Reduction in length of stay of patients admitted to a regional burn centre during COVID-19 pandemic

Farroha, Azzam

doi:10.1016/j.burns.2020.05.028

Cited by 16 publications

(14 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, however, relatively higher %TBSA of full-thickness burns, PBI, and in-hospital mortality were all identified during the stay-at-home order in this study. While the severity of injury under the stay-at-home order/lockdown was conflicting in past studies [9] , [11] , [12] , [19] , [24] , [29] , an increased burn area was frequently observed, particularly in the pediatric population [9] , [11] , [19] . Considering that these results were not statistically significant, further studies are needed to validate the association between stay-at-home orders and the severity of burn injuries.…”

Section: Discussionmentioning

confidence: 96%

“…Regarding the severity and outcomes of burn injuries, patients during the pandemic had shorter LOS and lower in-hospital mortality, whereas the difference in severity of burn injury was trivial. As suggested in a previous study, the LOS would have been shortened to avoid the risk of COVID-19 infection during the hospital stay [29] , or simply due to historical improvements in health care. Furthermore, a certain proportion of patients, such as those with severe burn injuries, is expected to remain constant during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study

et al. 2021

View full text Add to dashboard Cite

Introduction Coronavirus disease 2019 (COVID-19) has drastically changed everyday life worldwide. This study aimed to determine how COVID-19 affected the characteristics and outcomes of patients with severe burn injury by examining a city-wide burn database in Tokyo. Patients and Methods A descriptive study was conducted in 14 burn centers using the Tokyo Burn Unit Association registry from 1999–2020. The pandemic started in 2020, while the stay-at-home order lasted from April to May. The demographics, mechanisms, severity, and clinical outcomes were assessed before and during these two time periods. Results In total, 7061 patients with burn injury were enrolled. During the pandemic, there were less patients during the pandemic than previous years, except for April–May; this decreased toward the end of 2020. There were also more scald/contact burns in the upper extremity, less intended and assault injuries, shorter length of hospital stay, and lower in-hospital mortality. During the stay-at-home order, there was increased incidence of flame burns, inhalation injuries, and in-hospital mortality, as well as higher total body surface area of full-thickness burns. Conclusions This study described the characteristics of burns during the COVID-19 pandemic. The association between the stay-at-home order and severity of burns should be further examined.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Overall, there was a decreased length of stay for burns less than 20% TBSA, consistent with findings from other studies. 22 A potential explanation for this may be an increased clinical and administrative emphasis on timely, medically appropriate patient discharges to limit patient hospital exposure and expand bed capacity for surge planning. These unprecedented hospital surges and limited bed capacity brought to the forefront the role of adequate social services support and ancillary support to facilitate effective discharges.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Burn Admissions at a Major Metropolitan Burn Center

Codner

Ayala

Gayed

et al. 2021

Journal of Burn Care &Amp; Research

View full text Add to dashboard Cite

The impact of the COVID-19 pandemic on admission patterns and outcomes at a burn center is still largely unknown. The aim for this study was to determine how the COVID-19 pandemic affected the epidemiology of burn admissions at a major metropolitan burn center. This retrospective cohort study examined how the COVID-19 pandemic impacted burn volumes and time to presentation. All burn admissions were included from January 20 th – August 31 st for the years 2020, 2019, & 2018. The COVID-19 pandemic group included admissions from 1/20/2020-8/31/2020 and was compared to the non-pandemic group comprised of admissions from 1/20-8/31 in 2018 and 2019. Subgroup analysis was performed according to meaningful dates during the COVID-19 pandemic including the 1 st US COVID-19 case, shelter in place, and state reopening orders. Admission volumes were 403 patients in the COVID-19 pandemic group compared to a mean of 429 patients in the non-pandemic group, which correlated to a 5.8% decrease in volume during the pandemic. The pandemic group showed an increase in time to presentation of 1 day (p<0.0001). Subgroup analysis demonstrated stable admission volumes and an increase in time to presentation of 1 day (P<0.0001) at each timepoint. During shelter-in-place orders, there were higher rates of second/third degree burns and operative burns (94.7% vs 56.3% and 45.6% vs 27%, p<0.0001, p=0.013). During the pandemic there were stable admission volumes, delayed time to admission, and an increase in operative burns during shelter in place orders. This reinforces the need to maintain appropriate burn center staffing and resources during the COVID-19 pandemic.

show abstract

“…Views regarding reduction in mortality and improved recovery outcome were not uniform, as few respondents also reported worsened recovery outcome. Other published work also reported shorter duration of stay for burn patients during the pandemic resulting in post-discharge complications [23] . Reorganisation of health facilities due to COVID-19 protocols led to the prolonged care-seeking pathway for admission to burn ward or ICU.…”

Section: Discussionmentioning

confidence: 94%

Impact of COVID-19 and containment measures on burn care: A qualitative exploratory study

Keshri

Peden

Jain

et al. 2022

Burns

View full text Add to dashboard Cite

Reduction in length of stay of patients admitted to a regional burn centre during COVID-19 pandemic

Cited by 16 publications

References 2 publications

Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study

Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study

The Impact of the COVID-19 Pandemic on Burn Admissions at a Major Metropolitan Burn Center

Impact of COVID-19 and containment measures on burn care: A qualitative exploratory study

Contact Info

Product

Resources

About