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Open accessJournal ArticleDOI: 10.1093/JBCR/IRAA154

Trends in Burn Injuries in Northern Israel during the COVID-19 Lockdown.

04 Mar 2021-Journal of Burn Care & Research (Oxford University Press (OUP))-Vol. 42, Iss: 2, pp 135-140
Abstract: Coronavirus disease 2019 obliged many countries to apply lockdown policies to contain the spread of infection. The restrictions in Israel included limitations on movement, reduction of working capacity, and closure of the educational system. The present study focused on patients treated at a referral center for burns in northern Israel. Their goal was to investigate temporal variations in burn injuries during this period. Data were retrospectively extracted from the medical records of burn patients treated at our hospital between March 14, 2020 and April 20, 2020 (ie, the period of aggravated lockdown). Data from this period were compared with that from paralleling periods between 2017 and 2019. During the lockdown and paralleling periods, 178 patients were treated for burn injuries, of whom 44% were under 18. Although no restrictions were enforced during the virus outbreak period with regard to seeking medical care, we noticed a decrease in the number of patients admitted to the emergency room for all reasons. Of particular interest was a 66% decrease in the number of adult burn patients (P < .0001). Meanwhile, among the pediatric population, no significant decrease was observed. Nonetheless, subgroups with higher susceptibility to burn injuries included children aged 2 to 5 years (56.3% vs 23.8%, P = .016) and female patients from all pediatric age groups (57.1% vs 25%, P = .027). These findings may be explained by the presumably busier kitchen and dining areas during the lockdown. Overall, the study results can assist with building a stronger understanding of varying burn injuries and with developing educational and preventive strategies.

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13 results found

Open access
01 Jan 1971-
Topics: Phonics (65%), Reading (process) (54%), Teaching method (52%)

21 Citations

Open accessJournal ArticleDOI: 10.1093/JBCR/IRAA181
Abstract: Introduction The COVID-19 pandemic has had a profound global impact, not least on hospital functioning Institutions have all had to prepare and adapt to a large number of admissions, and the influence on elective and emergency surgical services, including burn care, has been significant;it may be some time before we know the full extent of this While many centers were able to commence more normal activities for a while, we are now seeing an exponential rise in cases again, with potentially catastrophic consequences for the provision of burn care Methods A review of all admissions, operative cases and clinic visits between 1 April and 31 August 2020 was undertaken at an American Burn Association verified burn center These data were compared with the same five-month period in the preceding two years Results Selected data highlights are tabulated (Table 1) During the five months in question, fewer patients were admitted than the previous two years (N=81 versus 121) The mean total body surface area was slightly higher this year (13 7%), and the mean length of hospital stay longer (18 days) The male-to-female ratio of admitted patients was greater during the five months of 2020, at 2 9:1, compared to 1 7:1 No significant differences in terms of etiology were detected, however As expected, clinic visits reduced dramatically from a mean of 160 patient visits per month to just 81 per month, with the majority conducted virtually During 2020 the operative cases were similar in number to previous years (N=176), but the mean duration was significantly longer (190 minutes) The total time utilised for burn surgery was similar to previous years (572 hours) Table 1 Selected burn center data comparing 2020 with 2019 and 2018 Conclusions This study demonstrates that although total admissions were slightly reduced, the demands on Burn ICU bed resources and burn operating time were similar The data supports the notion that removing scheduled operating time for our service resulted in less efficient execution of acute burn surgeries and longer hospital stays Although formal clinic visits were significantly reduced and were mainly conducted virtually, several patients were satisfied by a novel and user-friendly email service conducted by our clinic nurse specialist

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Topics: Burn therapy (72%), Burn center (69%)

5 Citations

Open access
01 Jan 2017-
Abstract: Background: Anecdotal evidence suggests an increased incidence of burn admissions during weekends and certain times of the year, particularly the summer holidays. We formally analyzed the timing of admissions to our burn unit as well as severity of injury by date to investigate more precisely the temporal patterns of burn injuries throughout the year. Materials and methods: A retrospective chart review was performed of all patients admitted to our burn center from 2006-2015. Date, day of the week, month, and season of admission were collected and analyzed. Type of burn injury and total body surface area (TBSA) were also noted for each admission from 2013-2015. Results: The majority of admissions occurred on Sundays (39 ± 4 compared to 30 ± 6, p=0.0009), the second most occurred on Mondays (36 ± 6, p=0.038), while the least occurred on Thursdays (24 ± 4, p=0.0169). Most admissions occurred in July compared to other months (22 ± 5 compared to 17 ± 2, p=0.017). Analysis by season revealed that most admissions occurred in the summer (60 ± 11 compared to 50 ± 3, p=0.0125). Scald injuries were most likely to occur in November (10 ± 9 compared to 7 ± 8, p=0.0055) and least likely to occur in February (4 ± 8, p=0.0388). Injuries occurring in July had the smallest total body surface area compared to other months (4 ± 2.5 compared to 8 ± 2.1, p<0.0001), and injuries in November were second smallest (5 ± 5.4, p=0.0147). Injuries occurring on Wednesdays were smaller than the other days of the week (2 ± 9 compared to 7 ± 3, p=0.0006). Conclusion: Burn unit admissions are more likely to occur on the Sundays and Mondays and least likely to occur on Thursdays. July and the summer also tend to have higher rates of admissions than the rest of the year. Scald injuries are most likely to occur in November and least likely to occur in February. Admissions occurring during July, November, and on Wednesdays are associated with overall smaller-size injuries.

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1 Citations

Open accessJournal ArticleDOI: 10.1093/JBCR/IRAB106
Jesse A. Codner1, Rafael De Ayala1, Rita Gayed2, Carey K Lamphier2  +1 moreInstitutions (2)
Abstract: The impact of the coronavirus disease 2019 (COVID-19) pandemic on admission patterns and outcomes at a burn center is still largely unknown. The aim of this study was to determine how the COVID-19 pandemic affected the epidemiology of burn admissions at a major metropolitan burn center. This retrospective cohort study examined how the COVID-19 pandemic affected burn volumes and time to presentation. All burn admissions were included from January 20 to August 31 for the years 2020, 2019, and 2018. The COVID-19 pandemic group included admissions from January 20, 2020 to August 31, 2020 and was compared to the nonpandemic group comprised of admissions from January 20 to August 31 in 2018 and 2019. Subgroup analysis was performed according to meaningful dates during the COVID-19 pandemic including the first U.S. COVID-19 case, shelter-in-place, and state reopening orders. Admission volumes were 403 patients in the COVID-19 pandemic group compared to a mean of 429 patients in the nonpandemic group, which correlated to a 5.8% decrease in volume during the pandemic. The pandemic group showed an increase in time to presentation of 1 day (P < .0001). Subgroup analysis demonstrated stable admission volumes and an increase in time to presentation of 1 day (P < .0001) at each time point. During shelter-in-place orders, there were higher rates of second/third-degree burns and operative burns (94.7 vs 56.3% and 45.6 vs 27%, P < .0001, P = .013). During the pandemic, there were stable admission volumes, delayed time to admission, and an increase in operative burns during shelter-in-place orders. This reinforces the need to maintain appropriate burn center staffing and resources during the COVID-19 pandemic.

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Topics: Burn center (63%)

1 Citations


32 results found

Open accessJournal ArticleDOI: 10.1056/NEJMOA2001316
Qun Li1, Xuhua Guan1, Peng Wu2, Xiaoye Wang1  +43 moreInstitutions (6)
Abstract: Background The initial cases of novel coronavirus (2019-nCoV)–infected pneumonia (NCIP) occurred in Wuhan, Hubei Province, China, in December 2019 and January 2020. We analyzed data on the...

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Topics: Coronavirus (54%)

10,234 Citations

Open accessJournal ArticleDOI: 10.1038/S41564-020-0695-Z
Abstract: The present outbreak of a coronavirus-associated acute respiratory disease called coronavirus disease 19 (COVID-19) is the third documented spillover of an animal coronavirus to humans in only two decades that has resulted in a major epidemic. The Coronaviridae Study Group (CSG) of the International Committee on Taxonomy of Viruses, which is responsible for developing the classification of viruses and taxon nomenclature of the family Coronaviridae, has assessed the placement of the human pathogen, tentatively named 2019-nCoV, within the Coronaviridae. Based on phylogeny, taxonomy and established practice, the CSG recognizes this virus as forming a sister clade to the prototype human and bat severe acute respiratory syndrome coronaviruses (SARS-CoVs) of the species Severe acute respiratory syndrome-related coronavirus, and designates it as SARS-CoV-2. In order to facilitate communication, the CSG proposes to use the following naming convention for individual isolates: SARS-CoV-2/host/location/isolate/date. While the full spectrum of clinical manifestations associated with SARS-CoV-2 infections in humans remains to be determined, the independent zoonotic transmission of SARS-CoV and SARS-CoV-2 highlights the need for studying viruses at the species level to complement research focused on individual pathogenic viruses of immediate significance. This will improve our understanding of virus–host interactions in an ever-changing environment and enhance our preparedness for future outbreaks.

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Topics: Coronavirus (64%), Nidovirales (50%)

3,790 Citations

Open accessJournal ArticleDOI: 10.1093/JTM/TAAA020
Abstract: Public health measures were decisive in controlling the SARS epidemic in 2003. Isolation is the separation of ill persons from non-infected persons. Quarantine is movement restriction, often with fever surveillance, of contacts when it is not evident whether they have been infected but are not yet symptomatic or have not been infected. Community containment includes measures that range from increasing social distancing to community-wide quarantine. Whether these measures will be sufficient to control 2019-nCoV depends on addressing some unanswered questions.

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Topics: Quarantine (52%), Isolation (health care) (50%), Public health (50%)

1,296 Citations

Journal ArticleDOI: 10.1016/J.BURNS.2011.06.005
Michael Peck1Institutions (1)
01 Nov 2011-Burns
Abstract: Globally in 2004, the incidence of burns severe enough to require medical attention was nearly 11 million people and ranked fourth in all injuries, higher than the combined incidence of tuberculosis and HIV infections. Fortunately, although burns and fires account for over 300,000 deaths each year throughout the world, the vast majority of burns are not fatal. Nonetheless, fire-related burns are also among the leading causes of disability-adjusted life years (DALYs) lost in low- and middle-income countries (LMIC). Morbidity and mortality due to fire and flames has declined worldwide in the past decades. However, 90% of burn deaths occur in LMIC, where prevention programs are uncommon and the quality of acute care is inconsistent. Even in high-income countries, burns occur disproportionately to racial and ethnic minorities such that socioeconomic status--more than cultural or educational factors--account for most of the increased burn susceptibility. Risk factors for burns include those related to socioeconomic status, race and ethnicity, age, and gender, as well as those factors pertaining to region of residence, intent of injury, and comorbidity. Both the epidemiology and risk factors of burns injuries worldwide are reviewed in this paper.

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Topics: Poison control (52%), Injury prevention (51%)

603 Citations

Journal ArticleDOI: 10.1016/J.BURNS.2006.04.002
Samuel N. Forjuoh1Institutions (1)
01 Aug 2006-Burns
Abstract: Burn prevention requires adequate knowledge of the epidemiological characteristics and associated risk factors. While much has been accomplished in the areas of primary and secondary prevention of fires and burns in many developed or high-income countries (HICs), such as the United States, due to sustained research on the descriptive epidemiology and risk factors, the same cannot be said of developing or low- and middle-income countries (LMICs). To move from data to action and assist preventive efforts in LMICs, a review of the available literature was conducted to assess the current status of burn preventive efforts. A MEDLINE search (1974-2003) was conducted on empirical studies published in English on the descriptive epidemiology, risk factors, treatment, and prevention of burns in LMICs. Review of the 117 identified studies revealed basically the same descriptive epidemiological characteristics but slightly different risk factors of burns including the presence of pre-existing impairments in children, lapses in child supervision, storage of flammable substances in the home, low maternal education, and overcrowding as well as several treatment modalities and preventive efforts including immediate application of cool water to a burned area. Continuous evaluation of promising interventions and those with unknown efficacy that have been attempted in LMICs, along with testing interventions that have proven effective in HICs in these LIMC settings, is needed to spearhead the move from data to action in preventing burns in LMICs.

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Topics: Poison control (52%)

435 Citations