Department of Surgery, University of California at Irvine, USA.
J Burn Care Res. 2022 Jul 1;43(4):766-771. doi: 10.1093/jbcr/irac041.
The COVID-19 pandemic has led to anxiety and fears for the general public. It is unclear how the behavior of people with acute burns and the services available to them has changed during the pandemic. The aim of our observational study was to evaluate our clinic's experience with patients presenting with burns during the first 10 months of the COVID-19 pandemic and determine if delays in presentation and healthcare delivery exist within our burn population. Patients referred to our clinic from March 1, 2020 to December 15, 2020 were reviewed for time of presentation after injury. We defined a true delay in presentation of >5 days from date of injury to date of referral for patients who were not inpatients at our facility or received initial care elsewhere prior to referral. Of the 246 patients who were referred to our clinic, during this time period, 199 patients (80.89%) attended their appointments. Our in-person clinic volume from referrals increased in July 2020 with a sharp decrease in August 2020. Our total clinic volume decreased in 2020 from 2019 by about 14%. Referrals to our clinic decreased in 2020 from 2019 by about 34%. Video telehealth visits did not account for the decrease in visits. There was low incidence of delays in presentation to our clinic during the pandemic. Additional investigation is necessary to see if the incidence of burn injury decreased. Despite the pandemic, our clinic remained ready and open to serve the burn population.
COVID-19 大流行导致公众普遍感到焦虑和恐惧。目前尚不清楚急性烧伤患者的行为以及他们可获得的服务在大流行期间发生了怎样的变化。我们的观察性研究旨在评估我们诊所 2020 年 COVID-19 大流行前 10 个月期间收治烧伤患者的经验,并确定我们的烧伤人群中是否存在就诊和医疗服务延迟的情况。从 2020 年 3 月 1 日至 12 月 15 日,我们对我们诊所转来的患者进行了受伤后就诊时间的回顾性研究。对于不在我们机构住院或在转来之前在其他地方接受过初步治疗的患者,我们将受伤后 5 天以上才来就诊定义为真正的就诊延迟。在此期间,在转来我们诊所的 246 名患者中,有 199 名(80.89%)患者按时就诊。2020 年 7 月,我们通过转介而来的门诊量增加,2020 年 8 月则急剧下降。我们诊所的总门诊量在 2020 年比 2019 年减少了约 14%。2020 年转至我们诊所的患者比 2019 年减少了约 34%。视频远程医疗咨询并没有导致就诊次数减少。在大流行期间,我们诊所的就诊延迟发生率较低。需要进一步调查以确定烧伤发生率是否下降。尽管发生了大流行,但我们诊所仍随时准备并愿意为烧伤患者提供服务。