Evidence map›Paper›PMID 40884473›Full record

SynthesisJournal of burn care & research : official publication of the American Burn Association2026

Topical Heparin in Burns: A Systematic Review and Meta-Analysis of Randomized Controlled Studies.

Moussa Nassar, Mohamed I Mohamed, Maryam Shahid, Rama Taha, Rashed W Alweshah, Marwa R Yousef, Yousra Eltagouri, Diaz G Gustavo

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of burn care & research : official publication of the American Burn Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Moussa NassarGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.ORCID 0009-0001-1580-8091
Mohamed I MohamedAlexandria University, Faculty of Medicine, Alexandria 21526, Egypt.ORCID 0009-0001-8618-1898
Maryam ShahidTbilisi State Medical University, 0186, Georgia.
Rama TahaMediclinic Airport Road Hospital, 48481, UAE.ORCID 0009-0005-2264-045X
Rashed W AlweshahAlexandria University, Faculty of Medicine, Alexandria 21526, Egypt.ORCID 0009-0004-9537-698X
Marwa R YousefAlexandria University, Faculty of Science, Alexandria 21568, Egypt.ORCID 0000-0002-1479-2059
Yousra EltagouriBeth Israel Deaconess Medical Center, Boston, MA 02215, United States.
Diaz G GustavoFacultad de Medicina y Nutrición, Universidad Juarez del Estado de Durango, 34000, Mexico.ORCID 0009-0000-7430-6270

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Burns are associated with significant inflammation and pain. Topical agents like heparin can modulate these processes and improve outcomes. Our study aims to evaluate the effectiveness of using topical heparin (TH) in patients with burns. On August 7, 2024, we conducted a literature search on PubMed, Scopus, and Web of Science. Only randomized controlled studies were included. Data were extracted on analgesic drug usage, bleeding events, sepsis, visual analog scale pain scores, length of hospital stay, and mortality. Statistical analysis was performed using R software (version 4.4.1), heterogeneous data. Seven randomized controlled trials (503 patients; topical heparin: 249, control: 254) were included. Analgesic use (1-2 times/day: RR = 3.04, P = .68; 3-4 times/day: RR = 0.06, P = .18), bleeding (RR = 5.06, P = .37), sepsis (RR = 0.77, P = .40), hospital stay, and mortality (RR = 0.13, P = .90) showed no significant differences. Topical heparin reduced local wound infections by 60% (RR = 0.40, P < .01) and lowered Visual Analog Scale pain scores (MD = -3.34, P < .01). However, sensitivity analysis excluding an outlier nullified the pain reduction (MD = -4.17, P = .57). All studies had a high risk of bias, especially in outcome measurement and randomization. Topical heparin reduces pain and local wound infections in burn patients without having an impact on other outcomes. Evidence is limited by a high risk of bias. Well-designed randomized trials are needed to determine its broader clinical value.

Indexed as

AnticoagulantsBurnsHeparinAdministration, TopicalHumansRandomized Controlled Trials as TopicAnticoagulantsHeparinburnburnsheparintopical heparintopically applied heparin

Identifiers

PMID40884473
PMCPMC12770970

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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.