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Impact of COVID-19 on global burn care
BACKGROUND: Worldwide, different strategies have been chosen to face the COVID-19-patient surge, often affecting access to health care for other patients. This observational study aimed to investigate whether the standard of burn care changed globally during the pandemic, and whether country´s incom...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Author(s). Published by Elsevier Ltd.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664090/ https://www.ncbi.nlm.nih.gov/pubmed/34903416 http://dx.doi.org/10.1016/j.burns.2021.11.010 |
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author | Laura, Pompermaier José, Adorno Nikki, Allorto Khaled, Altarrah Barret, Juan Jeffery, Carter Shobha, Chamania Jack, Chong Si Scott, Corlew Nadia, Depetris Moustafa, Elmasry Liao, Junlin Josef, Haik Briana, Horwath Sunil, Keswani Tetsuro, Kiyozumi Jorge, Leon-Villapalos Gaoxing, Luo Hajime, Matsumura Ariel, Miranda-Altamirano Naiem, Moiemen Kiran, Nakarmi Nawar, Ahmed Faustin, Ntirenganya Anthony, Olekwu Tom, Potokar Liang, Qiao Man, Rai Shankar Ingrid, Steinvall Ahmed, Tanveer Vana Molina, Philipe Luiz Shelley, Wall Mark, Fisher |
author_facet | Laura, Pompermaier José, Adorno Nikki, Allorto Khaled, Altarrah Barret, Juan Jeffery, Carter Shobha, Chamania Jack, Chong Si Scott, Corlew Nadia, Depetris Moustafa, Elmasry Liao, Junlin Josef, Haik Briana, Horwath Sunil, Keswani Tetsuro, Kiyozumi Jorge, Leon-Villapalos Gaoxing, Luo Hajime, Matsumura Ariel, Miranda-Altamirano Naiem, Moiemen Kiran, Nakarmi Nawar, Ahmed Faustin, Ntirenganya Anthony, Olekwu Tom, Potokar Liang, Qiao Man, Rai Shankar Ingrid, Steinvall Ahmed, Tanveer Vana Molina, Philipe Luiz Shelley, Wall Mark, Fisher |
author_sort | Laura, Pompermaier |
collection | PubMed |
description | BACKGROUND: Worldwide, different strategies have been chosen to face the COVID-19-patient surge, often affecting access to health care for other patients. This observational study aimed to investigate whether the standard of burn care changed globally during the pandemic, and whether country´s income, geographical location, COVID-19-transmission pattern, and levels of specialization of the burn units affected reallocation of resources and access to burn care. METHODS: The Burn Care Survey is a questionnaire developed to collect information on the capacity to provide burn care by burn units around the world, before and during the pandemic. The survey was distributed between September and October 2020. McNemar`s test analyzed differences between services provided before and during the pandemic, χ2 or Fisher’s exact test differences between groups. Multivariable logistic regression analyzed the independent effect of different factors on keeping the burn units open during the pandemic. RESULTS: The survey was completed by 234 burn units in 43 countries. During the pandemic, presence of burn surgeons did not change (p = 0.06), while that of anesthetists and dedicated nursing staff was reduced (<0.01), and so did the capacity to manage patients in all age groups (p = 0.04). Use of telemedicine was implemented (p < 0.01), collaboration between burn centers was not. Burn units in LMICs and LICs were more likely to be closed, after adjustment for other factors. CONCLUSIONS: During the pandemic, most burn units were open, although availability of standard resources diminished worldwide. The use of telemedicine increased, suggesting the implementation of new strategies to manage burns. Low income was independently associated with reduced access to burn care. |
format | Online Article Text |
id | pubmed-8664090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Author(s). Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86640902021-12-10 Impact of COVID-19 on global burn care Laura, Pompermaier José, Adorno Nikki, Allorto Khaled, Altarrah Barret, Juan Jeffery, Carter Shobha, Chamania Jack, Chong Si Scott, Corlew Nadia, Depetris Moustafa, Elmasry Liao, Junlin Josef, Haik Briana, Horwath Sunil, Keswani Tetsuro, Kiyozumi Jorge, Leon-Villapalos Gaoxing, Luo Hajime, Matsumura Ariel, Miranda-Altamirano Naiem, Moiemen Kiran, Nakarmi Nawar, Ahmed Faustin, Ntirenganya Anthony, Olekwu Tom, Potokar Liang, Qiao Man, Rai Shankar Ingrid, Steinvall Ahmed, Tanveer Vana Molina, Philipe Luiz Shelley, Wall Mark, Fisher Burns Article BACKGROUND: Worldwide, different strategies have been chosen to face the COVID-19-patient surge, often affecting access to health care for other patients. This observational study aimed to investigate whether the standard of burn care changed globally during the pandemic, and whether country´s income, geographical location, COVID-19-transmission pattern, and levels of specialization of the burn units affected reallocation of resources and access to burn care. METHODS: The Burn Care Survey is a questionnaire developed to collect information on the capacity to provide burn care by burn units around the world, before and during the pandemic. The survey was distributed between September and October 2020. McNemar`s test analyzed differences between services provided before and during the pandemic, χ2 or Fisher’s exact test differences between groups. Multivariable logistic regression analyzed the independent effect of different factors on keeping the burn units open during the pandemic. RESULTS: The survey was completed by 234 burn units in 43 countries. During the pandemic, presence of burn surgeons did not change (p = 0.06), while that of anesthetists and dedicated nursing staff was reduced (<0.01), and so did the capacity to manage patients in all age groups (p = 0.04). Use of telemedicine was implemented (p < 0.01), collaboration between burn centers was not. Burn units in LMICs and LICs were more likely to be closed, after adjustment for other factors. CONCLUSIONS: During the pandemic, most burn units were open, although availability of standard resources diminished worldwide. The use of telemedicine increased, suggesting the implementation of new strategies to manage burns. Low income was independently associated with reduced access to burn care. The Author(s). Published by Elsevier Ltd. 2022-09 2021-11-17 /pmc/articles/PMC8664090/ /pubmed/34903416 http://dx.doi.org/10.1016/j.burns.2021.11.010 Text en © 2021 The Author(s) Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Laura, Pompermaier José, Adorno Nikki, Allorto Khaled, Altarrah Barret, Juan Jeffery, Carter Shobha, Chamania Jack, Chong Si Scott, Corlew Nadia, Depetris Moustafa, Elmasry Liao, Junlin Josef, Haik Briana, Horwath Sunil, Keswani Tetsuro, Kiyozumi Jorge, Leon-Villapalos Gaoxing, Luo Hajime, Matsumura Ariel, Miranda-Altamirano Naiem, Moiemen Kiran, Nakarmi Nawar, Ahmed Faustin, Ntirenganya Anthony, Olekwu Tom, Potokar Liang, Qiao Man, Rai Shankar Ingrid, Steinvall Ahmed, Tanveer Vana Molina, Philipe Luiz Shelley, Wall Mark, Fisher Impact of COVID-19 on global burn care |
title | Impact of COVID-19 on global burn care |
title_full | Impact of COVID-19 on global burn care |
title_fullStr | Impact of COVID-19 on global burn care |
title_full_unstemmed | Impact of COVID-19 on global burn care |
title_short | Impact of COVID-19 on global burn care |
title_sort | impact of covid-19 on global burn care |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664090/ https://www.ncbi.nlm.nih.gov/pubmed/34903416 http://dx.doi.org/10.1016/j.burns.2021.11.010 |
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