Burns : journal of the International Society for Burn Injuries
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Multicenter Study
Psychosocial impact of childhood face burns: a multicenter, prospective, longitudinal study of 390 children and adolescents.
This two-year longitudinal study of the health-related quality of life (HRQoL) of children with face burns was conducted in three regional pediatric burn care centers. Subjects were 390 children less than 18 years old at injury, admitted for burn treatment from September 2001 to December 2004. ⋯ Severe face burn influences HRQoL in children. Additional psychosocial support is suggested to enhance recovery for patients with severe face burns and their families during the years following injury.
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To determine the value of training for the Emergency Management of Severe Burns (EMSB) for medical and nursing staff working in emergency care as measured by their performance in a simulated burn incident online program. ⋯ There is some evidence that medical staff members who have participated in EMSB training have a better knowledge of emergency management and are more effective in the management of a simulated burn case. However, both individuals who had participated in EMSB as well as those who had not participated in EMSB needed additional training in EMSB.
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Burns are a complex phenomenon with multiple interactive factors. Age, ethnicity and socioeconomic deprivation have been identified in the literature as important determinants of this form of injury. ⋯ This study confirms marked ethnic and socioeconomic disparities in burn injuries requiring hospital admission. This is unacceptable and preventable. We propose active targeting of burn prevention strategies at high-risk groups as a cost-effective way of reducing disparities.
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There are valid concerns that burn shock resuscitation is inadequate; a tendency to over-resuscitate the patient seems to exist which may increase complications such as compartment syndrome. The purpose of this study was to survey members of the ISBI and ABA to determine current practices of burn resuscitation. ⋯ Large variations exist in resuscitation protocols but the Parkland formula using LR is still the dominant method. Most feel that their resuscitation protocol works well.
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Multicenter Study
The epidemiology of patients with burn injuries admitted to Norwegian hospitals in 2007.
To study the incidence and outcome of burns in Norway in 2007, and to establish estimates for effective length of stay, mortality and economical costs. ⋯ Compared to similar data from Norway (1992) the rate of admission for burns in 2007 (15.5/100,000/year) appeared as high as in 1992, whereas the mean length of stay was reduced by 26%. Children under the age of 5 had a seven times higher incidence compared the rest of the population.