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Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19

Considerable reorganization of the regional network for pediatric burn treatment during the pandemic was required to cope with severe burn injuries in small children. In support of the emergency network for burns during the COVID-19 pandemic, we referred to regional indications for centralization in...

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Autores principales: Pelizzo, Gloria, Vestri, Elettra, del Re, Giulia, Filisetti, Claudia, Osti, Monica, Camporesi, Anna, Rizzo, Dario, De Angelis, Armando, Zoia, Elena, Tommasi, Paola, Zuccotti, Gianvincenzo, Calcaterra, Valeria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8150957/
https://www.ncbi.nlm.nih.gov/pubmed/34066726
http://dx.doi.org/10.3390/healthcare9050551
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author Pelizzo, Gloria
Vestri, Elettra
del Re, Giulia
Filisetti, Claudia
Osti, Monica
Camporesi, Anna
Rizzo, Dario
De Angelis, Armando
Zoia, Elena
Tommasi, Paola
Zuccotti, Gianvincenzo
Calcaterra, Valeria
author_facet Pelizzo, Gloria
Vestri, Elettra
del Re, Giulia
Filisetti, Claudia
Osti, Monica
Camporesi, Anna
Rizzo, Dario
De Angelis, Armando
Zoia, Elena
Tommasi, Paola
Zuccotti, Gianvincenzo
Calcaterra, Valeria
author_sort Pelizzo, Gloria
collection PubMed
description Considerable reorganization of the regional network for pediatric burn treatment during the pandemic was required to cope with severe burn injuries in small children. In support of the emergency network for burns during the COVID-19 pandemic, we referred to regional indications for centralization in our hospital for all children aged less than 5 years who presented with severe burns, >15% of total body surface area (TBSA), or who necessitated admittance to the pediatric intensive care unit (PICU). A new service with a dedicated management protocol was set up to treat pediatric burns in our SARS-CoV-2 pediatric hospital during the lockdown period. A multidisciplinary burn treatment team was set up to offer compassionate and comprehensive burn care. Patient’s clinical data, burn features, treatment and follow up were recorded. A higher number of admissions was recorded from February to December 2020 compared with the same period in 2019 (52 vs. 32 admissions). Eighteen patients were admitted to the COVID-19 Service (10 M/8 F; 3.10 ± 2.6 yrs); ten children (55.5%) were hospitalized in the ward and eight in the ICU (44.5%). Fifty percent of the cases presented with lesions extending over >15% TBSA; in one case, TBSA was 35%. All patients suffered 2nd-degree burns; while five patients also had 3rd degree lesions covering more than 15% TBSA. All of the injuries occurred at home. No major secondary infections were recorded. Successful treatment was achieved in 94.4% of cases. The average length of stay was 15.2 ± 12.6 days. A proactive, carefully planned service, involving a multidisciplinary team, was created to ensure appropriate care in a pediatric hospital during the COVID-19 period, despite the effective pandemic associated challenges. Better health promotion in pediatric burn cases should also include dedicated TBSA assessment and a database of children’s burn characteristics.
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spelling pubmed-81509572021-05-27 Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19 Pelizzo, Gloria Vestri, Elettra del Re, Giulia Filisetti, Claudia Osti, Monica Camporesi, Anna Rizzo, Dario De Angelis, Armando Zoia, Elena Tommasi, Paola Zuccotti, Gianvincenzo Calcaterra, Valeria Healthcare (Basel) Article Considerable reorganization of the regional network for pediatric burn treatment during the pandemic was required to cope with severe burn injuries in small children. In support of the emergency network for burns during the COVID-19 pandemic, we referred to regional indications for centralization in our hospital for all children aged less than 5 years who presented with severe burns, >15% of total body surface area (TBSA), or who necessitated admittance to the pediatric intensive care unit (PICU). A new service with a dedicated management protocol was set up to treat pediatric burns in our SARS-CoV-2 pediatric hospital during the lockdown period. A multidisciplinary burn treatment team was set up to offer compassionate and comprehensive burn care. Patient’s clinical data, burn features, treatment and follow up were recorded. A higher number of admissions was recorded from February to December 2020 compared with the same period in 2019 (52 vs. 32 admissions). Eighteen patients were admitted to the COVID-19 Service (10 M/8 F; 3.10 ± 2.6 yrs); ten children (55.5%) were hospitalized in the ward and eight in the ICU (44.5%). Fifty percent of the cases presented with lesions extending over >15% TBSA; in one case, TBSA was 35%. All patients suffered 2nd-degree burns; while five patients also had 3rd degree lesions covering more than 15% TBSA. All of the injuries occurred at home. No major secondary infections were recorded. Successful treatment was achieved in 94.4% of cases. The average length of stay was 15.2 ± 12.6 days. A proactive, carefully planned service, involving a multidisciplinary team, was created to ensure appropriate care in a pediatric hospital during the COVID-19 period, despite the effective pandemic associated challenges. Better health promotion in pediatric burn cases should also include dedicated TBSA assessment and a database of children’s burn characteristics. MDPI 2021-05-08 /pmc/articles/PMC8150957/ /pubmed/34066726 http://dx.doi.org/10.3390/healthcare9050551 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pelizzo, Gloria
Vestri, Elettra
del Re, Giulia
Filisetti, Claudia
Osti, Monica
Camporesi, Anna
Rizzo, Dario
De Angelis, Armando
Zoia, Elena
Tommasi, Paola
Zuccotti, Gianvincenzo
Calcaterra, Valeria
Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
title Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
title_full Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
title_fullStr Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
title_full_unstemmed Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
title_short Supporting the Regional Network for Children with Burn Injuries in a Pediatric Referral Hospital for COVID-19
title_sort supporting the regional network for children with burn injuries in a pediatric referral hospital for covid-19
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8150957/
https://www.ncbi.nlm.nih.gov/pubmed/34066726
http://dx.doi.org/10.3390/healthcare9050551
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