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德国北部新冠疫情期间烧伤患者重症监护病房资源的持续高需求:一项单中心横断面研究。

Sustained high demand for intensive care unit resources for the treatment of burn patients during the COVID-19 pandemic in Northern Germany: A single-centre cross-sectional study.

作者信息

Bucher F, Dastagir K, Obed D, Dieck T, Vogt P M

机构信息

Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, Germany.

出版信息

JPRAS Open. 2022 Dec;34:82-90. doi: 10.1016/j.jpra.2022.07.002. Epub 2022 Jul 10.

Abstract

INTRODUCTION

The ongoing COVID-19 pandemic caused by SARS-CoV-2 has changed everyday life worldwide. To reduce disease transmission, governments introduced various policies such as social distancing, stay-at-home orders, and travel restrictions. The goal of this study was to investigate the characteristics of burn patients admitted to the burn intensive care unit before and during the COVID-19 pandemic.

PATIENTS AND METHODS

A retrospective descriptive analysis of the hospital's burn registry was performed from 1 March 2019 until 1 January 2022.

RESULTS

A total of 326 patients were included in this study. Eighty-eight patients presented before and 238 patients during the COVID-19 pandemic. The majority of burns occurred during private incidents (80% [2022], 92% [2020]), and burns were most frequently caused by flames (24% [2022], 32.99% [2021]). Work-related injuries occurred less frequently (7.76% [2020], 20% [2022]). Constant results were obtained regarding severity and total body surface area affected (1-80%).

CONCLUSION

This study highlights high numbers of burn patients admitted to the burn intensive care unit before and during the COVID-19 pandemic. Consequently, burn intensive care units must retain their special position within the national health system and should not be included in resource relocation during the prioritisation of intensive care resources. Multicentre studies should focus on the national impact of COVID-19 on the treatment of burn patients.

摘要

引言

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的持续的2019冠状病毒病疫情改变了全球的日常生活。为减少疾病传播,各国政府出台了各种政策,如社交距离、居家令和旅行限制。本研究的目的是调查在2019冠状病毒病疫情之前和期间入住烧伤重症监护病房的烧伤患者的特征。

患者与方法

对2019年3月1日至2022年1月1日医院的烧伤登记册进行回顾性描述性分析。

结果

本研究共纳入326例患者。88例患者在2019冠状病毒病疫情之前就诊,238例患者在疫情期间就诊。大多数烧伤发生在私人事故中(2022年为80%[202/252],2020年为92%[202/220]),烧伤最常见的原因是火焰(2022年为24%[48/202],2021年为32.99%[71/215])。工伤发生频率较低(2020年为7.76%[17/219],2022年为20%[40/200])。在严重程度和受影响的全身表面积(1%-80%)方面得到了一致的结果。

结论

本研究强调了在2019冠状病毒病疫情之前和期间入住烧伤重症监护病房的烧伤患者数量众多。因此,烧伤重症监护病房必须在国家卫生系统中保持其特殊地位,在重症监护资源优先分配期间不应被纳入资源重新调配范围。多中心研究应关注2019冠状病毒病对烧伤患者治疗的全国性影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae6/9535383/c6dc3f4c15b3/gr1.jpg

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