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

Codner, Jesse; Ayala, Rafael De; Gayed, Rita; Lamphier, Carey K; Mittal, Rohit

doi:10.1093/jbcr/irab106

Cited by 14 publications

(6 citation statements)

References 19 publications

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“…This is in contrast to the results of other studies that addressed this topic, which noted a decrease in total admissions ranging from 7% to 49% during the pandemic [ 5 – 9 ]; however, a study conducted by Codner et al. reported relatively stable inpatient admissions over the course of the pandemic, as well as an increase in burns that required surgical treatment during shelter-in-place orders [ 4 ]. Two other studies showed that there was a significant increase in ethyl alcohol burns during the COVID-19 pandemic, due to increased use of disinfectants [ 20 , 21 ].…”

Section: Discussioncontrasting

confidence: 82%

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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Section: Discussioncontrasting

confidence: 82%

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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“…Similar studies were published by other burn centres from economically developed countries, such as the UK, the US, Canada, and Japan [ 5 , 10 , 11 , 12 , 13 ]. D'Asta et al reported a decrease in adult burn patients by 60% during the lockdown, although the number of paediatric burn cases increased by 8% at the same time [11] .…”

Section: Discussionsupporting

confidence: 78%

“…Our specialised centre does not treat paediatric burn patients, and thus this study does not give insight regarding the incidence of paediatric burn patients. A slight decrease of admitted burn patients by 5.8% was reported by Codner et al [12] . Further, a regional burn centre located in the UK reported a 30% decrease in adult burns during the COVID-19 pandemic [13] .…”

Section: Discussionmentioning

confidence: 72%

Sustained high demand for intensive care unit resources for the treatment of burn patients during the COVID-19 pandemic in Northern Germany: A single-centre cross-sectional study

et al. 2022

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

Cited by 14 publications

References 19 publications

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

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

Sustained high demand for intensive care unit resources for the treatment of burn patients during the COVID-19 pandemic in Northern Germany: A single-centre cross-sectional study

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

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