Department of Defense Medicine, National Defense Medical College, 3-2 Namiki, Tokorozawa City, Saitama Prefecture, Japan.
Division of Traumatology, Research Institute, Department of Traumatology and Critical Care, Hospital, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, Japan.
Burns. 2023 Jun;49(4):934-940. doi: 10.1016/j.burns.2022.06.012. Epub 2022 Jun 24.
The spread of coronavirus disease 2019 (COVID-19), which began in 2020, has had a major impact on healthcare systems. The spread of COVID-19 has been reported to have affected the readiness to treat patients with burns worldwide. However, the existing reports have evaluated burn care status within a limited time period during the pandemic, and no report clarifies the change in the impact of infection status on burn care from the beginning of the pandemic to the present.
Japanese Society for Burn Injuries-accredited burn care facilities were surveyed using questionnaires on April 9-23, 2020; June 23-July 6, 2020; July 9-21, 2021; and January 21-31, 2022. Differences between groups were evaluated using Friedman's test or Bonferroni's multiple comparison test, as appropriate.
From the 103 facilities included in the study, we received 85, 55, 56, and 58 responses in the first, second, third, and fourth surveys, respectively. We could continuously observe 34 facilities. The rate of acceptance of patients with severe burns improved significantly over time (P < 0.05). However, in the second and third surveys, there was an increase in the number of respondents who did not accept patients with burns irrespective of COVID-19 status.
The number of facilities treating patients with burns who have COVID-19 is increasing; however, COVID-19 care may negatively impact routine burn care. It is necessary to continuously examine medical resource allocation through methods such as information sharing by academic societies.
2020 年开始的 2019 年冠状病毒病（COVID-19）的传播对医疗系统产生了重大影响。据报道，COVID-19 的传播已经影响了全球治疗烧伤患者的准备情况。然而，现有的报告仅在大流行期间的有限时间段内评估了烧伤护理状况，并且没有报告阐明从大流行开始到现在感染状况对烧伤护理的影响变化。
2020 年 4 月 9 日至 23 日、2020 年 6 月 23 日至 7 月 6 日、2021 年 7 月 9 日至 21 日和 2022 年 1 月 21 日至 31 日，使用问卷调查了日本烧伤协会认可的烧伤治疗机构。使用 Friedman 检验或 Bonferroni 多重比较检验评估组间差异。
在纳入研究的 103 家机构中，我们分别在第一次、第二次、第三次和第四次调查中收到了 85、55、56 和 58 份回复。我们可以连续观察 34 家机构。接受严重烧伤患者的比例随着时间的推移显著提高（P<0.05）。然而，在第二次和第三次调查中，无论 COVID-19 状态如何，不接受烧伤患者的机构数量有所增加。
收治 COVID-19 烧伤患者的机构数量正在增加；然而，COVID-19 的护理可能会对常规烧伤护理产生负面影响。有必要通过学术团体信息共享等方法，不断检查医疗资源的分配情况。
