The impact and lessons learnt from the COVID-19 pandemic on a UK Burns Centre

Phillips, Georgina; Talwar, Cyrus; Makaranka, Stanislau; Collins, Declan

doi:10.1016/j.burns.2021.01.008

Cited by 8 publications

(4 citation statements)

References 4 publications

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“…As a consequence, many burns have been considered as pathologies that did not require urgent surgery and, thus, have received expectant management. 12 However, the negative effects of delaying the appropriate treatment of burns have recently been reported, as the prognosis of many lesions has worsen when left untreated. 13 Early debridement under sedoanalgesia in the ED allows for early and effective treatment, avoiding the negative consequences associated with conservative management and delayed surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Burns Debridement Under Sedoanalgesia During the COVID-19 Pandemic: A Cost-Effective Alternative

Delgado-Miguel

Miguel-Ferrero

Miguel

et al. 2023

Clin Pediatr (Phila)

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Early debridement of childhood burns under sedoanalgesia in the emergency department (ED) may help to reduce the need of surgery and delay in treatment. We performed a retrospective study in burned children who underwent debridement in the ED under sedoanalgesia between March 2020 and December 2020 (COVID group), and were compared with the same months in 2019 (control group). Demographics, burns features, admission rate, and estimated costs associated were collected. A total of 733 children presented at the ED with burns (302 COVID group and 431 control group) without significant differences in burn features between them. Admission rate was significantly lower in COVID group (9.4% vs 19.4%; P < .001), as was the total associated cost for each group ($101 585 vs $209 656; P < .001). The use of sedoanalgesia for the early treatment of pediatric burns in the ED during COVID-19 pandemic is a cost-effective alternative that has reduced the need for hospital admission and associated costs.

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Section: Discussionmentioning

confidence: 99%

Pediatric Burns Debridement Under Sedoanalgesia During the COVID-19 Pandemic: A Cost-Effective Alternative

Delgado-Miguel

Miguel-Ferrero

Miguel

et al. 2023

Clin Pediatr (Phila)

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“…Although some burn units have reported their measures [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ], there are no data on the impact of these with regard to treatment outcomes. Most of the data published in the literature thus far refer to epidemiological and demographic data in addition to injury and treatment characteristics of burn patients [ 8 , 15 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges in Burn Care during the COVID-19 Pandemic—A Scoping Review

Kohlhauser

Luze

Nischwitz

et al. 2022

JCM

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Objective: The aim of this review is to map and summarize the experiences of various burn centers worldwide during the COVID-19 pandemic, in order to enable future strategies with regard to the most effective measures in burn care during pandemics and to detect possible gaps in knowledge. Background: The coronavirus disease 2019 (COVID-19) pandemic had a major impact on economies, social interactions, and health systems worldwide. Burn units all over the world face a new challenge in maintaining the care of acute burn wounds and follow-up treatments while dealing with constantly changing regulations. Infrastructural changes, the establishment of efficient triage systems, protective measures, personnel resources, in addition to the maintenance of efficient patient care and the guarantee of supply chains, are challenging tasks to be addressed. This review provides an overview of recent developments regarding different strategies and methods used by burn units worldwide to safely overcome the COVID-19 pandemic outbreak. Methods: A scoping review of the literature was conducted using the electronic databases PubMed and Google Scholar. Publications were screened for the following key terms: burns, burn injuries, thermal injuries, burn center, burn unit, burn ward, in combination with COVID-19, COVID-19 pandemic, SARS-CoV-2, Corona, and Coronavirus. Articles dealing with the management of burn units during the pandemic were further analyzed and included. Results: Of the 136 publications, 10 were considered relevant to the key question and were included in the present review. Results were divided into six major topics, such as infrastructural and personnel management, triaging, severe burns and emergencies, elective surgeries, patient and visitor management, and outpatient management. Conclusion: Only a few studies about managing burn units during the COVID-19 pandemic have been published. Personnel resources and equipment needed to be redistributed to cope with country-specific challenges during the COVID-19 pandemic and to maintain adequate burn care. Since all of these articles refer to the period of the initial outbreak, a lack of clinical studies exists regarding the prevention measures taken by burn units during the COVID-19 pandemic. In addition, we identified gaps in knowledge about the impact of implemented measures on burn patient outcomes in the published literature. Further studies are mandatory in order to provide generally applicable guidelines regarding COVID-19 prevention measures at a burn unit.

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“…Cabe señalar que en estos reportes internacionales las cifras de atendidos son de poca magnitud y con períodos de observación de 1 a 3 meses [13][14][18][19][20][21]24,[26][27][28][29][30] . Hay más concordancia en la literatura en que los casos leves y los secundarios a contacto con objetos calientes han disminuido 20,28,30,31 , y que algunos pacientes con quemaduras de mayor gravedad han consultado con retraso 29,31 .…”

Section: Discussionunclassified

Efectos del confinamiento por COVID-19 en la demanda de atención de niñas, niños y adolescentes con quemaduras

F.¹,

O.²,

P.³

et al. 2021

Andes pediatr

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La pandemia de COVID-19 ha implicado adaptarse a una realidad diferente, con largos confinamientos intradomiciliarios, lo que podría favorecer un aumento de quemaduras infantiles en el hogar.Objetivo: Comparar la situación epidemiológica de pacientes que ingresaron a la Corporación de Ayuda al Niño Quemado (COANIQUEM) por lesiones de quemaduras de manejo ambulatorio al inicio del confinamiento por COVID-19 en contraste con el año anterior.Pacientes y Método: Estudio analítico y transversal. La población correspondió a 2.027 pacientes menores de 20 años que ingresaron por primera vez en alguno de los Centros de COANIQUEM solo por lesiones de quemaduras, entre abril y julio de 2019 y 2020. Se recolectó el número de pacientes atendidos en cada mes y variables demográficas, sociales y clínicas. Se calculó el porcentaje de cambio mensual comparando las características de los pacientes de ambos años.Resultados: Durante 2020, se observó una disminución del 48,7% de los ingresos ambulatorios totales. Hubo un aumento relativo del 10,5% de las quemaduras en menores de 5 años, del 18,3% de aquellas ocasionadas por líquido caliente, del 33,1% del número de lesiones en 3 o más localizaciones y del 16,8% de las quemaduras que ocurrían en el hogar propio. No influyó ubicación geográfica, sexo ni nivel socioeconómico.Conclusiones: En el período inicial de la pandemia por COVID-19, con confinamiento estricto, se produjo una disminución de la demanda de atención por lesiones de quemadura, afectando por igual a pacientes ambulatorios con lesiones agudas, como para rehabilitación de secuelas, secundario a la disminución efectiva de la ocurrencia de quemaduras y a la menor posibilidad de recurrir a atención de salud

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The impact and lessons learnt from the COVID-19 pandemic on a UK Burns Centre

Cited by 8 publications

References 4 publications

Pediatric Burns Debridement Under Sedoanalgesia During the COVID-19 Pandemic: A Cost-Effective Alternative

Pediatric Burns Debridement Under Sedoanalgesia During the COVID-19 Pandemic: A Cost-Effective Alternative

Challenges in Burn Care during the COVID-19 Pandemic—A Scoping Review

Efectos del confinamiento por COVID-19 en la demanda de atención de niñas, niños y adolescentes con quemaduras

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