Evidence map›Paper›PMID 39576769›Full record

ArticlePloS one2024

Characteristics, treatments and outcomes in patients with severe burn wounds; a 10 year cohort study on acute and reconstructive treatment.

Lucindi Smit, Anouk Pijpe, Cindy Nguyen, Tara Hartsuiker, Matthea Stoop, Anouk van Heel, Eelke Bosma, Cornelis H van der Vlies, Paul P M van Zuijlen, Margriet E van Baar and 2 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Lucindi SmitDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Anouk PijpeDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Cindy NguyenDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Tara HartsuikerAlliance of Dutch Burn Care (ADBC) and Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.
Matthea StoopAlliance of Dutch Burn Care (ADBC) and Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.
Anouk van HeelAlliance of Dutch Burn Care (ADBC) and Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.ORCID https://orcid.org/0009-0006-3511-574X
Eelke BosmaAlliance of Dutch Burn Care (ADBC) and Burn Centre, Martini Hospital, Groningen, The Netherlands.
Cornelis H van der VliesAlliance of Dutch Burn Care (ADBC) and Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands.
Paul P M van ZuijlenDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Margriet E van BaarAlliance of Dutch Burn Care (ADBC) and Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5823-7375
Esther MiddelkoopDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-8843-1080
Dutch Burn Repository group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports on treatment characteristics and long term outcomes for severe burns are scarce, while the need to compare outcomes of novel treatment modalities to standard of care is increasing. Our national database on burn treatment enabled analysis of patient as well as treatment characteristics during acute treatment and following reconstructive procedures. Furthermore, outcome data of longitudinal scar assessments were analysed from a single burn centre database. Acute and reconstructive data were analysed for patients admitted to the three Dutch burn centres with total body surface area burned of ≥ 20% TBSA. Long term outcome was analysed from a single centre scar database, both for a period of 2009-2019. Treatment characteristics from 396 surviving acute burn patients were analysed. Surgical treatment was required in 89.6% of these patients and 110 patients (27.8%) needed reconstructive surgery in the years after the burn incident, with a mean of 4.4 reconstructive procedures per patient. Main indications were contractures (70.5%) and arms (45.0%) and head and neck region (41.2%) were most frequently affected. Techniques used for reconstructive corrections were predominantly excision, release and flaps (54.7%), followed by skin transplants (32.4%). Scar quality was significantly worse in patients with more severe burns compared to those with TBSA < 20% during prolonged times. These data provide insight into health care utilization, treatment characteristics and outcomes in severely burned patients. These real-world data can guide future development of improved treatment strategies for at risk patients as well as anatomical locations.

Indexed as

BurnsCicatrixPlastic Surgery ProceduresAdolescentAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedNetherlandsSkin TransplantationSurgical FlapsTreatment OutcomeYoung Adult

Identifiers

PMID39576769
PMCPMC11584074

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Registered trials

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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.