Burns : Journal of the International Society for Burn Injuries This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

How long are burn patients really NPO in the perioperative period and can we effectively correct the caloric deficit using an enteral feeding “Catch-up” protocol?
Large thermal injuries and the ensuing adrenergic response creates a profound hyper-metabolic state characterized by a global increase in oxygen consumption and acute and long-term acceleration of protein catabolism [1,2]. The increased metabolic needs of a burn patient mandate increased caloric intake that often requires the use of an enteral feeding tube. Enteral nutrition is associated with improved outcomes, including blunting of the hyper-metabolic response [3], decreased ventilator days, time-to-wound healing, incidence of infectious complications, and mortality [4 –6]. (Source: Burns : Journal of the International...
Source: Burns : Journal of the International Society for Burn Injuries - August 13, 2018 Category: Cosmetic Surgery Authors: C.H. Pham, Z.J. Collier, A.B. Webb, W.L. Garner, T.J. Gillenwater Source Type: research

Pirfenidone increases the epithelialization rate of skin graft donor sites
Skin grafting is one of the oldest and most common procedures in plastic surgery, and the treatment of skin donor sites has been an important issue for decades [1]. Split thickness skin grafts (STSGs) contain the entirety of the epidermis and a variable amount of dermis depending on the thickness of the harvested graft [2]. This procedure creates a wound in the donor site that is similar to a superficial, second-degree burn, which usually takes between 14 and 21days to spontaneously heal with relatively inconspicuous scarring [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 13, 2018 Category: Cosmetic Surgery Authors: Gabriel Ángel Mecott-Rivera, Jorge Alejandro Aguilar-Baqueiro, Stephano Bracho, Ivette Miranda-Maldonado, Rodolfo Franco-Márquez, Yanko Castro-Govea, Edgar Gerardo Dorsey-Treviño, Mauricio Manuel García-Pérez Source Type: research

Trends and inpatient outcomes for palliative care services in major burn patients: A 10-year analysis of the nationwide inpatient sample
Major burn survival has improved significantly since the adoption of early excision and grafting along with modern critical care techniques. Despite these advances, a proportion of major burn patients are still highly unlikely to survive their injury due to burn size, age, and comorbidities [1]. For this cohort, some have advocated for early withdrawal of life-sustaining care in order to prevent futile treatments [2]. Others have evaluated the utility of goals of care discussions with patients and families during early burn treatment to avoid unwanted or futile treatments when survival likelihood is exceedingly low [3]. (S...
Source: Burns : Journal of the International Society for Burn Injuries - August 13, 2018 Category: Cosmetic Surgery Authors: Clifford C. Sheckter, Kay Hung, Danielle Rochlin, Zeshaan Maan, Yvonne Karanas, Catherine Curtin Source Type: research

Factors affecting self-perceived participation and autonomy among patients with burns: A follow-up study
Burns are a common non-intentional injury, particularly in low-income and under-developed countries [1]. They represent a public health hazard owing to the high morbidity and pronounced functional impairment associated with this type of injury [2]. Significant advances in medical and surgical techniques in the 20th century resulted in a considerable decrease in mortality from massive burns [3]. An increasing number of burn victims sustaining massive burns are discharged from burn units and face the challenging task of reintegration within the society. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 11, 2018 Category: Cosmetic Surgery Authors: Lin Li, Xiao-lei Wu, Le Xu Source Type: research

Dysphagia in older persons following severe burns: Burn location is irrelevant to risk of dysphagia and its complications in patients over 75 years
Burns are recognised as a common form of trauma [1 –3]. Individuals recognised to be at greatest risk of burn injury in the Australian adult population are of Aboriginal and Torres Strait Islander descent, young males and older persons [4–7]. Management of the older person with burn injury is complex with evidence indicating that advanced age is associated with elevated risk for morbidity and mortality from the time of admission [8]. The presence of dysphagia, characterised by impairments in both the oral and pharyngeal stages of the swallow, is also acknowledged as a potential negative consequence of severe burn injur...
Source: Burns : Journal of the International Society for Burn Injuries - August 11, 2018 Category: Cosmetic Surgery Authors: Nicola A. Clayton, Caroline M. Nicholls, Karen Blazquez, Cheryl Brownlow, Peter K. Maitz, Oliver M. Fisher, Andrea C. Issler-Fisher Source Type: research

Contributors to the length-of-stay trajectory in burn-injured patients
Burn patients represent one of the most complex patient groups in hospital care: burn trauma itself leads to the loss of irreplaceable skin and hypermetabolism that dramatically increases the likelihood of in-hospital complications such as infection, sepsis, organ failure, and mortality [1 –3]. In addition, the majority of the hospitalized burn patients suffer from pre-existing conditions such as diabetes and mental health issues further complicating discharge and recovery [4,5]. Greater emphases on the assessment of comorbidities, including psychiatric conditions, are needed to und erstand their influence on the recover...
Source: Burns : Journal of the International Society for Burn Injuries - August 10, 2018 Category: Cosmetic Surgery Authors: Reinhard Dolp, Sarah Rehou, Matthew R. McCann, Marc G. Jeschke Source Type: research

The concurrent use of probiotic microorganism and collagen hydrogel/scaffold enhances burn wound healing: An in vivo evaluation
Acute thermal injuries cause approximately 300,000 deaths annually with regard to the World Health Organization report [1]. Since burning results considerable loss of fluid and extensive tissue damage, the main functions of skin are impaired. Infection is one of the most common complications related to the burning that increases the local damage in burned wounds; however, life-threatening sepsis result in systemic immunological and inflammatory response impairment [2 –4]. It has been shown that in burns involving more than 40% of the total body surface area, the majority of deaths (75%) are either due to sepsis from woun...
Source: Burns : Journal of the International Society for Burn Injuries - August 2, 2018 Category: Cosmetic Surgery Authors: Ahmad Oryan, Maryam Jalili, Amir Kamali, Behrooz Nikahval Source Type: research

Qualitative analysis of clinician experience in utilising the BuRN Tool (Burns Risk assessment for Neglect or abuse Tool) in clinical practice
Approximately 50 –60,000 children attend emergency departments each year as a result of burns [1]. Evidence suggests that the proportion to child maltreatment ranges from 1 to 24% (1% Cornwall, UK; 24% USA) [2,3]. One of the most current UK figures quoted estimate that 10% are a result of maltreatment with the rat io of physical abuse to neglect 9:1 [4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: Stephen Mullen, Harriet D. Quinn-Scoggins, Diane Nuttall, Alison M. Kemp Source Type: research

Reliability & validity of the LIBRE Profile
The Life Impact Burn Recovery Evaluation (LIBRE) Profile is a patient reported outcome measure (PROM) that assesses the impact of a burn injury on the social participation of burn survivors. This tool was developed because medical advances have led to reduced mortality and concomitant complications from a burn injury, and there is now a need to measure and address the psychosocial ramifications of such a traumatic event, as well as to optimize the pathways to a strong recovery [1,2]. Other PROMs such as the Burn Specific Health Scale and the Burn Outcome Questionnaires are important for assessing health related quality of ...
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: Emily C. Dore, Molly Marino, Pengsheng Ni, Julieta Lomelin-Gascon, Lily Sonis, Flor Amaya, Colleen M. Ryan, Jeffrey C. Schneider, Alan M. Jette, Lewis E. Kazis Source Type: research

Bone metabolism in pediatric burned patients: A review
Severe burns in children can cause growth delays, bone loss, and wasting of lean body mass and muscle [1 –3]. The risk of fractures is increased after burn, particularly because of the reduced bone mass and possibly secondary to a slow growth velocity [4,5]. This effect can be attributed to the significant increase in endogenous glucocorticoid secretion and the increase in proinflammatory cytokine pr oduction [6]. Additionally, bone mass decrease may also be attributed to hypoparathyroidism and calcium wasting, as well as a consistent vitamin D deficiency [4,7–12]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: Eric Schryver, Gordon L. Klein, David N. Herndon, Oscar E. Suman, Ludwik K. Branski, Linda E. Sousse Tags: Review Source Type: research

Rising mortality in patients with combined burn and trauma
Trauma is the leading cause of death in adults younger than 46 years old [1]. The addition of burn injuries to a trauma patient has been said to cause a “two-hit” phenomena of injury which may have a synergistic effect resulting in higher morbidity [2]. Using the National Trauma Data Bank (NTDB), Hawkins et al. found 43% of all burn admissions suffered combined trauma [3]. With nearly one million burn injuries occurring each year and 45,000 unde rgoing hospitalization, there is a significant population affected by combined burn-trauma [4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: Areg Grigorian, Jeffry Nahmias, Sebastian Schubl, Viktor Gabriel, Nicole Bernal, Victor Joe Source Type: research

Reliability and clinical utility of the Pliance X for measuring pressure at the interface of pressure garments and burn scars in children
Pressure garment therapy has been a commonly used burn scar intervention in high income countries for approximately 40 years [1 –3]. It has been assumed that the pressure garment’s ability to supply a consistent level of pressure to the burn scar is an important component of the mechanism of action, although the exact mechanism remains unclear [3–6]. The therapeutic dose of pressure is also unclear. Theoretically, a co nsistent pressure of 24–25mmHg would be required to overcome local capillary pressure [4–6]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: Jodie Wiseman, Megan Simons, Roy Kimble, Zephanie Tyack Source Type: research

Is the time right to put down the knife? A call for evidence-based decision making
With great interest we read the work of Dr. Edmondson et al. entitled ‘Time to start putting down the knife: A systematic review of burns excision tools of randomized and non-randomized trials’ [1]. We highly appreciate their effort to evaluate existing evidence for excision techniques other than the standard of care (sharp tangential excision with a knife). Their distinct review shows that there is only limited evidence for the use of alternative techniques, like hydrosurgical or enzymatic debridement. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: C.M. Legemate, E. Middelkoop, M.E. van Baar, C.H. van der Vlies Tags: Letter to the Editor Source Type: research

Is the time right to put down the knife? A letter in response with a call for change in primary research outcomes to tackle the global burden of long-term scarring
We were pleased to read the letter from Dr. Legemate et al. [1], in response to our paper entitled ‘Time to start putting down the knife: A systematic review of burns excision tools of randomised and non-randomised trials’ [2]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - August 1, 2018 Category: Cosmetic Surgery Authors: Sarah-Jayne Edmondson, Alexandra Murray Tags: Letter to the Editor Source Type: research

Pediatric frostbite: A 10-year single-center retrospective study
Frostbite is a severe form of cold weather injury that occurs when tissues freeze, having potentially significant long-term consequences [1]. While there is some information on circumstances of injury in adults, there is a paucity of information on children with frostbite. Given the devastating sequelae from frostbite, it is important to better understand the patterns of injury in order to better prevent and treat children with frostbite. Skin and underlying tissue freezes below the freezing point of water. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - July 30, 2018 Category: Cosmetic Surgery Authors: Ramy Boles, Justin P. Gawaziuk, Nora Cristall, Sarvesh Logsetty Source Type: research