Department of Plastic Surgery and Burns, Pinderfields General Hospital, Wakefield, UK.
J Burn Care Res. 2021 Sep 30;42(5):998-1002. doi: 10.1093/jbcr/irab015.
In this study, we aim to quantify the impact of COVID-19 on burns provision at an adult regional burn center. Two cohorts of patients were identified for comparison: one during the beginning of the COVID-19 lockdown in April 2020 and a comparator cohort in April 2019. There was a 30% decrease in the incidence of adult burns in 2020. The mean total body surface area (TBSA) was 1.8% and 4.3% in 2019 and 2020, respectively. Scald injuries were the commonest mechanism of burns in both cohorts. Depth of burns was deeper in 2019, with 17.6% of patients presenting with deep burns, compared with 9.6% in 2020. Eight percent of patients in 2019 required theater compared with zero patients in 2020. A similar percentage of patients were admitted in both cohorts. In 2019, admitted patients had an average inpatient stay of 0.57 days per TBSA. In 2020, the average stay per TBSA in all patients was 0.6 days and 1.5 days in survivors. In the lockdown period, 54% of patients were followed up by telemedicine. This difficult period has taught us how important a functioning healthcare system is and how we can be better prepared in the future.
在这项研究中，我们旨在量化 COVID-19 对成人区域性烧伤中心烧伤治疗的影响。为了进行比较，我们确定了两组患者：一组是在 2020 年 4 月 COVID-19 封锁开始时，另一组是 2019 年 4 月的对照组。2020 年成人烧伤发病率下降了 30%。2019 年和 2020 年的平均总体表面积（TBSA）分别为 1.8%和 4.3%。两组中最常见的烧伤原因都是烫伤。2019 年烧伤深度较深，深烧伤患者占 17.6%，而 2020 年为 9.6%。2019 年有 8%的患者需要手术治疗，而 2020 年则没有。两组的住院患者比例相似。2019 年，住院患者的平均住院时间为每 TBSA 0.57 天。2020 年，所有患者的平均住院时间为每 TBSA 0.6 天，幸存者为 1.5 天。在封锁期间，54%的患者通过远程医疗进行了随访。这段艰难的时期让我们认识到一个运作良好的医疗体系是多么重要，以及我们将来如何能更好地做好准备。
