Japanese Journal of Burn Injuries
Online ISSN : 2435-1571
Print ISSN : 0285-113X
Volume 49, Issue 1
Displaying 1-7 of 7 articles from this issue
Review
  • Amber Young, Anna Davies, Carmen Tsang, Jamie Kirkham, Tom Potokar, Ni ...
    2023 Volume 49 Issue 1 Pages 1-20
    Published: March 15, 2023
    Released on J-STAGE: March 15, 2023
    JOURNAL FREE ACCESS

     OBJECTIVE: To develop a core outcome set for international burn research.
     DESIGN: Development and international consensus, from April 2017 to November 2019.
     METHODS: Candidate outcomes were identified from systematic reviews and stakeholder interviews. Through a Delphi survey, international clinicians, researchers, and UK patients prioritised outcomes. Anonymised feedback aimed to achieve consensus. Pre-defined criteria for retaining outcomes were agreed. A consensus meeting with voting was held to finalise the core outcome set.
     RESULTS: Data source examination identified 1021 unique outcomes grouped into 88 candidate outcomes. Stakeholders in round 1 of the survey, included 668 health professionals from 77 countries (18% from low or low middle income countries) and 126 UK patients or carers. After round 1, one outcome was discarded, and 13 new outcomes added. After round 2, 69 items were discarded, leaving 31 outcomes for the consensus meeting. Outcome merging and voting, in two rounds, with prespecified thresholds agreed seven core outcomes: death, specified complications, ability to do daily tasks, wound healing, neuropathic pain and itch, psychological wellbeing, and return to school or work.
     CONCLUSIONS: This core outcome set caters for global burn research, and future trials are recommended to include measures of these outcomes.

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Case Report
  • Takahiro Yamada, Yuta Tsujimoto, Yu Kuramasu, Nobuhito Nemoto, Kenichi ...
    2023 Volume 49 Issue 1 Pages 21-26
    Published: March 15, 2023
    Released on J-STAGE: March 15, 2023
    JOURNAL FREE ACCESS

     The RECELL® Autologous Skin Cell Harvesting Device generates an autologous skin cell suspension that induces rapid epidermal regeneration and re-epithelialization. The autologous skin cell suspension exhibited comparable results to standard skin grafting as a new treatment for burns with an effective treatment area expansion ratio of up to 80: 1, using significantly less donor skin.
     A 1-year-old girl who had scaled burns of 15% total body surface area, primarily to the anterior chest and abdomen, was treated using split-thickness skin grafting and autologous skin cell suspension on the 26th day after the injury. The area of skin that could be harvested was reduced by 32% compared to standard skin grafting. The burn wound was epithelialized on the 6th day postoperatively. Epithelialization was completed 4 days later using autologous skin cell suspension as a donor site.
     In pediatric burns, autologous skin cell suspension can close wounds using less donor skin area than standard skin grafting and decreases the epithelialization time required for skin harvested wounds.

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  • Kensuke Ikeda, Yasuhiko Kaita, Yuya Tanaka, Kei Yoshikawa, Soichiro Ka ...
    2023 Volume 49 Issue 1 Pages 27-31
    Published: March 15, 2023
    Released on J-STAGE: March 15, 2023
    JOURNAL FREE ACCESS

     Increased platelet counts can cause pseudohyperkalemia; however, its occurrence has not been reported in patients with burns. Herein, we report a case of pseudohyperkalemia due to increased platelet counts in a patient with 13% burn injuries.
     The patient was a man in his 20s. He received a total of 13% burn injuries on the abdomen, back, and right upper and lower extremities. Surgery was performed on the 3rd and 10th days, and epithelialization was successful. His platelet count was 27.6×104/µL upon admission, but increased to 71.7×104/µL on the 16th day. His serum K level was 4.2 mEq/L upon admission, but increased to 5.4 mEq/L on the 14th day. Excessive potassium administration, intracellular release of potassium, and efflux disorder were negative, and plasma K levels were 0.4 mEq/L and 0.6 mEq/L lower than serum levels on the 10th and 17th days, respectively. A diagnosis of pseudohyperkalemia due to increased platelet count was made. The patient was discharged on the 31st day following the burn injury.
     The possibility of pseudohyperkalemia should be considered when patients with burns present with increased platelet counts.

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Nursing Care
  • Saori Muranaka, Shunsuke Makino, Natsuko Makino, Shuji Uemura
    2023 Volume 49 Issue 1 Pages 32-41
    Published: March 15, 2023
    Released on J-STAGE: March 15, 2023
    JOURNAL FREE ACCESS

     In order to elucidate the current state of education on burns and trauma in basic nursing curricula, we conducted an online survey among educators at 265 institutions, covering topics including educator attributes, course content, and educational difficulties. We performed descriptive statistics on quantitative items and qualitative descriptive analysis of free-response items. Forty-nine educators responded (response rate 18.5%). Respondents averaged 15.7±8.7 years of experience teaching nursing, and 11.3±7.5 years of nursing experience. Of these, 31 (63.3%) had clinical burn and/or trauma nursing experience. Approximately 60% of institutions provided education on burns and trauma, but only for an average of approximately one class session. Less than 30% of institutions provided students with clinical training involving burn and/or trauma patients. Course content was focused on medical knowledge and physiological evaluation. Categories of educational difficulties included “difficulties in teaching multifaceted content covering complex pathophysiology,” “difficulties in student understanding,” and “difficulties developing courses conforming to clinical practice.” These results show that there are insufficient opportunities to learn about burns and trauma in basic nursing curricula, and that institutions do not provide sufficient coverage of the care process required for these patients to recover. We believe that continuing education programs should account for these insufficiencies.

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