Management of Pediatric Burns

A special issue of European Burn Journal (ISSN 2673-1991).

Deadline for manuscript submissions: closed (28 October 2023) | Viewed by 4660

Special Issue Editors


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Guest Editor
1. Burn Unit Director, Plastic and Reconstructive Surgery Department, Soroka University Medical Center, Beersheba, Israel
2. The Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba, Israel
Interests: burns; hand surgery; enzymatic debridement; pediatric burns; wounds
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Guest Editor
Plastic Surgery Department and Burn Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheba, Israel
Interests: burns; pediatric burns; hand surgery; enzymatic debridement; wounds

Special Issue Information

Dear Colleagues,

This Special Issue will focus on pediatric burns. Children are prone to burn injury, many times due to home accidents, with scalds reported as the most common etiology. As such, one would expect such injuries to be preventable. Nevertheless, children are still a large part of the patient population in burn centers around the world. In Europe, approximately 50% of all burn injuries are pediatric burns. In developing countries, this number has been reported to be as high as 80%. As we all know, children are not small adults. Medical care of children is unique in general, and this is very relevant in pediatric burn care as well. This issue will focus on pediatric burn care in general, including a focus on the unique aspects of children. Articles on all areas of pediatric burn care are welcome, from prevention to aspects of acute care and through to rehabilitation, reconstruction, nutrition, psychosocial aspects, etc. Experimental and research articles, case series, up-to-date reviews, and commentaries are all welcome.

Dr. Yaron Shoham
Dr. Yuval Krieger
Guest Editors

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Keywords

  • pediatric burns
  • pediatric burn care
  • children
  • burns
  • prevention
  • surgical treatment
  • acute care
  • rehabilitation
  • nutrition
  • psychosocial

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Published Papers (2 papers)

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Research

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21 pages, 838 KiB  
Article
A Pilot Randomised Controlled Trial Evaluating a Regenerative Epithelial Suspension for Medium-Size Partial-Thickness Burns in Children: The BRACS Trial
by Anjana Bairagi, Zephanie Tyack, Roy Kimble, Dimitrios Vagenas, Steven M. McPhail and Bronwyn Griffin
Eur. Burn J. 2023, 4(1), 121-141; https://doi.org/10.3390/ebj4010012 - 22 Mar 2023
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Abstract
Background: There is little evidence regarding the efficacy of Regenerative Epidermal Suspension (RES™) management for paediatric partial-thickness burns. The Biobrane® RECELL® Autologous skin Cell suspension and Silver dressings (BRACS) Trial evaluated three dressings for the re-epithelialisation of partial-thickness burns in children. [...] Read more.
Background: There is little evidence regarding the efficacy of Regenerative Epidermal Suspension (RES™) management for paediatric partial-thickness burns. The Biobrane® RECELL® Autologous skin Cell suspension and Silver dressings (BRACS) Trial evaluated three dressings for the re-epithelialisation of partial-thickness burns in children. Methods: Eligible children (age ≤ 16 years; ≥5% TBSA; ≤48 h of injury) were randomised to silver dressings, RES™/Biobrane® or Biobrane®. The measured outcomes were the time to re-epithelialisation (primary outcome), pain, itch, intervention fidelity, treatment satisfaction, health-related quality of life, health resource utilisation and adverse effects. Results: The median time to re-epithelialisation in days was no different for RES™/Biobrane® at 12 (IQR: 5.6–18.4; n = 7) and slower by two days for Biobrane® at 14 (IQR: 6.3–21.7; n = 7) when compared to silver dressings 12 (IQR: 3.7–20.3; n = 8). Reduced pain, fewer infections, no sepsis, no skin graft, and the lowest impact on health-related quality of life were reported in the RES™/Biobrane® group compared to other groups. Due to the COVID-19 pandemic, recruitment suspension resulted in a smaller cohort than expected and an underpowered study. Conclusions: The pilot trial findings should be interpreted cautiously; however, they indicate that a fully powered randomised controlled trial is warranted to substantiate the role of RES™ for medium to large paediatric partial-thickness burn management. Full article
(This article belongs to the Special Issue Management of Pediatric Burns)
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Review

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13 pages, 340 KiB  
Review
What Changes Have Occurred in the Pattern of Paediatric Burns in the Last Years with Special Attention to the COVID-19 Pandemic?
by Sophie Y. Mok, Susan E. Adams and Andrew J. A. Holland
Eur. Burn J. 2023, 4(3), 501-513; https://doi.org/10.3390/ebj4030032 - 15 Sep 2023
Cited by 1 | Viewed by 1349
Abstract
Burns in children remain a prominent mode of injury, resulting in considerable morbidity and mortality globally and are a key cause of disability-adjusted life-years. Paediatric burns present a unique challenge, in part due to the developmental, physical and emotional differences between adults and [...] Read more.
Burns in children remain a prominent mode of injury, resulting in considerable morbidity and mortality globally and are a key cause of disability-adjusted life-years. Paediatric burns present a unique challenge, in part due to the developmental, physical and emotional differences between adults and children. Those living in low- and middle-income settings are particularly vulnerable, facing problems such as overcrowding and floor-level cooking. During the COVID-19 pandemic, stay at home orders and the closure of schools and childcare changed the pattern of paediatric injury across the world, resulting in a general increase in trauma-related presentations. This review will examine recent global trends in paediatric burns, including the impact of COVID-19, specifically focusing on the pattern of burn aetiology over the past decade. It will also look at any changes with regard to epidemiological characteristics; burn site, severity and extent; first aid and location; and management and outcomes. Full article
(This article belongs to the Special Issue Management of Pediatric Burns)
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