{
  "abstract": "Burn wound care may be managed using open or exposure techniques or covered dressing approaches, but comparative evidence remains heterogeneous. This systematic review aimed to evaluate and compare the effectiveness of open and covered wound care methods for acute burn wounds, with emphasis on infection or microbial contamination, wound healing and re-epithelialization, pain and patient comfort, dressing-change frequency, scar outcomes, length of hospital stay, and treatment-related costs. PubMed/MEDLINE, Scopus, Embase, the Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched for comparative studies involving human patients with acute burn wounds. Randomized controlled trials and comparative observational studies, including cohort and case-control studies, were eligible. Seventy-six records were identified; 41 duplicates were removed, 35 records underwent title and abstract screening, 14 full-text reports were assessed, and seven studies were included in the qualitative synthesis. Because of substantial clinical and methodological heterogeneity, findings were synthesized qualitatively, and no meta-analysis was performed. The included studies did not demonstrate consistent superiority of either open or covered wound care across all outcomes. Open management showed favorable findings in selected studies for microbial contamination, some wound-healing outcomes, and treatment cost, particularly in resource-limited settings. Covered approaches showed advantages in selected populations for re-epithelialization, dressing-change frequency, patient comfort, and scar outcomes. The certainty of the evidence was limited by variation in study design, burn characteristics, dressing protocols, outcome definitions, and the inclusion of non-randomized studies. Wound-care selection should therefore be individualized according to burn characteristics, patient needs, and available resources. Further adequately powered randomized trials using standardized outcome measures are needed.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Brawijaya University/Dr. Saiful Anwar General Hospital, Malang, Indonesia",
    "Undergraduated Program of Medical Doctor, Faculty of Medicine, Brawijaya University, Malang, Indonesia"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Arviansyah",
      "orcid": "0000-0002-8105-7839"
    },
    {
      "affs": [
        0
      ],
      "name": "Herman Yosef Limpat Wihastyoko"
    },
    {
      "affs": [
        0
      ],
      "name": "Yudi Siswanto"
    },
    {
      "affs": [
        0
      ],
      "name": "Wilma Agustina"
    },
    {
      "affs": [
        0
      ],
      "name": "Elisabeth Prajanti Sintaningrum"
    },
    {
      "affs": [
        1
      ],
      "name": "Azizah Irbah Nur Mustafa"
    },
    {
      "affs": [
        1
      ],
      "name": "Annysa Octavia Aulia"
    },
    {
      "affs": [
        1
      ],
      "name": "Angelia Gracia Febriana"
    },
    {
      "affs": [
        1
      ],
      "name": "Firlya Izzati Shofia Hanum"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a8vggn417mfah.bib",
  "cited_by": 0,
  "doi": "10.66224/ijbwr.2.3.77",
  "fulltext_url": "https://iranjburns.com/index.php/IJBWR/article/view/77",
  "id": "a8vggn417mfah",
  "issns": [
    "3060-8414"
  ],
  "landing_url": "https://doi.org/10.66224/ijbwr.2.3.77",
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2713|Burn Injury Management and Outcomes"
    ]
  ],
  "openalex": "W7223562086",
  "pdf_url": "https://iranjburns.com/index.php/IJBWR/article/download/77/94",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Caspian Medical Futurology",
  "ris": "https://research.draconitic.com/paper/a8vggn417mfah.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:47:32Z",
      "native_id": "a4b6c07e433740e7b0c57cbd697db96e",
      "source": "doaj",
      "url": "https://doi.org/10.66224/ijbwr.2.3.77"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Burn Injury Management and Outcomes",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Effectiveness of open versus covered wound care methods for acute burn wounds",
  "title_text": "Effectiveness of open versus covered wound care methods for acute burn wounds",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:47:32Z",
  "url": "https://research.draconitic.com/paper/a8vggn417mfah",
  "venue": "Iranian Journal of Burns and Wound Research",
  "versions": []
}