Concord Repatriation General Hospital, Burns Unit, Australia; ANZAC Research Institute, Concord Repatriation General Hospital, Sydney, Australia; Concord Clinical School, University of Sydney, Sydney, Australia; School of Medicine, University of Notre Dame, Sydney, Australia; School of Medicine, University of New South Wales, Sydney, Australia.
Concord Repatriation General Hospital, Burns Unit, Australia; Concord Clinical School, University of Sydney, Sydney, Australia.
Burns. 2024 Mar;50(2):381-387. doi: 10.1016/j.burns.2023.10.012. Epub 2023 Oct 31.
The COVID-19 pandemic has significantly impacted the clinical presentations of burns and the provision of services. This study aims to describe and analyse patterns and trends in adult burns across New South Wales (NSW) and the Australian Capital Territory.
A NSW statewide retrospective review was conducted from 2017 to 2022 for adult patients with burns. A comparative analysis was performed for the COVID-19 group (2020-2022) and control group between 2017 and 2019.
We found a total of 11,433 patients (7102 non-COVID vs 4331 COVID-19). The average age in the COVID-19 group was 1.4 years older than counterparts (40.6 vs 42.0, p < 0.001). The 18 - 25 and 36 - 45 age groups experienced significantly lower proportions of presentations, whereas, the 76-85 years experienced significantly higher proportions. There was a significantly higher proportion of pressure injuries (0.1% vs 0.4%, p < 0.001) and contact burns (17.2% vs 18.7%), but lower explosions (1.3% vs 0.2%) for the COVID-19 group compared to their counterparts. The mean TBSA% was 0.4% greater in the COVID-19 group compared to their counterparts (2.4 vs 2.8, p < 0.001). There were significantly more operating sessions (0.2 vs 0.3, p < 0.001). The mean length of stay was significantly greater by 0.8 days for the COVID-19 group compared to their counterparts (1.5 vs 2.3, p < 0.001).
Epidemiological changes were not greatly different to previous years from the impact of COVID-19. The shift in elderly presentations and operative interventions reflects the holistic care of burns units working in a new landscape with an invigorated focus on telehealth and outpatient care.
COVID-19 大流行对烧伤的临床表现和服务提供产生了重大影响。本研究旨在描述和分析新南威尔士州（NSW）和澳大利亚首都领地（ACT）成年烧伤患者的模式和趋势。
对 2017 年至 2022 年期间 NSW 全州成年烧伤患者进行了回顾性研究。对 2020 年至 2022 年的 COVID-19 组和 2017 年至 2019 年的对照组进行了对比分析。
我们共发现 11433 名患者（7102 名非 COVID-19 组 vs 4331 名 COVID-19 组）。COVID-19 组的平均年龄比对照组大 1.4 岁（40.6 岁 vs 42.0 岁，p<0.001）。18-25 岁和 36-45 岁年龄组的就诊比例显著下降，而 76-85 岁年龄组的就诊比例显著上升。COVID-19 组的压力性损伤（0.1% vs 0.4%，p<0.001）和接触性烧伤（17.2% vs 18.7%）的比例明显更高，但爆炸伤（1.3% vs 0.2%）的比例明显更低。与对照组相比，COVID-19 组的 TBSA%平均增加了 0.4%（2.4% vs 2.8%，p<0.001）。手术次数明显增加（0.2 次 vs 0.3 次，p<0.001）。与对照组相比，COVID-19 组的平均住院时间延长了 0.8 天（1.5 天 vs 2.3 天，p<0.001）。
COVID-19 的影响与前几年的流行病学变化并没有太大不同。老年患者就诊和手术干预的转变反映了烧伤病房在新环境下的全面护理，对远程医疗和门诊护理的关注更加积极。
