Evolving burn care: the transition from life preservation to life restoration - a narrative review
Over the past years, burn care has evolved from a discipline focused on survival to one centered on restoring long-term health, function, and quality of life. Significant advances in critical care, early excision and grafting, infection control, and metabolic support have transformed survival outcom...
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| Autores principales: | , , , , , , , , , , , |
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| Formato: | Article (Journal) |
| Lenguaje: | inglés |
| Publicado: |
18 April 2026
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| In: |
Journal of Clinical Medicine
Year: 2026, Volumen: 15, Número: 8, Pages: 1-15 |
| ISSN: | 2077-0383 |
| DOI: | 10.3390/jcm15083102 |
| Acceso en línea: | Verlag, kostenfrei, Volltext: https://doi.org/10.3390/jcm15083102 Verlag, kostenfrei, Volltext: https://www.mdpi.com/2077-0383/15/8/3102 
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| Notas de Autor: | Tobias Niederegger, Jule Brandt, Thomas Schaschinger, Alen Palackic, Valentin Haug, Felix Klimitz, Ulrich Kneser, Christoph Hirche, Benjamin Ziegler, Martin Aman, Leila Harhaus-Wähner and Gabriel Hundeshagen |
| Sumario: | Over the past years, burn care has evolved from a discipline focused on survival to one centered on restoring long-term health, function, and quality of life. Significant advances in critical care, early excision and grafting, infection control, and metabolic support have transformed survival outcomes for even the most severe injuries. As a result, the field now faces a new frontier: understanding and managing the long-term physical, psychological, and systemic sequelae of survival. This review traces the evolution of burn care over the last century and outlines the challenges and priorities for the next 25 years. The first era of progress, defined by innovations in resuscitation, surgery, and critical care, has given rise to a growing cohort of long-term survivors. Research over the past decade has revealed that major burns induce chronic multisystem alterations, including metabolic, cardiovascular, neurocognitive, and immunological dysfunctions. Emerging concepts such as burn-associated heart failure exemplify this shift from acute to chronic disease understanding. Looking ahead, the future of burn medicine lies in personalized and lifelong care, supported by translational research, digital health, regenerative therapies, and interdisciplinary collaboration. Overall, burn care stands at a pivotal crossroads. By integrating precision medicine, rehabilitation science, and psychosocial care, we aim to move the field from survival toward sustained, holistic recovery over the next 25 years. |
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| Notas: | Veröffentlicht: 18. April 2026 Gesehen am 10.06.2026 |
| Descripción Física: | Online Resource |
| ISSN: | 2077-0383 |
| DOI: | 10.3390/jcm15083102 |