Articles: burns.
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Multicenter Study Comparative Study
Burns as a result of assault: associated risk factors, injury characteristics, and outcomes.
The purpose of this study was to identify specific premorbid factors and injury characteristics associated with intentional burn injuries and to compare outcomes for individuals injured by assault and those with unintentional injuries. Participants sustaining major burns from May 1994 to August 2005 and consenting to a multisite, prospective, longitudinal outcome study were included. Etiology of the injury was classified as intentional (i.e., assault) or unintentional. ⋯ They also demonstrated significantly greater levels of psychological distress during the acute hospitalization but not at follow-up. Understanding the unique characteristics and needs of patients with intentional burn injuries is important because these individuals are less likely to have a steady income and more likely to rely on community social services. Affordable and accessible community-based health services are necessary in order to improve their outcomes.
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Multicenter Study
The National Institute on Disability and Rehabilitation Research burn model system database: a tool for the multicenter study of the outcome of burn injury.
Advances in critical care and surgical management have significantly improved survival after burn injury over the past several decades. However, today, survival alone is an insufficient outcome. In 1994, the National Institute on Disability and Rehabilitation Research (NIDRR) created a burn model system program to evaluate the long-term sequelae of burn injuries. ⋯ A total of 4600 patients have been entered into the NIDRR database. To date, 3449 (75%) patients were alive at discharged and consented to follow-up data collection. The NIDRR database provides an expansive repository of patient, injury, and outcome data that can be used to analyze the impact of burn injury on physical and psychosocial function and for the design of interventions to enhance the quality of life of burn survivors.
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J Plast Reconstr Aesthet Surg · Jan 2007
Multicenter StudyResuscitation of thermal injuries in the United Kingdom and Ireland.
The purpose of this study was to examine the consistency of burns resuscitation practice throughout UK and Ireland. Twenty-six Burns Units were identified via the National Burn Bed Bureau and surveyed via a postal questionnaire. Twenty-three units returned a completed questionnaire, covering all of the units treating children and 17 out of 20 units that treat adults. ⋯ Resuscitation is discontinued after 24h in 35% of units and after 36 h in 30% of units. Approximately half of the units do not routinely change the type of intravenous fluid administered after the initial period of resuscitation. This survey illustrates that resuscitation of thermally injured patients in UK and Ireland Burns Units is fairly consistent with a shift towards crystalloid resuscitation.
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Multicenter Study
[Industrial hygiene for firemen: results and prospects of research].
The authors present results of the Institute work on industrial hygiene for firemen, including hygienic evaluation of work conditions, health state and improving concept of occupational health for risky job individuals.
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Multicenter Study Clinical Trial
Innate immunity SNPs are associated with risk for severe sepsis after burn injury.
To analyze allelic association with clinical outcome in a cohort of burn patients. ⋯ Carriage of variant alleles at immune response genes were associated with increased risk for severe sepsis after burn injury.