Burns : journal of the International Society for Burn Injuries
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It has been previously established that the incidence of burn is higher in lower socioeconomic (SES) groups. What is not clear, however, is whether or not the severity of burn is also higher in lower SES groups. The purpose of this study is to establish a relationship between household-level socioeconomic status (SES) and severity-based incidence of burn. ⋯ Severity-based incidence of burn was significantly affected by household-level SES in a nationwide cohort study, with more severe injuries noted in the lower socioeconomic groups.
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Multicenter Study
Burns surgery handover study: trainees' assessment of current practice in the British Isles.
Effective handover of clinical information between working shifts is essential for patient safety. The aim of this study was to identify current practice and trainees' assessment of handover in the burns units of the British Isles. ⋯ Effective handover remains a keystone in safe and effective communication between doctors. The study highlights areas for improvement in handover practice, including greater involvement of an integrated multidisciplinary team. Those working under the "surgeon of the week" pattern are more satisfied.
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Randomized Controlled Trial
Predicting the effectiveness of virtual reality relaxation on pain and anxiety when added to PCA morphine in patients having burns dressings changes.
Pain arising in burns sufferers is often severe and protracted. The prospect of a dressing change can heighten existing pain by impacting both physically and psychologically. In this trial we examined whether pre-procedural virtual reality guided relaxation added to patient controlled analgesia with morphine reduced pain severity during awake dressings changes in burns patients. ⋯ The addition of virtual reality guided relaxation to morphine PCA infusion in burns patients resulted in a significant increase in pain experienced during awake dressings changes. In the absence of a validated predictor for responsiveness to virtual reality relaxation such a therapy cannot be recommended for general use in burns patients having awake dressings changes.
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To evaluate the diversity and antifungal susceptibilities of Candida isolates from wounds and blood of burn victims, and the associated mortality rates compared with those of controls without candidaemia. ⋯ Candidaemia in burn cases is mostly due to fluconazole-susceptible C. albicans and is not associated with increased mortality.
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An epidemiological study on burn patients treated in a Finnish burn center has not been published before in international literature. This study reports the results of a retrospective study on the first 1000 patients treated in Kuopio University Hospital Burn Unit (KBU) in Finland. ⋯ The median age and male predominance have increased during the study period. Every fourth burn is sauna-related therefore a target for prevention strategies.