The latest medical research on Burns

The research magnet gathers the latest research from around the web, based on your specialty area. Below you will find a sample of some of the most recent articles from reputable medical journals about burns gathered by our medical AI research bot.

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Correlation between Bacterial Wound Colonization and Skin-Graft Loss in Burn Patients.

J Burn Care Res

Loss of skin grafts can be a dangerous complication during the early postoperative course of patients with extensive burns. A major risk factor for...

Outcomes Following Use of Negative-Pressure Wound Therapy Over Autologous Meshed and Non-Meshed Skin Grafts.

J Burn Care Res

Negative pressure wound therapy (NPWT) over split thickness skin grafts can control exudate, decrease infection rates, and improve revascularization. However, no study specifically addresses differences in outcomes between meshed/perforated and non-meshed autologous skin grafts dressed with NPWT.

Through retrospective chart review, patients undergoing autologous split thickness skin grafting with a NPWT dressing for any burn injury over a ten-month period were identified. Data on etiology, graft take, meshed/perforated or non-meshed graft, graft size, and seroma/hematoma incidence were collected.

Our study included 123 patients who had STSG with NPWT and consisted of 57% males, 57% Caucasian, and an average age of 41. Burn injury etiologies consisted of scald (55%), chemical (25%), flame (15%), and contact (5%). Average 2 nd degree TBSA in our cohort was 2.34%, 3 rd degree TBSA 4.50%, and total TBSA 5.35%. 66.7% of patients received non-meshed grafts, and these patients had an average graft area of 76.5cm 2. 33.3% of patients received meshed grafts, with an average graft area of 163.5cm 2. Non-meshed burn grafts were significantly smaller than meshed grafts (p=0.04). There was 100% graft take and 0% seroma/hematoma formation in all patients. Data was analyzed using an unpaired student's T test and ANOVA testing. There were no statistically significant differences in patient demographics, or burn etiology.

There exist many options for dressings after repair of burn injuries, each with its own unique advantages. There were, however, no differences in graft take or incidence of seroma/hematoma formation using a NPWT dressing over autologous meshed grafts vs non-meshed grafts. Our data shows that NPWT use as a bolster dressing is safe and efficacious overlying meshed skin grafts and non-meshed grafts.

The role of the outpatient occupational therapist treating patients with small burns: a retrospective audit of practice.

J Burn Care Res

Current Australian burn care practice guidelines recommend therapies prescribed for burn injuries, irrespective of burn size. These guidelines have...

We Got Your Back: Evaluating recovery following spinal cord injury after high voltage electric burns.

J Burn Care Res

Delayed spinal cord injury (SCI) is a relatively rare consequence of high voltage electrical burns, but it holds significant implications for patie...

Admission frailty score are associated with increased risk of acute respiratory failure and mortality in burn patients 50 and older.

J Burn Care Res

Herein, we assessed the utility of the Canadian Study of Health and Aging Clinical Frailty Scale (CSHA-CFS) to predict burn-specific outcomes. We hypothesized that frail patients are at greater risk for burn-related complications and require increased healthcare support at discharge.

Patients 50 years and older admitted to our institution for burn injuries between July 2009 and June 2019 were included. Demographics; comorbidities; pre-injury functional status; injury and hospitalization information; complications (graft loss, acute respiratory failure, and acute kidney disease (AKI)); mortality, and discharge disposition were collected. Multivariate analyses were performed to assess the association between admission frailty scored using the CSHA-CFS and outcomes. P < 0.05 was considered significant.

Eight-hundred fifty-one patients were included, 697 were not frail and 154 were frail. Controlling for Baux scores, sex, race, mechanism of injury, 2 nd and 3 rd degree burn surface, and inhalation injury, frailty was associated with acute respiratory failure (OR = 2.599 [1.460-4.628], p = 0.001) and with mortality (OR = 6.080 [2.316-15.958]; p < 0.001). Frailty was also associated with discharge to skilled nursing facility, rehabilitation, or long-term acute care facilities (OR = 3.135 [1.784-5.508], p < 0.001), and to hospice (OR = 8.694 [1.646-45.938], p = 0.011) when compared to home without healthcare services.

Frailty is associated with increased risk of acute respiratory failure, mortality, and requiring increased healthcare support post-discharge. Our data suggest frailty can be used as a tool to predict morbidity and mortality and for goals of care discussions for the burn patient.

Carry That Weight! The Challenge of Managing Weight Changes During Inpatient Admission for Patients With Burn Injuries ≥20% TBSA.

J Burn Care Res

The hypermetabolic state of patients with ≥20% total body surface area (TBSA) causes loss of muscle mass and compromised immune function with delay...

Global Hospital Infrastructure and Pediatric Burns.

J Burn Care Res

Low-income regions carry the highest mortality burden of pediatric burns and attention to remedy these inequities has shifted from isolated mission...

Length of Stay Per Total Body Surface Area Burn: A Validation Study Using the National Burn Registry.

J Burn Care Res

A length of stay (LOS) of one day per percent total body surface area (TBSA) burn has been generally accepted but not validated in current pediatri...

A National Analysis of Discharge Disposition in Older Adults with Burns-Estimating the Likelihood of Independence at Discharge.

J Burn Care Res

Whereas older age predicts higher burn mortality, the impact of age on discharge disposition is less well defined in older adults with burns. This ...

A retrospective chart review to determine hypophosphatemia incidence and phosphorus supplementation requirements in patients with severe thermal cutaneous injuries receiving high-volume hemofiltration.

J Burn Care Res

Patients with severe thermal injuries have increased metabolic demands necessitating frequent phosphate supplementation. Patients with acute renal ...

Changes in Burn Surgery Operative Volume and Metrics due to COVID-19.

J Burn Care Res

Due to COVID-19, hospitals underwent drastic changes to operating room policy to mitigate the spread of the disease. Given these unprecedented meas...

Using a National Burn Registry to Develop a Model for Risk-Adjusted Length of Stay Benchmarking.

J Burn Care Res

Length of stay is a frequently reported outcome after a burn injury. Length of stay benchmarking will benefit individual burn centers as a way to m...