Appendix 8. Demographic, Clinical Characteristics, Analysis of Burns, Target Symptoms and Adverse Events of Included Studies

Country/Year Sample size: (persons) All(/All-Male/All-Female) E/E-Male/E-Female C/C-Male/C-Female Etc. Age E C Etc. Cause of burn (persons) E C Burn degree (persons) E C %TBSA E C Target symptoms Treatment E C Outcomes Adverse Events(AEs)
China/200114) 60 30/14/16 30/13/17(healthy 10/No mention/ No mention) 35.5(16-45)36.7(18-51) No mention No mention 41.6±13.7(3rd: 24.7±9.1)40.8±12.6(3rd: 24.8±10.2) Vascular endothelial cell Astragalus saponin injectionNormal Saline Blood level of circulatory endothelial cell(CEC), Nitric oxide(NO), Endothelin(ET), Angiotensin-coverting enzyme(ACE), Lactate dehydrogenase(LDH), Alanine transaminase(ALT) No mention
Lebanon/200246) 40 20(final 19)/13/620(final 17)/11/6 17.1±13.68(5-45)21.79±15.48(5-54) Scald: 11, Flame: 8Scald: 8, Flame: 10 No mention 11.53±3.55(5-17)11.43±5.58(7-20) Benefit-cost analysis MEBO standard local therapy Overall cost(direct/ indirect; hospitalizations duration and cost, physician/nurse time, topical treatment, systemic antibiotics, analgesics, other medications, laboratory services, medical materials) No mention
China/200215) 3015/11/415/10/5(healthy 15/10/5) 32.8±10.5 (17-56) 34.3±11.1 (16-54)H: 32.5±11.5 (20-50) No mention No mention 70.1±13.7(50-96), 3rd: 21.1±9.9(5-45)68.5±13.0(52-94), 3rd: 19.8±11.4(6-40) Immunefunction conventional therapy + Qinghuo baidu yinconventional therapy Immunological indices, including peripheral blood T lymphocyte subsets, immunoglobin(IgG, IgA and IgM) and complement(C3 and C4), BT, HR, RR, SIRS index n/a
China/ 200325) 12/9/3*40/20/20(part) 21±15(14-54) No mention No mention No mention Pain Dermal needle + MEBO MEBO Rash, itching, pain, tension, affected area color, skin elasticity, joint contracture No mention
Singapore /200347) 111 54/40/14 57/42/15 38.2(7-68)33.8(11-68) Flame: 29, Water scald: 20, Oil scald: 5Flame: 27, Water scald: 22, Oil scald: 8 No mention 10.5(1.5-37.5)8.5(1.5-32.0) Pain MEBO conventional treatment VRS(pain) No mention
China/200423) 100(/No mention/No mention)20(GA)/No mention/No mention20(GB)/No mention/No mention20(GC)/No mention/No mention20(GD)/No mention/No mention20/No mention/ No mention No mention 2nd No mention V/S GA: dressing change immediately after needle change, needle removed 5 min after changeGB: dressing change immediately after needle, needle removed when pain drop to 10%GC: (12 needles) dressing change after acupuncture treatment, needle removal after 5 min of acupuncture treatmentGD: dressing change after acupuncture 12 hours, needle removal when pain drop to 10% RR, HR, BP, Oxygen saturation, pain levels No mention
China/200422) 100/56/4420(G1)/No mention/No mention20(G2)/No mention/No mention20(G3)/No mentionNo mention20(G4)/No mention/No mention20/No mention/No mention 35.0±15.2 No mention 2nd No mention Pain(dressing) G1: dressing change immediately after needle change, needle removed 5 minutes after changeG2: dressing change immediately after needle, needle removed when pain is relievedG3: (12 needles) dressing change after acupuncture treatment, needle removal after 5 minutes of acupuncture treatmentG4: dressing change after acupuncture 12 hours, needle removal when pain disappears Changhai pain scale No mention
China/200612) 598298/174/124300/No mention/No mention 22±11(17 months-55)24±11 Hot water: 51, Flame: 151, Gas: 88, etc.: 8No mention 3rd 68±19(3rd: 22±6)71±20(3rd: 24±8) Survival rate MEBOSSD Bacterial culture of blood, wound secretions, subcutaneous tissue and subcutaneous exudate, sepsis, wound aggravation, malnutrition, electrolyte disturbances, renal failure, lung infection, liver failure, gastrointestinal stress ulcer bleeding, myocarditis, mortality n/a
China/200613) 2010/10/010/9/1 39±741±14 Hot water: 1,Flame: 9Hot water: 2,Flame: 8 No mention 62±17 (D 2nd: 18±12, 3rd: 40±17)55±22 (D 2nd: 34±8, 3rd: 19±18) Shock heart 40㎖ Shengmai injection + 250㎖ 50g/L glucose injection liquid290㎖ 50g/L glucose injection liquid Creatine kinase-MB(CK-MB), LDH, cardiac troponin I(cTnI) No mention
China /200816) 5232/21/11(Acute stress gastrointestinal mucosal hemorrhagic lesion(ASGMHL): 18, toxic enteroparalysis(TE): 14)20/13/7(ASGMHL: 11, TE: 9) 24.76±12.21(10-57)25.07±11.97(11-55) No mention No mention 53.10±14.1352.65±14.54 Digestive disorder Kangyanling + OmeprazoleOmeprazole pH value in gastric mucosa, hemostasis effects, anti-paralysis effects n/a
China /200921) 20/12/8* 23.80±6.32(18-32) No mention No mention No mention Hypertrophic scar(scar color, thickness, firmness, pain, itching) Plum Blossom Needleconventional scar therapy VEGF, CD34 No mention
Iran /200933) 30/25/5 * 33±11 No mention 2nd 19.8±7.9(10-40) Wound healing Aloe vera cream SSD Wound swab culture, signs of infection, size, and rate and nature of epithelialization, healing percentage of the wound, the healing time No mention
China /201017) 12870/45/2558/50/8 38.6(18-60)37.9(20-59) Flame: 34, Iron: 28, Chemical: 8Flame: 26, Hot water: 12, Iron: 16, Chemical: 4 2nd and/or 3rd 57.6(30-75) Residual wounds 7.4(3-18)56.5(30-70) Residual wounds 6.9(2-16) Pain, wound healing, Scar Herbal bath bomb(Burn No. 1 prescription) SSD Verbal rating scale(VRS), wound healing time, scar incidence rate n/a
Greece /201150) 211 104/60(D: 30, S: 30)/71(D: 30, S: 41)107/71(D: 30, S: 41)/36(D: 22, S: 14) 42.62±13.32 (D: 40.32±13.3, S: 44.74±13.92)42.72±14.58(D: 43.94±15.16, S: 41.35±13.08) Flame: 56, Scald: 48 (D: Flame: 27, Scald: 23, S: Flame: 31, Scald: 23)Flame: 57, Scald: 50 (D: Flame: 26, Scald: 26, S: Flame: 31, Scald: 24) 1st: 1, 2nd: 17, 3rd: 69, 4th: 17 (D: 1st: 1, 2nd: 8, 3rd: 35, 4th: 6, S: 1st: 0, 2nd: 9, 3rd: 34, 4th: 11)1st: 2, 2nd: 21, 3rd: 71, 4th: 13 (D: 1st: 2, 2nd: 11, 3rd: 34, 4th: 5, S: 1st: 0, 2nd: 9, 3rd: 38, 4th: 8) 10.26±4.37(5-15), (D: 9.74±4.84(5-15), S: 10.74±3.87(5-15)9.89±4.89(5-15), (D: 10.04±4.59(5-15), S: 9.75±3.87(5-15)) Cost effectiveness MEBOPovidone iodine + bepanthenol cream VAS(pain), Clinical evaluation of the appearance of burn limits, Percentage of complications, Mean reduction- in days- of in-hospital stay, TEWL indicator, cost No mention
China /201128) 40 22/14/818/12/6(healthy 10/No mention/No mention) 42.29±17.53 39.69±12.57 No mention 2nd and 3rd 29.38±10.5527.63±11.04 Pain(dressing), blood glucose, insulin, cortisol PuerarinNormal saline VAS(pain), blood glucose, insulin, and cortisol, Isolation of PBMCs, Immunohistochemistry, RT-PCR No mention
Netherlands /201251) 38 17/14/3 22/12/10 3637.9 n/a n/a 9.4(0–10: 11, 11–25: 5, >25: 0)9.4(0–10: 14, 11–25: 7, >25: 0) Pain, anxiety, cortisol Therapeutic touchNursing presence BSPAS, Visual Analog Thermometer(VAT, an adapted version of the VAS; pain), Saliva cortisol, Pain medication, Post hoc semi-structured interviews No mention
Iran /201334) 10050/36/1450/36/14 <20: 3, 20-29: 22, 30-39: 8, 40-49: 11, 50-60: 6<20: 4, 20-29: 21, 30-39: 10, 40-49: 11, 50-60: 4(persons) Flame: 39, Scald: 11Flame: 43, Scald: 7 2nd and/or 3rd 9-15: 9, 16-20: 17, 21-25: 8, 26-30: 9, 31-35: 79-15: 10, 16-20: 17, 21-25: 5, 26-30: 10, 31-35: 8(persons) Anxiety of pain(dressing) Jaw relaxation Usual care BSPAS No mention
China /201329) 3217/10/715/10/5(healthy 10/6/4) 39.71±3.2440.20±9.53H: 29.71±5.24 No mention 2nd and 3rd 31.27±9.84NS: 28.34±12.31H: 0 Pain(dressing), V/S PuerarinNormal saline VAS(pain), HR, RR, interleukin(IL)-1, IL-4 levels in blood samples, as well as expression of P2X7 receptor messenger RNA(mRNA) and protein in peripheral blood mononuclear cells(PBMCs) No mention
Iran /201435) 10050/36/1450/36/14 <20: 3, 20-29: 22, 30-39: 8, 40-49: 11, 50-60: 6<20: 4, 20-29: 21, 30-39: 10, 40-49: 11, 50-60: 4(persons) Flame: 39, Scald: 11Flame: 43, Scald: 7 2nd and/or 3rd 9-15: 9, 16-20: 17, 21-25: 8, 26-30: 9, 31-35: 79-15: 10, 16-20: 17, 21-25: 5, 26-30: 10, 31-35: 8(persons) Pain(dressing) Jaw relaxationUsual care Demographic Questionnaire, VAS(pain) No mention
China /201430) 240120(S: 72, D: 48)/103(S: 62, D: 41)/17(S: 10, D: 7)120(S: 72, D: 48)/101(S: 60, D: 41)/19(S: 12, D: 7) S: 33.00±10.22, D: 35.58±11.77S: 31.89±10.77, D: 32.35±8.70 S: Scald: 34, Flame: 32, Chemical: 1, Others: 5, D: Scald: 14, Flame: 26, Chemical: 2, Others: 6S: Scald: 40, Flame: 29, Chemical: 1, Others: 2, D: Scald: 14, Flame: 29, Chemical: 2, Others: 3 S or D 2nd S: 7.04±3.41, D: 6.54±2.06S: 6.85±3.21, D: 6.94±2.59 Wound healing Common burn wound therapy + FXBOCommon burn wound therapy Healing rate, healing time, effective rate, safety data 26/ No drug-related AEs
Iran /201636) 45/Mostly were women * 39.9±15.6 Hot liquids: 30, Direct flame: 14, Contact burn: 1 2nd 3.7±2.4(1-13) Itching, pain, wound healing Arnebia euchroma ointment SSD General Wound Appearance(GWA), Wound size, percentage of wound healing, VAS(Itching, pain, burning, and warmth, Satisfaction) n/a
China /201631) 74/65/9 * 38±11 Thermal: 59,Electric: 7,Chemical: 8 S 2nd: 32, D 2nd: 73, 3rd: 53 (41±23)S 2nd: 12, D 2nd: 22, 3rd: 20 (persons) Pruritus Antipruritic Hydrogel(CQ-01)Guar gum-based hydrogel without additives(plain gel/gel control; gauze covered)Gauze only(negative/gauze control) JW scale(Pruritus severity VAS scale) No long-term AEs.6(8.1%) local irritations(burning sensation)(after 3 min-2 h of CQ-01 application)
Iran /201737) 7540/9/2135/10/20 29.5±9.721.8±10 Hot water: 8, Heater: 4, Hot oil: 3, Fire: 2, Water steam: 13Hot water: 16, Heater: 7, Hot oil: 6, Fire: 1, Water steam: 0 2nd/3rd No mention Pain, wound healing Centiderm SSD VSS, VAS(pain), Subjective criteria(Itching, Dryness, Irritation) and re-epithelialization, complete healing, and existence of infection No AEs. C: 4.Infected and received antibiotic therapy and conservative treatment
China /201826) 11055/36/1955/40/15 62.34±3.1232.06±3.20 Hot water: 30, Fire: 25Hot water: 28, Fire: 27 S 2nd 30.12±3.5429.54±3.36 Pain, comfort Press needleRoutine nursing intervention Analgesic effect(analgesic dose, analgesic pump usage time, NRS), GCQ(comfort), analgesic drugrelated adverse reactions, patient satisfaction No mention
China /201820) 200/137/6340(GA)/No mention/No mention40(GB)/No mention/No mention40(GC)/No mention/No mention40(GD)/No mention/No mention40/No mention/No mention 34.80±6.32(14-65) No mention 2nd and/or 3rd No mention Pruritus GA: Plum Blossom NeedleGB: capsaicinGC: asiaticosideGD: Plum Blossom Needle + capsaicin + asiaticoside VSS, Substance-P(SP), VEGF, TGF-β1 No mention
China /201824) 6233/20/1329/18/11 66.1±6.2(60-72)65.3±6.7(60-72) Hot water: 17, Fire: 10, Electric: 6Hot water: 15, Fire: 9, Electric: 5 2nd: 22, 3rd: 112nd: 20, 3rd: 9 No mention Inhalation pulmonary Injury, joint contracture Electroacupuncture + rehabilitation exerciseRehabilitation exercise FEV1, FVC, FEV1/FVC, active/passive ROM, Barthel index No mention
Iran /201838) 4020/5/1520/9/11 33.5±1.435.5±1.6 boiling water: 15boiling water: 14 2nd: 10, 3rd: 102nd: 12, 3rd: 8 No mention Pain, irritation, edema, itching, erythema, purulent discharges, skin discoloration symptoms Albizia Julibressin SSD Pain, irritation, edema, itching, erythema, purulent discharges, skin discoloration symptoms, patients' satisfaction, adverse drug reactions n/a
Thailand /201848) 12/10/26/No mention/No mention6/No mention/No mention 48.33(24-82) No mention No mention No mention Pain, Wound healing(donor site) Aloe veraSterilized glycerine 100mm-VAS(pain), wound healing period(photograph; computer-assisted planimetry), Complications n/a
Czech Republic /201849) 32/25/7 * 41.8±11.66 No mention No mention No mention Wound healing(donor site) Oleogel-S10 + non-adhesive wound dressingnon-adhesive wound dressing alone POSAS, laser speckle contrast analysis, viscoelastic analysis No allergic reaction. 1 AE. The development of infectious complications, which had originated in the control half, but the potentially pathogenic microorganism spread over 5 days to the already epithelialized site treated with Oleogel-S10.
China /201920) 20040(GA)/29/1140(GB)/25/1540(GC)/27/1340(GD)/31/940/25/15 GA: 37.12±7.11GB: 40.75±6.32GC: 39.54±7.69GD: 39.18±6.48C: 41.93±7.43 No mention No mention No mention Pruritus, sleep disturbances, depression GA: Plum Blossom NeedleGB: capsaicinGC: asiaticosideGD: Plum Blossom Needle + capsaicin + asiaticoside VAS(itching), PSQI(Pittsburgh Sleep Quality Index; sleep quality), HAMD(Hamilton Depression Rating Scale; depression and anxiety scores) No mention
Iran /201939) 13233(G1)/27/633(G2)/28/533(G3)/28/533/26/7 G1: 41.13±52.52G2: 44.10±18.23G3: 44.2±21.83C: 40.12±39.45 G1: Gasoline: 6, Gas: 7, Fire: 14, Acid: 2, Scald: 4, Contact: 0G2: Gasoline: 4, Gas: 6, Fire: 16, Acid: 1, Scald: 4, Contact: 2G3: Gasoline: 6, Gas: 4, Fire: 14, Acid: 0, Scald: 7, Contact: 2C: Gasoline: 8, Gas: 5, Fire: 9, Acid: 3, Scald: 8, Contact: 0 G1: 2nd: 15, 3rd: 12, 1st & 2nd: 2, 2nd & 3rd: 4,G2: 2nd: 21, 3rd: 5, 1st & 2nd: 1, 2nd & 3rd: 6,G3: 2nd: 15, 3rd: 8, 1st & 2nd: 3, 2nd & 3rd: 2C: 2nd: 11, 3rd: 8, 1st & 2nd: 3, 2nd & 3rd: 11 G1: (25.12±73.39) 25≥: 20, >25: 13G2: (24.16±82.40) 25≥: 22, >25: 11G3: (19.5±36.65) 25≥: 31, >25: 2C: (26.12±79.66) 25≥: 16, >25: 17 (persons) Anxiety of pain G1: Rose aromaG2: Benson relaxation techniqueG3: Rose aroma + benson relaxationC: Routine care BSPAS, VAS(pain) No mention
Iran /202042) 12040/28/12P: 40/25/12C: 40/27/13 37.20±10.47P: 36.98±8.98C: 34.40±9.11 Boiling water: 12, Fire: 21, Boiling oil: 4, Another cause: 3P: Boiling water: 17, Fire: 14, Boiling oil: 7, Another cause: 2C: Boiling water: 16, Fire: 17, Boiling oil: 3, Another cause: 4 1st: 28, 2nd: 7, 3rd & 4th: 5P: 1st: 27, 2nd: 11, 3rd & 4th: 2C: 1st: 31, 2nd: 7, 3rd & 4th: 2 18.30±6.94P: 15.62±6.00C: 18.82±7.23 Pain, anxiety(dressing) Damask roseP: Distilled waterC: No intervention VAS(pain), Spielberger Inventory(anxiety inventory) No mention
Iran /202041) 8040/31/940/32/8 25-15: 9, 26-35: 11, 36-45: 13, 46-60: 725-15: 13, 26-35: 11, 36-45: 7, 46-60: 9(persons) No mention 2nd: 22, 2nd & 3rd: 232nd: 18, 2nd & 3rd: 17 35-15: 21, 50-36: 14, 65-51: 535-15: 16, 50-36: 17, 65-51: 7 (persons) Anxiety, sleep quality Jacobson’s relaxation techniqueRoutine care the Spielberger State-Trait Anxiety Inventory(STAI), St Mary's Hospital Sleep Quality Questionnaire(SMHSQ) No mention
Iran /202040) 28/14/1414/No mention/No mention14/No mention/No mention 54.7±14.5 No mention No mention 43.36±7.948.21±8.4(㎠) Burn(wound size), pain, erythema, pruritus of donor site Natural ingredients (aloe vera, honey, and peppermint)Petroleum jelly Digital photography(Wound size), VAS(pain), NRS(0–3)(erythema, pruritus, patient discomfort), complications(infection, discoloration, scarring, etc), 5-point Likert-type scale(physician satisfaction) n/a
China /202127) 60/34/2630/No mention/No mention30/No mention/No mention 34.01±2.34(13-66) Boiling water: 42, Flame: 18 2nd 15.18±3.40 (5-30) Pain(dressing) Press needle + routine burn treatmentRoutine burn treatment VAS(pain) n/a
Turkey/202152) 108L(Lavender)-15: 36/No mention/No mentionL-60: 36/No mention/No mention36/No mention/No mention L-15: 35.25±15.13L-60: 38.41±18.61C: 39.05±18.47 (month) Scalding burn S 2nd L-15: 9.61±2.99, L-60: 9.94±2.04C: 8.80±3.22 Pain, V/S Lavender oil-15: 15 min before dressingL-60: 60min before dressingC: Jojoba oil FLACC Pain Scale, Demographic Data Collection Form, and the Vital Signs(RR, HR, BT, mean BP) No mention
Iran /202143) 6633/18/1533/20/13 36.82±19.6638.94±13.07 Chemicals: 8, Hot liquid or steam: 17, Electrical currents: 2, Fire: 6Chemicals: 6, Hot liquid or steam: 16, Electrical currents: 3, Fire: 8 2nd and 3rd (10-45) Pain, anxiety(dressing) Foot reflexology + standard carestandard care VAS(pain, anxiety) No mention
China /202132) 8040/28/1240/29/11 34.58±1.68(18-48)34.64±1.75(19-50) Flame: 20, Hot liquid: 12, Electric arc: 5, Chemical: 3Flame: 22, Hot liquid: 13, Electric arc: 4, Chemical: 1 D 2nd: 20, S 2nd: 20D 2nd: 18, S 2nd: 22 24.24±2.6824.30±2.74 Burn, burn infection Shengji ointment after immersion therapyRoutine medication after immersion therapy Wound Healing: Wound healing time, Wound healing rate, VSS, ARR, C-reactive protein(CRP), Incidence Rate of Infections. n/a
China /202118) 10050/30/2050/28/22 55±1459±12 Superficial burn(sunburn) No mention No mention Pain, Eczema New dressing(Self-developed novel low-temperature boric acid wet dressing)Conventional dressing The Eczema area and severity index(EASI) score, VAS, self-made convenience questionnaire, the time and convenience required of 2 dressings No mention
Iran /202245) 6232/18/1430/17/13 35.3±11.537.6±9.3 Heat: 20, Hot water: 5, Chemical: 2, Explosives: 5Heat: 16, Hot water: 8, Chemical: 0, Explosives: 6 2nd: 2, 3rd: 5, 4th: 2, 2nd & 3rd: 232nd: 1, 3rd: 3, 4th: 3, 2nd & 3rd: 23 No mention Pain, anxiety(donor site dressing) Damask rose 40% and lavender 10% essential oilsdressed using routine protocol The type and dose of sedative/analgesic agents, BIS, VAS(pain), and changes in physiologic parameters(SBP/DBP, HR/RR means, Oxygen saturation) No mention
Iran /202244) 7035/26/435/23/7 32.1±5.6733.83 ± 5.95 Fire: 26, Hot water: 3, Direct contact: 1Fire: 23, Hot water: 5, Direct contact: 2 2nd 21.5±3.2424.03±4.70 Pain and anxiety(dressing) Dressing change after 4 sessions of guided imageryDressing change normally Demographic questionnaire, VAS(pain), the short-form McGill Pain Questionnaire(SF-MPQ), BSPAS No mention
Ref.: References, E: Experimental group, C: Control group, P: Placebo, AEs: Adverse events, n/a: not applicable, D: Deep, S: Superficial, G: Group; V/S: Vital signs, VAS: Visual Analogue Scale, NRS: Numeric Rating Scale, TBSA: Total Body Surface Area, BSPAS: Burn Specific Pain Anxiety Scale, VSS: Vancouver Scar Scale, MEBO: Moist Exposed Burn Ointment, SSD: Silver Sulfadiazine, FEV1: Forced expiratory volume in one second, FVC: Forced vital capacity, ROM: Range of movement, VEGF: Vascular endothelial growth factor, FLACC: Face-Legs-Activity-Cry-Consolability Scale, CD: Cluster of differentiation, BP: Blood pressure, SBP/DBP: Systolic blood pressure/Diastolic blood pressure, HR: Heart rate, RR: Respiration rate, BT: Body temperature
Mean±SD(Standard Deviation), (Minimum-Maximum Value) If there is only one mention, it is the value for the entire sample
:similar types of burns at two different sites of the body