Evidence map›Paper›PMID 36714389›Full record

ArticlePlastic and reconstructive surgery. Global open2023

Enzymatic Debridement in Severe Burn COVID-19 Patients: A Case Series.

Francesco Coletta, Crescenzo Sala, Giovanna Paola De Marco, Ilaria Mataro, Carlo Petroccione, Pietro Bonagura, Rossella Pirolli, Giuseppe Foreste, Antonio Tomasello, Romolo Villani

Open access · goldAbstract readCase Reports
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 47% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. 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

10 authors at 1 institution in 1 country.

Francesco ColettaEmergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Crescenzo SalaEmergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Giovanna Paola De MarcoCovid 19 Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Ilaria MataroDepartment of Burn Unit and Plastic Surgery, "A.O.R.N. A. Cardarelli", Naples, Italy.
Carlo PetroccioneDepartment of Burn Unit and Plastic Surgery, "A.O.R.N. A. Cardarelli", Naples, Italy.
Pietro BonaguraCovid 19 Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Rossella PirolliAnesthesia, Emergency and Intensive Care Unit, ASL Caserta, PO San Giuseppe Moscati - Aversa, Italy.
Giuseppe ForesteEmergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Antonio TomaselloEmergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Romolo VillaniEmergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, "A.O.R.N. A. Cardarelli", Naples, Italy.
Ospedale Antonio Cardarelli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The presence of a high number of positive SARS-CoV-2 patients is found daily in the emergency room database, finding evidence of infection also in trauma and burns. Surgical debridement remains the gold standard for eschar removal, but it does not come without complications such as bleeding and high heat loss. In recent years, there has been an increase in the use of enzymatic debridement techniques, replacing surgical escharotomy. Early eschar removal is proven to be important; it has been proved that an early and effective burn treatment in COVID-19 patients can reduce other infection. Five clinical cases of patients arrived at our COVID-19 Major Burns Intensive Care Unit. On admission, burns extension and depth were assessed by an expert burn surgeon. We evaluated eschar removal modality, adverse events, and potential side effects. Enzymatic debridement was efficient in all patients treated with complete eschar removal, and no serious adverse events. All patients were treated within 24 hours of arrival at our facility with Nexobrid by specialized personnel in deep sedation and with O

Identifiers

PMID36714389
PMCPMC9875794
OpenAlexW4317952677

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.