Department of Burn Surgery, The First Hospital of Jilin University, Changchun, 130021, China.
J Tissue Viability. 2024 May;33(2):185-189. doi: 10.1016/j.jtv.2024.03.010. Epub 2024 Mar 19.
Pediatric burn patients are an essential part of burn populations. However, there is limited publicly available data on the epidemiological impact of COVID-19 on pediatric burns in China.
In this paper, pediatric burn patients admitted to the Department of Burn Surgery of the First Hospital of Jilin University before and during COVID-19 were retrospectively investigated to determine the impact of COVID-19 on pediatric burn inpatients.
The information of inpatients from July 2017 to December 2019 (pre-COVID-19 group) and from January 2020 to June 2022 (COVID-19 group) in the Department of Burn Surgery at the First Hospital of Jilin University was retrospectively investigated. Demographic information of patients, length of hospital stay, total body surface area (TBSA) of burn injury, post-injury visit time, comorbidity, surgical methods, etc., were statistically analyzed.
The COVID-19 group included 154 (10.2%) patients, and the pre-COVID-19 group included 335 (19.4%) patients (P＜0.001). There were no differences in gender, age, length of hospital stay, or etiology of burns between the two groups. Compared to the pre-COVID-19 group, patients in the pre-COVID-19 group experienced a significant delay in presentation (P＜0.001), had a larger TBSA of burn wound (P ＜ 0.001), were more prone to sustaining major burns (P ＜ 0.001), a higher likelihood of undergoing operations (P = 0.03), higher cost (P＜0.001) and more complications (P＜0.001). Additionally, upper extremities were the most commonly part involved in both groups (P = 0.004), with the lower extremities showed a significant increase to be involved in burn injury during COVID-19 pandemic (P = 0.007). Furthermore, the majority of guardians did not take first aid measures in both groups following burn injury (P = 0.102).
During the COVID-19 pandemic period, scalds remained the main reason for hospitalization. The number of hospitalized patients has decreased dramatically, while the severity of burns has significantly increased, with a notable delay in hospital visits and an increased occurrence of complications.
儿科烧伤患者是烧伤人群的重要组成部分。然而，在中国，关于 COVID-19 对儿科烧伤的流行病学影响的数据有限。
本研究回顾性调查了吉林大学第一医院烧伤外科在 COVID-19 前后收治的儿科烧伤患者，以确定 COVID-19 对儿科烧伤住院患者的影响。
回顾性调查了吉林大学第一医院烧伤外科 2017 年 7 月至 2019 年 12 月（COVID-19 前组）和 2020 年 1 月至 2022 年 6 月（COVID-19 组）住院患者的信息。对患者的人口统计学信息、住院时间、烧伤总面积（TBSA）、伤后就诊时间、合并症、手术方法等进行了统计学分析。
COVID-19 组 154 例（10.2%），COVID-19 前组 335 例（19.4%）（P＜0.001）。两组间性别、年龄、住院时间、烧伤原因均无差异。与 COVID-19 前组相比，COVID-19 前组患者就诊时间明显延迟（P＜0.001），烧伤总面积（TBSA）较大（P＜0.001），更易发生大面积烧伤（P＜0.001），手术率较高（P=0.03），费用较高（P＜0.001），并发症较多（P＜0.001）。此外，两组上肢均为最常见的烧伤部位（P=0.004），COVID-19 期间下肢烧伤明显增多（P=0.007）。此外，两组烧伤后监护人均未采取急救措施（P=0.102）。
COVID-19 流行期间，烫伤仍为主要住院原因。住院患者数量大幅减少，烧伤严重程度显著增加，就诊时间明显延迟，并发症发生率增加。
