The Impact of COVID-19 on Burn Care at a Major Regional Burn Center

Rogers, Alan D; Cartotto, Robert

doi:10.1093/jbcr/iraa181

Cited by 16 publications

(13 citation statements)

References 6 publications

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“…This study showed a decreased number of burn injury patients during the pandemic; this was similar to reports from other more economically developed countries, such as Canada, the US, and the UK [10] , [12] , [17] , [18] . In Toronto, Canada, there was a 33% decrease in burn injury admissions at a burn center during a 5-month period within the pandemic [10] . Moreover, in Birmingham, UK, a 50% reduction of admissions at a burn ward was noted as well [12] .…”

Section: Discussionsupporting

confidence: 88%

“…Conversely, less patients during the pandemic suffered from intended burns (9 [4.4%] vs 584 [8.5%]), assault injuries (14 [6.9%] vs 718 [10.5%]), head and/or neck injuries (37 [18.2%] vs 1685 [24.6%]), and associated inhalation injuries (74 [36.5%] vs 2877 [42.0%]). Regarding the severity and outcomes of burn injuries, a slightly higher %TBSA of partial-thickness burns (4 [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] vs 3 [0–10] %TBSA), shorter LOS (3 [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] vs 5 [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] days), and lower in-hospital mortality (18 [8.9%] vs 817 [11.9%]) were seen in patients during pandemic compared to before the pandemic.…”

Section: Resultsmentioning

confidence: 99%

“…A pediatric burn center in Turkey also revealed a higher number of admissions and increased burn area among hospitalized patients [9] . Conversely, reduced admission with the same demands on burn intensive care unit (ICU) was reported by a regional burn center in Canada [10] , and significant decreases of hospitalization due to burn injuries were found in several burn centers across the UK [11] , [12] , [13] . Moreover, no significant changes in burn injury admission and mortality by burns were observed in Brazil [14] .…”

Section: Introductionmentioning

confidence: 95%

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

et al. 2021

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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.

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Section: Discussionsupporting

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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

et al. 2021

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“… 14 However, epidemiological reports from few other major burn centers during this pandemic, reported no COVID-19-positive burn patient as discussed earlier. 9 10 11 Thus, this study with 16 COVID-19-positive burn cases, which is a good number from a single center, provides good insight for the assessment of TBSA of burns as a risk factor for COVID-19 infection in burns. The impact of COVID-19 infection on burns mortality is also evaluated.…”

Section: Discussionmentioning

confidence: 84%

“…However, these centers also did not have any COVID-19-positive burns. 11,12 The drop in new admissions during the pandemic period can be attributed to lockdown restrictions and fear among patients from coming to hospitals. This has also led to patients landing late in the hospital after worsening of their condition, highlighting the need for stricter transfer guidelines for burn patients.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Patient Trends and Outcome: Results from a Tertiary Care Burn and Plastic Unit in Northern India

Aggarwal

Srivastava

2021

Indian J Plast Surg

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Background Burn and trauma injuries need emergency care and resuscitation, which required uninterrupted delivery of inpatient care services during the coronavirus disease 2019 (COVID-19) pandemic. Burn patients are physiologically immunocompromised, increasing the risk of COVID-19 infection in them. This study analyzes the impact of COVID-19 pandemic on patient trends in a burn and plastic unit and assesses the effect of COVID-19 infection in burns. Methods This single-center, retrospective observational case–control study was conducted in the Department of Burns, Plastic and Maxillofacial Surgery of a tertiary care hospital in New Delhi, India. Patient data was collected from April 1, 2019 to August 10, 2019 and from April 1, 2020 to August 10, 2020. All data of burns and trauma patients collected was analyzed and compared. Results There were total 350 admissions during COVID time period and 562 admissions during non-COVID time period. The admission rate, type of burn injury, and death rate did not vary significantly during the two time periods. Thermal burn was the most common type of burn injury. There were total 18 cases diagnosed to be COVID-19 positive during the pandemic. There were two deaths among COVID-19 positive burn cases. Conclusion This study finds no difference in patient patterns during COVID and non-COVID time period. Amongst burn patients, no increased risk of COVID-19 infection is seen with larger body surface area of burns. No increase in mortality is seen in burn patients infected with COVID-19.

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Impact of the COVID-19 pandemic on the epidemiology of severe burns

Christ

Staud

Wielscher

et al. 2023

Wien Klin Wochenschr

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Summary Introduction Currently, very little detailed information on the epidemiological distribution and specificities of severely burned patients during the coronavirus disease 2019 (COVID-19) pandemic is available. This retrospective study aims to describe and compare this specific patient population based on 114 patients who were treated between March 2019 and March 2021 at the Center for Severe Burn Injuries at the Medical University of Vienna. Methods To answer the research questions, a retrospective cohort study has been conducted over a period of 24 months, starting in March 2019 and ending in March 2021. To evaluate the epidemiological differences, the patients were divided into 2 observation periods of 12 months each. Results In the period from 12 March 2020 to 11 March 2021, a total of 62 patients were admitted to the Center for Severe Burn Injuries. In comparison, only 52 patients were admitted in the same period of the previous year, which corresponds to an increase of 19.2%. In addition, it was noted that during the 2019–2020 observation period, 27% of patients were female and 73% male, whereas during the pandemic the gender distribution was 42% female and only 58% male. During the pre-pandemic observational period, 13 out of 52 patients admitted died (25%), whereas during the pandemic, 17 out of 62 patients succumbed to their injuries (27%). Conclusion Although the severity of the COVID-19 pandemic seems to be decreasing, especially due to the increasing availability of vaccines, there is a need for more data on the impact of the crisis on severely burned patients. In contrast to the current literature, we have seen a greater number of inpatient admissions to the Center for Severe Burn Injuries, as well as significant differences in gender distribution. Our data also suggest that the circumstances of the pandemic have no influence on the likelihood of survival for patients with severe burns.

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The Impact of COVID-19 on Burn Care at a Major Regional Burn Center

Cited by 16 publications

References 6 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

Impact of COVID-19 on Patient Trends and Outcome: Results from a Tertiary Care Burn and Plastic Unit in Northern India

Impact of the COVID-19 pandemic on the epidemiology of severe burns

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