Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany.
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA.
Int Wound J. 2022 Nov;19(7):1686-1692. doi: 10.1111/iwj.13772. Epub 2022 Feb 6.
The COVID-19 pandemic caused collateral damage to patients with acute and chronic conditions. In this mono-centre cross-sectional study, we sought to evaluate the impact of the COVID-19 pandemic on patients with hidradenitis suppurativa (HS). In June 2020, we sent an anonymous survey to 109 patients, who were diagnosed with HS in our outpatient clinic from May 2018 to April 2020. Fifty patients (45.9%) completed and returned the survey. Forty-five participants (90.0%) denied any cancellation of hospitalisation due to the COVID-19 pandemic. Hospitalisation was postponed in 8% of cases and cancelled in 2%. Compared to prior to the pandemic, fewer patients consulted their primary physician for changing wound dressings and more changed the dressings themselves or were assisted by their family members. 13% of patients avoided doctor visits due to fear of COVID-19 and 26.1% minimised doctor visits. The Dermatology Life Quality Index showed a moderate to very severe impact on patients' Quality of Life (mean score = 10.06). Only one patient used telemedicine. Due to limited access to primary care and fear of COVID-19, the pandemic had a detectable impact on the hospital management of patients with HS in our facility. Telemedicine still plays a negligible role in primary wound care.
COVID-19 大流行给急性和慢性病患者造成了附带损害。在这项单中心横断面研究中，我们试图评估 COVID-19 大流行对化脓性汗腺炎（HS）患者的影响。2020 年 6 月，我们向 109 名患者发送了一份匿名调查，这些患者于 2018 年 5 月至 2020 年 4 月在我们的门诊被诊断为 HS。有 50 名患者（45.9%）完成并返回了调查。45 名参与者（90.0%）否认因 COVID-19 大流行取消了任何住院治疗。8%的病例推迟了住院治疗，2%的病例取消了住院治疗。与大流行前相比，较少的患者因更换伤口敷料而咨询他们的初级保健医生，更多的患者自己更换敷料或由他们的家庭成员协助。由于担心 COVID-19，13%的患者避免就诊，26.1%的患者尽量减少就诊。皮肤病生活质量指数（Dermatology Life Quality Index）显示，患者的生活质量受到了中等到非常严重的影响（平均得分为 10.06）。只有一名患者使用了远程医疗。由于初级保健服务有限以及对 COVID-19 的恐惧，大流行对我们机构中 HS 患者的医院管理产生了可察觉的影响。远程医疗在初级伤口护理中仍然只发挥了微不足道的作用。
