Effectiveness of Cold Compress on Pain Management in Patients with Superficial Burn Injury: A Systematic Review

Authors

  • Dwi Puji Lestari Universitas Airlangga
  • Lisa Isdaryanti Universitas Airlangga
  • Luh Gede Wirani Riskayanti Darmawan Universitas Airlangga
  • I Made Dwi Budhiasa Ari Serengga Universitas Airlangga
  • Kiki Fajar Nurhidayah Universitas Airlangga
  • Herdina Mariyanti Universitas Airlangga

DOI:

https://doi.org/10.37287/ijghr.v7i6.167

Keywords:

behavioral intervention, blood pressure control, hypertension, lifestyle adherence, medication compliance, self-care

Abstract

Superficial burns often cause acute pain that interferes with patient comfort. One of the non-pharmacological methods used to reduce pain is cold compresses, but scientific evidence regarding their effectiveness is still mixed. To evaluate the effectiveness of cold compresses in reducing pain in patients with superficial burns. This systematic review was conducted by searching articles from the Scopus, PubMed, and ScienceDirect databases using the keywords: "cold compress", "burn injury", "pain management", "superficial burns", "RCT". The inclusion criteria were RCT articles published between 2015–2024, in English, and discussing the effects of cold compresses on pain in superficial burns. Selection was carried out through the PRISMA process. Of the 1,025 articles found, 14 articles met the inclusion criteria. Each article underwent title and abstract screening, followed by full-text assessment for eligibility. Methodological quality was then appraised using the JBI Critical Appraisal Tool, and only studies with moderate to high quality were included in the synthesis to ensure robust and reliable findings. The majority of studies showed that cold compresses significantly reduced the intensity of acute pain in the early phase of superficial burns (p < 0.05). This effect was reported to be effective especially in the first 24 hours after injury, with minimal side effects. Cold compress is an effective, safe, and easy-to-do nonpharmacological intervention to reduce pain in superficial burn patients. This intervention deserves to be part of standard care in emergency departments and primary health care.

References

Al-Benna, S., O’Boyle, C., & Holley, J. (. (2017). Cooling the burn wound. 43(5), 939–947. Burns.

Bakri, M. M., et al. (2019). Cold compress therapy in first-degree burns: An RCT. Burn Treatment Journal, 6(2), 44–49.

Bhalla, A., Bamer, A. M., Temes, C., Roaten, K., Carrougher, G. J., Schneider, J. C., Stoddard, F. J., Stewart, B., Gibran, N. S., & Wiechman, S. A. (2023). Posttraumatic Stress Disorder Symptom Clusters as Predictors of Pain Interference in Burn Survivors: A Burn Model System National Database Study. Journal of Burn Care & Research : Official Publication of the American Burn Association, 44(1), 27–34. https://doi.org/10.1093/jbcr/irac088

Brown, H. T., et al. (2016). Evaluating cold therapy in burn injuries: A clinical trial. Emergency Nursing, 42(3), 25–30.

Choi, S. Y., et al. (2017). Cold versus warm compress in superficial burns: A randomized trial. Korean Journal of Burn Care, 18(1), 10–16. Korean Journal of Burn Care, 18(1), 10–16.

Drummond, S., Ackerman, R. S., & Somasundaram, A. (2020). Pain Assessment and Treatment for the Trauma and Burn Patient. In Pain Management for Clinicians: A Guide to Assessment and Treatment. https://doi.org/10.1007/978-3-030-39982-5_1

Garzotto, C., & Clarke, D. (2022). Burn Injury. In Small Animal Surgical Emergencies, Second Edition. https://doi.org/10.1002/9781119658634.ch53

Haddaway, N. R., Page, M. J., Pritchard, C. C., & McGuinness, L. A. (2022). PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Systematic Reviews, 18(2), e1230. https://doi.org/https://doi.org/10.1002/cl2.1230

Hassan, R. A., & et al. (2018). The effect of cold compress on pain management in minor burns. Middle East Burn Journal. Middle East Burn Journal, 5(1), 21–27.

Karnes, J. B. (2020). Skin Infections and Outpatient Burn Management: Outpatient Burn Management. FP Essentials, 489, 27 – 31. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078688933&partnerID=40&md5=787e53b567a8ce6429bfb6d67d91ebdd

Kehlet, H., & Dahl, J. B. (2023). Anaesthesia, surgery, and challenges in postoperative recovery. Lancet, 362(9399), 1921–1928. https://doi.org/10.1016/S0140-6736(03)14966-5

Kumar, R., et al. (2021). Cold therapy versus standard care in superficial burn pain: An RCT. Clinical Burn Medicine, 12(1), 14–20.

Lee, H. J., & Kim, Y. S. (2020). Efficacy of cold compress on pain reduction in pediatric superficial burns: A randomized controlled study. Journal of Pediatric Nursing, 52, 35–41.

Lombardo, G. A. G., Mangiameli, L., Marchica, P., Melita, D., Alberti, F. C., Musmarra, I., Ciancio, F., Borraccino, S., & Ranno, R. (2025). The effectiveness of tumescent anesthesia in managing pain for enzymatic debridement of burns. A case-control study. Burns, 51(2). https://doi.org/10.1016/j.burns.2024.107366

Martinez, E. L., E. (2023). Community-based cold compress intervention for superficial burns. Primary Care Nursing, 8(1), 88–95.

Mendez, L. R., et al. (2022). Effect of early cold therapy on pain control in superficial burns treated in primary car. Primary Health Care Research & Development, 23.

Mendez, L. R., Silva, D. P., & Ortiz, J. C. (2022). Effect of early cold therapy on pain control in superficial burns treated in primary care. Primary Health Care Research & Development.

Mortada, H., AlKhashan, R., Daneshi, K., Alrobaiea, S., & Fouda Neel, O. (2025). Exploring the role of cryotherapy in plastic surgery: mechanisms, applications, and future directions. European Journal of Plastic Surgery, 48(1). https://doi.org/10.1007/s00238-024-02260-8

Nelson, S., Uhl, K., Wright, L. A., & Logan, D. (2020). Pain is Associated With Increased Physical and Psychosocial Impairment in Youth With a History of Burn Injuries. Journal of Pain, 21(3–4), 355 – 363. https://doi.org/10.1016/j.jpain.2019.08.002

Nguyen, T. Q., Tran, D. L., & Vo, H. T. (2021). The effectiveness of cold application in pain management for superficial burn injuries: A randomized clinical trial. Burns Open, 5(2), 74–79.

Nosanov, L. B., Brandt, J. L., Schneider, D. M., & Johnson, L. S. (2020). Pain Management in Burn Patients. Current Trauma Reports, 6(4), 161 – 173. https://doi.org/10.1007/s40719-020-00203-9

Patel, R., Sharma, N., & Banerjee, S. (2019). Comparative evaluation of cold compress versus no intervention in acute pain management of superficial burns. Journal of Burn Care & Research, 40(6), 847–852.

Prayoga, D. H., Aridamayanti, B. G., Trisnawati, I., & Ronalia, M. F. (2019). Telerehabilitation System in Nursing Post Stroke-A Systematic Review. Jurnal Ners, 14(3 Special Issue), 182–187. https://doi.org/10.20473/jn.v14i3(si).17017

Romero, F. J., et al. (2018). Pediatric pain relief in burns using cold compress therapy: A randomized trial. Child Health Research. Child Health Research, 10(2), 101–107.

Santos, D. P., et al. (2020). Cold compress duration and pain relief in burn injuries: A double-blind RCT. Burns Research, 6(4), 50–58.

Zainnur, H., Triharini, M., Yuni, I., & Prayoga, D. (2023). Inovasi Pengembangan Instrumen Perawatan Luka dalam Meningkatkan Cost Effectiveness Innovation in the Development of Wound Care Instruments to Increase Cost Effectiveness. 91–102.

Zhang, X., et al. (2019). Cooling interventions in minor burns: Efficacy and safety. Chinese Journal of Burns, 35(2), 113–118.

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Published

2025-08-24

How to Cite

Lestari, D. P., Isdaryanti, L., Darmawan, L. G. W. R., Serengga, I. M. D. B. A., Nurhidayah, K. F., & Mariyanti, H. (2025). Effectiveness of Cold Compress on Pain Management in Patients with Superficial Burn Injury: A Systematic Review. Indonesian Journal of Global Health Research, 7(6), 45–56. https://doi.org/10.37287/ijghr.v7i6.167

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