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Body image in paediatric burns: a review 认领
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作者 Ian C.C.King 《烧伤与创伤》 2018年第2期93-98,共6页
Burn injuries in children can result in life-long disfigurement. As medical and surgical techniques of burn management improve survival prospects more than ever before, body image adjustment is increasingly a central ... Burn injuries in children can result in life-long disfigurement. As medical and surgical techniques of burn management improve survival prospects more than ever before, body image adjustment is increasingly a central consideration in the care of burn-injured individuals. An appreciation that both physiological and psychosocial processes underpin such injuries is key to understanding wound healing. Perceptions of idealized body images in Western society challenge children and their families as they grow up with and adapt to disfigurement from burns. Whilst many studies have examined the psychosocial recovery of adults with burn injuries, few have considered the impact on burn-injured children. This paper explores the models of body image and discusses the relevance of these to research and practice in understanding how to manage burns in children. 展开更多
关键词 BURNS BODY image CHILDREN PAEDIATRIC BURNS WOUND HEALING
Prospective randomised controlled trial of Algisite? M, Cuticerin?, and Sorbact? as donor site dressings in paediatric split-thickness skin grafts 认领
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作者 Craig A.McBride Roy M.Kimble Kellie A.Stockton 《烧伤与创伤》 2018年第4期297-306,共10页
Background:This is a parallel three-arm prospective randomised controlled trial (RCT) comparing Algisite?M, Cuticerin?, and Sorbact? as donor site dressings in paediatric split-thickness skin grafts (STSG). All three ... Background:This is a parallel three-arm prospective randomised controlled trial (RCT) comparing Algisite?M, Cuticerin?, and Sorbact? as donor site dressings in paediatric split-thickness skin grafts (STSG). All three were in current use within the Pegg Leditschke Children's Burn centre (PLCBC), the largest paediatric burns centre in Queensland, Australia. Our objective was to find the best performing dressing, following on from previous trials designed to rationalise dressings for the burn wound itself. Methods:All children for STSG, with thigh donor sites, were considered for enrolment in the trial. Primary outcome measures were days to re-epithelialisation, and pain. Secondary measures were cost, itch, and scarring at 3 and 6 months. Patients and parents were blinded to group assignment. Blinding of assessors was possible with the dressing in situ, with partial blinding following first dressing change. Blinded photographic assessments of re-epithelialisation were used. Scar assessment was blinded. Covariates for analysis were sex, age, and graft thickness (as measured from a central biopsy). Results:There were 101 patients randomised to the Algisite?M (33), Cuticerin?(32), and Sorbact? (36) arms between April 2015 and July 2016. All were analysed for time to re-epithelialisation. Pain scores were not available for all time points in all patients. There were no significant differences between the three arms regarding pain, or time to re-epithelialisation. There were no significant differences for the secondary outcomes of itch, scarring, or cost. Regression analyses demonstrated faster re-epithelialisation in younger patients and decreased donor site scarring at 3 and 6 months with thinner STSG. There were no adverse effects noted. Conclusions:There are no data supporting a preference for one trial dressing over the others, in donor site wounds (DSW) in children. Thinner skin grafts lead to less donor site scarring in children. Younger patients have faster donor site wound healing. Trial registration:Australia a 展开更多
关键词 Split-thickness skin graft Donor site wound PAEDIATRIC BURNS ALGINATE Algisite?M Cuticerin? Sorbact?
Long-term mental health outcomes after unintentional burns sustained during childhood:a retrospective cohort study 认领
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作者 Janine M.Duke Sean M.Randall +4 位作者 Thirthar P.Vetrichevvel Sarah McGarry James H.Boyd Suzanne Rea Fiona M.Wood 《烧伤与创伤》 2018年第4期269-278,共10页
Background:Burns are a devastating injury that can cause physical and psychological issues. Limited data exist on long-term mental health (MH) after unintentional burns sustained during childhood. This study assessed ... Background:Burns are a devastating injury that can cause physical and psychological issues. Limited data exist on long-term mental health (MH) after unintentional burns sustained during childhood. This study assessed long-term MH admissions after paediatric burns. Methods:This retrospective cohort study included all children (<18 years) hospitalised for a first burn (n=11,967) in Western Australia, 1980–2012, and a frequency matched uninjured comparison cohort (n=46,548). Linked hospital, MH and death data were examined. Multivariable negative binomial regression modelling was used to generate incidence rate ratios (IRR) and 95%confidence intervals (CI). Results:The burn cohort had a significantly higher adjusted rate of post-burn MH admissions compared to the uninjured cohort (IRR, 95%CI:2.55, 2.07–3.15). Post-burn MH admission rates were twice as high for those younger than 5 years at index burn (IRR, 95%CI 2.06, 1.54–2.74), three times higher for those 5–9 years and 15–18 years (IRR, 95%CI:3.21, 1.92–5.37 and 3.37, 2.13–5.33, respectively) and almost five times higher for those aged 10–14 (IRR, 95%CI:4.90, 3.10–7.76), when compared with respective ages of uninjured children. The burn cohort had higher admission rates for mood and anxiety disorders (IRR, 95%CI:2.79, 2.20–3.53), psychotic disorders (IRR, 95%CI:2.82, 1.97–4.03) and mental and behavioural conditions relating to drug and alcohol abuse (IRR, 95%CI:4.25, 3.39–5.32). Conclusions:Ongoing MH support is indicated for paediatric burn patients for a prolonged period after discharge to potentially prevent psychiatric morbidity and associated academic, social and psychological issues. 展开更多
关键词 PAEDIATRIC BURNS Depression Anxiety Substance ABUSE Longitudinal study Mental health
文章速递Paediatric burns secondary to nail adhesives: a case series 认领
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作者 Claire Coles Muhammad Umair Javed +1 位作者 Sarah Hemington Gorse Dai Nguyen 《烧伤与创伤》 SCIE 2016年第3期251-253,共3页
Background:Nail adhesives are widely available beauty products that are used in the cosmetic industry and households to attach false nails.Nail adhesive burns are uncommon,and it is crucial that healthcare providers a... Background:Nail adhesives are widely available beauty products that are used in the cosmetic industry and households to attach false nails.Nail adhesive burns are uncommon,and it is crucial that healthcare providers and the public are aware of its potential to cause chemical burn.Case Presentation:Case series of accidental burns secondary to cyanoacrylate nail glue treated at the Welsh Centre for Burns and Plastic Surgery(WCBPS)in Swansea,United Kingdom.Conclusion:All of the burns were observed in children and occurred due to accidental spillage.Therefore,it is important for the public to be aware that nail glue is a chemical agent which should be stored safely away from the reaches of young children.The case series highlights the importance of first aid in reducing the severity of chemical burns secondary to the nail adhesives,and its early recognition and treatment are emphasised. 展开更多
关键词 Nail adhesive Nail glue Chemical burn First aid Paediatric burns
瑞金医院灼伤整形科2003—2012年住院儿童烧伤流行病学研究 认领 被引量:17
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作者 原博 缪明远 +1 位作者 杨惠忠 郇京宁 《上海交通大学学报:医学版》 CAS CSCD 北大核心 2015年第4期535-539,共5页
目的回顾瑞金医院灼伤整形科2003—2012年收治烧伤儿童的临床资料,掌握流行病学规律,为减少儿童烧伤发生率寻找有效介入途径。方法归纳总结2003—2012年0~14岁烧伤儿童的住院病史,研究指标包括患者一般情况、烧伤类型、烧伤程度及部位... 目的回顾瑞金医院灼伤整形科2003—2012年收治烧伤儿童的临床资料,掌握流行病学规律,为减少儿童烧伤发生率寻找有效介入途径。方法归纳总结2003—2012年0~14岁烧伤儿童的住院病史,研究指标包括患者一般情况、烧伤类型、烧伤程度及部位、烧伤面积、是否接受手术、住院天数等。结果共纳入患者1 844例,其中1 112例(60.3%)来自外来务工人员家庭;2008—2012年患者数为2003—2007年的2倍,以0~3岁居多,占73.8%;各年龄群中,热液烧伤仍为最主要烧伤类型;春季(29.6%)及夏季(26.7%)烧伤发生率较高。1 015例患儿烧伤累及上肢;575例患儿接受植皮等手术治疗;平均住院时间为11 d;共有7例电击伤行截肢(指)术;死亡7例,6例为热液烧伤,1例为火焰烧伤。结论绝大多数烧伤儿童(及重度烧伤)来自外来务工人员家庭;随着上海市常住人口的增长,烧伤患儿人数也在逐年增多;重点针对外来务工人员家庭尤其是0~3岁儿童家庭的烧伤安全教育可能是减少儿童烧伤发生的有效手段。 展开更多
关键词 儿童烧伤 流行病学 烧伤防治
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应用皮肤原位再生复原技术治疗小儿烧伤 认领 被引量:2
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作者 田仁宽 张文涛 李宽民 《中国烧伤创疡杂志》 2012年第5期379-380,383共3页
目的回顾性总结皮肤原位再生复原技术(MEBT/MEBO)治疗小儿烧伤的临床疗效。方法自2007年5月至2010年5月间,笔者根据小儿不同时期的烧伤创面特点,选取58例小儿烧伤创面应用MEBT/MEBO进行规范换药及全身治疗。结果58例小儿烧伤创面... 目的回顾性总结皮肤原位再生复原技术(MEBT/MEBO)治疗小儿烧伤的临床疗效。方法自2007年5月至2010年5月间,笔者根据小儿不同时期的烧伤创面特点,选取58例小儿烧伤创面应用MEBT/MEBO进行规范换药及全身治疗。结果58例小儿烧伤创面全部上皮化愈合,其中浅Ⅱ度一深Ⅱ度创面10d-18d平皮愈合:浅Ⅲ度-深Ⅲ度创面25d-40d愈合,有轻度瘢痕形成与轻度功能障碍。结论应用MEBT/MEBO治疗小儿烧伤.均实现了创面原位再生复原,减少了患儿痛苦,减轻了瘢痕形成,缩短了治疗时间,是治疗小儿烧伤创面的理想方法。 展开更多
关键词 小儿烧伤 皮肤原位再生复原技术
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文章速递Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study 认领
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作者 Ceri Elisabeth Battle Vanessa Evans +3 位作者 Karen James Katherine Guy Janet Whitley Phillip Adrian Evans 《烧伤与创伤》 SCIE 2016年第3期245-250,共6页
Background:Variation in the incidence and mechanism of thermal injury has been reported in different age groups in children.The aim of this study was to report the incidence,mechanisms,and environmental factors of all... Background:Variation in the incidence and mechanism of thermal injury has been reported in different age groups in children.The aim of this study was to report the incidence,mechanisms,and environmental factors of all burns presentations to the emergency department(ED)of a regional burns centre over a 7-year period.Methods:A retrospective,chart review study of all burns presentations to the ED of a regional burns centre in South Wales was conducted.All children recorded as having sustained a burn or scald,aged less than 16 years were included in the analysis.Subjects’demographics were analysed using descriptive statistics,and comparisons were made between patients aged less than 5 and patients aged 5-16 using chi-square test and Mann-Whitney U test.Results:A total of 1387 cases were included in the final analysis.Scalds were the most common thermal injury with 569(41.0%)reported,followed by contact burns in 563(40.6%)patients.The patients requiring hospitalisation were significantly younger(2 vs 3 years;p<0.001)and had a higher rate of non-accidental injury(10 vs 4;p<0.001).The most commonly injured site in both age groups was a hand or digit.Conclusions:Scalds and contact burns were the most commonly reported thermal injury in children aged less than 16.Common mechanisms were hot beverages,hobs and hair straighteners,highlighting further burn prevention strategies are needed and good-quality prospective studies that investigate the effectiveness of such strategies. 展开更多
关键词 Burns epidemiology Paediatrics Emergency department
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