Kohlhauser Michael, Luze Hanna, Nischwitz Sebastian Philipp, Kamolz Lars-Peter
Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, 8036 Graz, Austria.
COREMED-Cooperative Centre for Regenerative Medicine, Joanneum Research Forschungsgesellschaft mbH, 8010 Graz, Austria.
J Clin Med. 2022 Jun 14;11(12):3410. doi: 10.3390/jcm11123410.
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. 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. 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. 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. 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.
本综述的目的是梳理和总结全球各烧伤中心在2019冠状病毒病（COVID-19）大流行期间的经验，以便制定未来在大流行期间烧伤护理最有效措施方面的策略，并发现可能存在的知识空白。2019冠状病毒病（COVID-19）大流行对全球经济、社会互动和卫生系统产生了重大影响。世界各地的烧伤科在应对不断变化的规定的同时，面临着维持急性烧伤创面护理和后续治疗的新挑战。基础设施改造、建立高效的分诊系统、防护措施、人员资源，以及维持高效的患者护理和供应链保障，都是需要应对的具有挑战性的任务。本综述概述了全球烧伤科为安全度过COVID-19大流行疫情而采用的不同策略和方法的最新进展。利用电子数据库PubMed和谷歌学术进行了文献的范围综述。对出版物筛选了以下关键词：烧伤、烧伤损伤、热损伤、烧伤中心、烧伤科、烧伤病房，以及COVID-19、COVID-19大流行、严重急性呼吸综合征冠状病毒2（SARS-CoV-2）、冠状病毒。对有关大流行期间烧伤科管理的文章进行了进一步分析并纳入。在136篇出版物中，10篇被认为与关键问题相关，并纳入本综述。结果分为六个主要主题，如基础设施和人员管理、分诊、重度烧伤和急诊、择期手术、患者和访客管理，以及门诊管理。关于COVID-19大流行期间烧伤科管理的研究发表较少。在COVID-19大流行期间，需要重新分配人员资源和设备，以应对各国的具体挑战，并维持适当的烧伤护理。由于所有这些文章都涉及疫情初期，关于烧伤科在COVID-19大流行期间采取的预防措施缺乏临床研究。此外，我们在已发表的文献中发现，关于所实施措施对烧伤患者预后影响的知识存在空白。必须进行进一步研究，以便提供关于烧伤科COVID-19预防措施的普遍适用指南。
