Academic Journal
Implementing a burns treatment protocol for paediatric patients in secondary hospital settings.
| Τίτλος: | Implementing a burns treatment protocol for paediatric patients in secondary hospital settings. |
|---|---|
| Συγγραφείς: | Givol O; Paediatric Department, Hillel-Yaffe Medical Centre, Hedera, Israel. Electronic address: orgivol@gmail.com., Cleary M; School of Health - Nursing, University of New England, Australia; National Burns Centre, Sheba Medical Centre, Tel Hashomer, Israel., Kornhaber R; School of Health - Nursing, University of New England, Australia; National Burns Centre, Sheba Medical Centre, Tel Hashomer, Israel., Biros E; National Burns Centre, Sheba Medical Centre, Tel Hashomer, Israel; Townsville University Hospital, Townsville, Queensland, Australia; College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia., Klein A; Hillel-Yaffe Medical Centre. Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. |
| Πηγή: | Burns : journal of the International Society for Burn Injuries [Burns] 2026 Jun; Vol. 52 (5), pp. 107989. Date of Electronic Publication: 2026 Mar 30. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8913178 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1409 (Electronic) Linking ISSN: 03054179 NLM ISO Abbreviation: Burns Subsets: MEDLINE |
| Imprint Name(s): | Publication: Amsterdam : Elsevier Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1989- |
| Ιατρικοί όροι (MeSH): | Burns*/therapy , Clinical Protocols*, Analgesics, Opioid/therapeutic use ; Burn Units/organization & administration ; Procedural Sedation/methods ; Procedural Sedation/statistics & numerical data ; Analgesics, Non-Narcotic/therapeutic use ; Wound Infection/epidemiology ; Pain Management/methods ; Length of Stay/statistics & numerical data ; Humans ; Child ; Retrospective Studies ; Child, Preschool ; Female ; Male ; Infant ; Adolescent |
| Περίληψη: | Purpose: This study aimed to assess the impact of a defined treatment protocol for burns treatment in paediatric patients, who are admitted to the paediatric department and are managed by paediatricians and paediatric nurse staff, without surgical consultations. Methods: Using a retrospective cohort design, we analysed paediatric patients admitted to Hillel-Yaffe Medical Centre for partial-thickness burns from January 2019 to December 2023. The treatment protocol was established in May 2020. All patients admitted before were treated according to general surgical consultation. From May 2020, treatment was conducted according to the local protocol developed. Data were initially analysed using descriptive statistics, including year-over-year analysis, and further examined with the patient-level interrupted time-series method. Results: Patient numbers increased from 13 during the 16 months prior to May 2020 to 139 during the 44 months thereafter, with non-opioid analgesic treatment extending from 0.7 to 2.7 days. Opioid usage declined from 2.5 doses per patient in 2020 to 0.24 in 2023 as non-opioid use rose. All patients received procedural sedation according to protocol, compared to no sedation (from any type) beforehand. Burn site infections declined from 38.4% to 25.1%, while transfers to the burn centre remained similar (7.6-8.6%), and caregiver treatment refusal decreased from 38.5% to 8.6%. Patient-level interrupted time-series analysis suggested immediate increases in opioid doses, procedural sedations, and length of stay at protocol implementation (all p < 0.08), but no significant change in burn-site infection rate (adjusted OR 0.49, 95% CI 0.04-6.05, p = 0.581). Conclusion: Treatment of paediatric patients with partial-thickness burns by paediatricians in secondary hospital settings is feasible with a defined protocol, resulting in marked increases in analgesic use, and the use of mechanical debridement and advanced dressing technology. There has been no rise in the need for burn centre transfers due to complications, and parental trust has increased, as evidenced by declining treatment refusals. (Copyright © 2026 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Competing Interests: | Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Burns; Electrospinning technology; Paediatric; Pain management; Treatment protocol |
| Substance Nomenclature: | 0 (Analgesics, Opioid) 0 (Analgesics, Non-Narcotic) |
| Entry Date(s): | Date Created: 20260407 Date Completed: 20260714 Latest Revision: 20260714 |
| Update Code: | 20260715 |
| DOI: | 10.1016/j.burns.2026.107989 |
| PMID: | 41946625 |
| Βάση Δεδομένων: | MEDLINE |
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