paper is focused to reflect the changes in burn mortality and events leading to fatal burn injuries. METHODS: Two national community-based cross sectional health and injury surveys were done in Bangladesh during 2003 and 2016. Similar methodology had been followed in both the surveys. Multistage cluster sampling method considering probability-proportional-to-size strategy was used in both the surveys to obtain the desired sample. A pretested semi-structured questionnaire was deployed to identify causes of mortality and morbidity among the population...
June 7, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29886117/the-abbreviated-burn-severity-index-as-a-predictor-of-acute-respiratory-distress-syndrome-in-young-individuals-with-severe-flammable-starch-based-powder-burn
#20
Kuan-Hsun Lin, Chi-Ming Chu, Yu-Kai Lin, Hao-Yu Chiao, Ta-Wei Pu, Yuan-Ming Tsai, Ying-Yi Chen, Hsu-Kai Huang, Hung Chang, Shih-Chun Lee, Tsai-Wang Huang
Here, we investigated whether the abbreviated burn severity index (ABSI) scoring system predicts acute respiratory distress syndrome (ARDS) in a retrospective analysis of a severe flammable starch-based powder burn population. Demographics, total body surface area (TBSA) burn, the presence of mouth and nose burn, ABSI, inhalation injury, and clinical outcomes for each patient were analysed for association with inpatient ARDS based on the Berlin definition. We treated 53 patients (64% male, 36% female) and observed no fatalities...
June 6, 2018: Burns: Journal of the International Society for Burn Injuries
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