{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T06:22:50Z","timestamp":1772778170167,"version":"3.50.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Burn injuries significantly impact morbidity and mortality, with early surgical intervention crucial for improving outcomes. However, concomitant traumatic brain injury (TBI) frequently complicates burn management, potentially delaying timely surgical treatment due to neurological concerns. Optimal timing of burn surgery in patients with concurrent TBI remains uncertain, necessitating clearer insights into their clinical outcomes. This retrospective study reviewed burned adults admitted to a Swiss Burn Center between 2014 and 2023. Patients were grouped as burns with TBI, burns alone, burns with other trauma, or electrical burns. Demographics, injury characteristics, timing of surgery, complications, and outcomes were analyzed. Generalized linear models and logistic regression were applied. Among 602 patients, 27 (4.5%) had a TBI. Mortality was highest in this group (22.2%) compared to isolated burns (3.7%), burns with other trauma (7.4%), and electrical burns (4.8%). Surgical delays (&amp;gt;72\u00a0h) occurred only in burn patients with TBI (22.2%), mainly due to hemodynamic instability, intracranial pressure monitoring, or additional trauma. Delayed surgery correlated with more surgical interventions (P = .018) and longer operative times (P = .048). Complications were more frequent: wound infections (48.1%) and graft loss (22.2%) were significantly higher in the TBI group. In conclusion, burns with concomitant TBI define a distinct, high-risk subgroup with increased surgical delays, complications, and mortality. Management requires an interdisciplinary approach, balancing early surgical intervention with neuroprotective strategies to optimize patient outcomes.<\/jats:p>","DOI":"10.1093\/jbcr\/iraf216","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T13:18:11Z","timestamp":1763558291000},"page":"644-653","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Concomitant Traumatic Brain Injuries on the Surgical Treatment of Burns: A Long-Term, Monocentric Retrospective Study"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0973-6084","authenticated-orcid":false,"given":"Mauro","family":"Vasella","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, University Hospital Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2826-0472","authenticated-orcid":false,"given":"Michael-Alexander","family":"Pais","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, University Hospital Zurich , 8091 Zurich ,","place":["Switzerland"]},{"name":"Department of Plastic and Reconstructive Surgery, BG Trauma Center Ludwigshafen, University of Heidelberg , 67071 Ludwigshafen,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4222-2177","authenticated-orcid":false,"given":"Lukas","family":"Naef","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, University Hospital Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5845-031X","authenticated-orcid":false,"given":"Matthias","family":"Haenggi","sequence":"additional","affiliation":[{"name":"Institute of Intensive Care Medicine, University Hospital Zurich and University of Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6682-2424","authenticated-orcid":false,"given":"Giovanna","family":"Brandi","sequence":"additional","affiliation":[{"name":"Institute of Intensive Care Medicine, University Hospital Zurich and University of Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7560-7574","authenticated-orcid":false,"given":"Emanuela","family":"Keller","sequence":"additional","affiliation":[{"name":"Institute of Intensive Care Medicine, University Hospital Zurich and University of Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1039-2098","authenticated-orcid":false,"given":"Victor E","family":"Staartjes","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich and University of Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4639-4474","authenticated-orcid":false,"given":"Luca","family":"Regli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich and University of Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2876-3312","authenticated-orcid":false,"given":"Pietro","family":"Giovanoli","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, University Hospital Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0493-3196","authenticated-orcid":false,"given":"Bong-Sung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, University Hospital Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8953-0862","authenticated-orcid":false,"given":"Flavio","family":"Vasella","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich and University of Zurich , 8091 Zurich ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"2026030600224439800_ref1","doi-asserted-by":"crossref","first-page":"1816","DOI":"10.1016\/j.burns.2023.06.003","article-title":"Early wound excision within three days decreases risks of wound infection and death in burned patients","volume":"49","author":"De La Tejera","year":"2023","journal-title":"Burns"},{"key":"2026030600224439800_ref2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1038\/s41572-020-0145-5","article-title":"Burn injury","volume":"6","author":"Jeschke","year":"2020","journal-title":"Nat Rev Dis Primers"},{"key":"2026030600224439800_ref3","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/S0305-4179(02)00109-2","article-title":"Management of the burned trauma patient: balancing conflicting 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