Evidence map›Paper›PMID 24986597›Full record

ReviewBurns : journal of the International Society for Burn Injuries2015

The burn wound exudate-an under-utilized resource.

Alan D Widgerow, Kassandra King, Ilaria Tocco-Tussardi, Derek A Banyard, Ryan Chiang, Antony Awad, Hassan Afzel, Shweta Bhatnager, Satenik Melkumyan, Garrett Wirth and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Burns : journal of the International Society for Burn Injuries, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
  2. Review
  3. Burn Progression in Human Skin-A Review of Current Knowledge and Opportunities for Future Research.Journal of burn care & research : official publication of the American Burn Association · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Melatonin/Sericin Wound Healing Patches: Implications for Melanoma Therapy.International journal of molecular sciences · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Alan D WidgerowDirector Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States. Electronic address: awidgero@uci.edu.
Kassandra KingResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Ilaria Tocco-TussardiResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Derek A BanyardResearch Fellow Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Ryan ChiangResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Antony AwadResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Hassan AfzelResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Shweta BhatnagerResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Satenik MelkumyanResearcher Center for Tissue Engineering, Plastic Surgery Dept, University of California, Irvine, United States.
Garrett WirthPlastic Surgery Dept, University of California, Irvine, United States.
Gregory R D EvansPlastic Surgery Dept, University of California, Irvine, United States.
University of California, Irvine · US

Funding

Institute for Clinical and Translational ScienceUL1TR000153 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M · 2012 to 2015
$12.1M
NCATS NIH HHS UL1 TR000153
6 · The paper itself

Abstract

introductionThe burn wound exudate represents the burn tissue microenvironment. Extracting information from the exudate relating to cellular components, signaling mediators and protein content can provide much needed data relating to the local tissue damage, depth of the wound and probable systemic complications. This review examines the scientific data extracted from burn wound exudates over the years and proposes new investigations that will provide useful information from this underutilized resource.

methodA literature review was conducted using the electronic database PubMed to search for literature pertaining to burn wound or blister fluid analysis. Key words included burn exudate, blister fluid, wound exudate, cytokine burn fluid, subeschar fluid, cytokine burns, serum cytokines. 32 relevant articles were examined and 29 selected as relevant to the review. 3 papers were discarded due to questionable methodology or conclusions. The reports were assessed for their affect on management decisions and diagnostics. Furthermore, traditional blood level analysis of these mediators was made to compare the accuracy of blood versus exudate in burn wound management. Extrapolations are made for new possibilities of burn wound exudate analysis.

resultsStudies pertaining to burn wound exudate, subeschar fluid and blister fluid analyses may have contributed to burn wound management decisions particularly related to escharectomies and early burn wound excision. In addition, information from these studies has the potential to impact on areas such as healing, scarring, burn wound conversion and burn wound depth analysis.

conclusionBurn wound exudate analysis has proven useful in burn wound management decisions. It appears to offer a far more accurate reflection of the burn wound pathophysiology than the traditional blood/serum investigations undertaken in the past. New approaches to diagnostics and treatment efficacy assessment are possible utilizing data from this fluid. Burn wound exudate is a useful, currently under-utilized resource that is likely to take a more prominent role in burn wound management.

Indexed as

BandagesBurnsCicatrixCytokinesExudates and TransudatesHumansWound HealingCytokinesBlisterBurn fluidCytokinesDiagnosticsExudateSubeschar fluid

Identifiers

PMID24986597
PMCPMC4277734
OpenAlexW2121111322

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.