Burn Publications

Study identified and analyzed clinical factors that predict heterotopic ossification (HO), the ectopic formation of lamellar bone, in adults with burn injuries. Data were collected from six high-volume burn centers in the Burn Injury Model Systems (BMS) database. The BMS, funded by the National Institute on Disability, Independent Living ...

Study investigated whether expression of interleukin 8 (IL-8), a major mediator for inflammatory responses, can be used to predict post-burn sepsis, infections, and mortality. Plasma cytokines, acute-phase proteins, constitutive proteins, and hormones were analyzed during the first 60 days after injury from 468 pediatric burn patients. Demographics and clinical ...

Study examined long-term psychological distress and quality of life (QOL) in young adult survivors of pediatric burns using the World Health Organization Disability Assessment Scale II (WHODAS) and the Burn Specific Health Scale-Brief (BSHS-B). The WHODAS measures health and disability and the BSHS-B measures psychosocial and physical difficulties. Fifty ...

Study examined the skeletal muscle protein synthesis (MPS) rate of burned children over a period of 24 months after injury and identified predictors that influence this response. Eighty-seven children with 40 percent or greater total body surface area (TBSA) burned participated in stable isotope infusion studies at 1, 2, ...

This 5-year prospective multicenter study included 152 adults with burn injuries, ages 19 to 30 years, who completed the Young Adult Burn Outcome Questionnaire (YABOQ) up to 36 months after injury. The YABOQ measures 15 patient-reported outcomes including physical, psychological, and social statuses and symptoms such as itch and ...

Study examined whether existing comorbidity measures capture comorbidities in the burn inpatient rehabilitation population. Data were obtained from the Uniform Data System for Medical Rehabilitation from 2002 to 2011 for adults with burn injury. International Classification of Diseases, 9th Revision (ICD-9) codes were used to assess three comorbidity measures: ...

Study compared the emotional and cognitive difficulties experienced during the initial acute hospitalization and the last follow-up visit between children with electrical injuries (EI) and children without electrical injuries (non-EI). It was hypothesized that children with electrical burns would have different psychological outcomes. Medical records of 67 patients with ...

Article reviews the evidence for the utility of rehabilitative exercise training (RET) in restoring physiological function in burn survivors. Severe burn trauma results in persistent skeletal muscle catabolism and prolonged immobilization. The authors hypothesize that structured RET is a safe and effective strategy to restore lean body mass and ...

Study investigated whether the Vancouver Scar Scale (VSS) can be used to define hypertrophic scarring (HTS) in an objective, reliable manner. An online survey sent to 1,000 burn care providers asked respondents what VSS score indicates HTS and asked them to score scar photos using the VSS. Receiver operating ...

Study examined the prevalence of posttraumatic stress disorder (PTSD) in pediatric burn survivors who had been treated for acute stress disorder symptoms during their initial hospitalization and compared them to patients who had been asymptomatic for acute stress disorder. Participants were primarily matched on total body surface area burned ...

Study evaluated the measurements of a portable materials testing device before and after burn therapist intervention for closed burns. A recording was taken using a hand-held vacuum device to measure deformation of the skin in the same location prior to and following a treatment session with a burn therapist ...

Article reviews the history of burn care and rehabilitation from the perspective of leaders in the field of physical medicine and rehabilitation (PM&R). Although burn rehabilitation is a requirement of residency training in PM&R and burn topics are included on the national board examination, PM&R residents are not choosing ...

Study explored whether trajectories of common biomedical markers of metabolism and inflammation can be utilized to determine survival in pediatric burn patients. A total of 230 severely burned children with burns exceeding 30 percent of their total body surface, requiring at least 1 surgical procedure were enrolled in this ...

Study investigated the impact of severe burn injury on skeletal muscle mitochondrial function and coupling control in adult humans. Mitochondria are the cellular organelles responsible for almost all oxygen consumption in vivo. It was hypothesized that severe burn injury alters skeletal muscle mitochondrial function, favoring mitochondrial thermogenesis. This hypothesis ...

Study investigated whether systemic glucose levels over 150 milligrams per deciliter (mg/dl) in severely burned pediatric patients lead to an overwhelming growth of bacteria in the bronchopulmonary system, subsequently resulting in an increased risk of pulmonary infections. One-hundred six severely burned pediatric patients were enrolled in the study. Patients ...

Article briefly reviews some studies that have used the Uniform Data System for Medical Rehabilitation (UDSMR) to develop a better understanding of burn rehabilitation outcomes. The UDSMR maintains the largest inpatient rehabilitation database in the world, which includes information on approximately 80 percent of all inpatient rehabilitation facilities nationally. ...

Study examined the impact of insulin control on outcomes in 243 pediatric patients with massive burns covering 30 percent or more of their total body surface area. Participants were randomized into 2 groups: (1) 145 patients receiving sliding scale insulin to lower blood glucose levels to

Study identified factors associated with chronic pain among survivors of The Station nightclub fire, including those with and without burn injury. The primary outcome measure was the presence and severity of pain. Univariate and stepwise multiple regression analyses were used to examine relationships among variables. Variables considered included age, ...

Study examined the prevalence of hypoglycemia after burn injury and investigated whether hypoglycemia is associated with increased post-burn morbidity and mortality. The analysis included 760 pediatric burn patients, who were stratified according the number of hypoglycemic episodes (blood glucose less than 60 milligrams per deciliter) they experienced while in ...

Study investigated whether patients with burn injury have differences in their cognition compared with other inpatient rehabilitation populations. Data were obtained from the Uniform Data System for Medical Rehabilitation from 2002 through 2011. A total of 5,347 rehabilitation patients with burn injury were compared with 668,816 patients from the ...