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; Potokar, Tom; Liang, Qiao; Man, Rai Shankar; Ingrid, Steinvall; Ahmed, Tanveer; Vana, Philipe Luiz; Shelley, Wall; Mark, Fisher

doi:10.1016/j.burns.2021.11.010

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Impact of COVID-19 on global burn care

Pompermaier Laura, Adorno José, Allorto Nikki, Altarrah Khaled, Juan Barret, Carter Jeffery, Chamania Shobha, Chong Si Jack, Corlew Scott, Depetris Nadia, Elmasry Moustafa, Junlin Liao, Haik Josef, Horwath Briana, Keswani Sunil, Kiyozumi Tetsuro, Leon-Villapalos Jorge, Luo Gaoxing, Matsumura Hajime, Miranda-Altamirano Ariel, Moiemen Naiem, Nakarmi Kiran, Ahmed Nawar, Ntirenganya Faustin, Olekwu Anthony, Tom Potokar

, Qiao Liang, Rai Shankar Man, Steinvall Ingrid, Tanveer Ahmed, Philipe Luiz Vana Molina, Wall Shelley, Fisher Mark

Burns, Volume: 48, Issue: 6, Pages: 1301 - 1310

Swansea University Author: Tom Potokar

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DOI (Published version): 10.1016/j.burns.2021.11.010

Abstract

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, geographi...

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Published in:	Burns
ISSN:	0305-4179 1879-1409
Published:	Elsevier BV 2022
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa59069
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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. 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. 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. [Abstract copyright: Copyright © 2021 The Authors. Published by Elsevier Ltd.. 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spelling	2022-09-27T17:11:44.5999506 v2 59069 2022-01-04 Impact of COVID-19 on global burn care 9a95e66967473650e9ed68f7cad7c681 0000-0001-9282-8128 Tom Potokar Tom Potokar true false 2022-01-04 HHC 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. 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. 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. 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. [Abstract copyright: Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.] Journal Article Burns 48 6 1301 1310 Elsevier BV 0305-4179 1879-1409 Burn care; Burn unit; COVID-19; Telemedicine; Surgical procedures; Resource allocation; Standard of care 1 9 2022 2022-09-01 10.1016/j.burns.2021.11.010 COLLEGE NANME Human and Health Sciences Central COLLEGE CODE HHC Swansea University 2022-09-27T17:11:44.5999506 2022-01-04T14:38:46.4810296 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Pompermaier Laura 1 Adorno José 2 Allorto Nikki 3 Altarrah Khaled 4 Juan Barret 5 Carter Jeffery 6 Chamania Shobha 7 Chong Si Jack 8 Corlew Scott 9 Depetris Nadia 10 Elmasry Moustafa 11 Junlin Liao 12 Haik Josef 13 Horwath Briana 14 Keswani Sunil 15 Kiyozumi Tetsuro 16 Leon-Villapalos Jorge 17 Luo Gaoxing 18 Matsumura Hajime 19 Miranda-Altamirano Ariel 20 Moiemen Naiem 21 Nakarmi Kiran 22 Ahmed Nawar 23 Ntirenganya Faustin 24 Olekwu Anthony 25 Tom Potokar 0000-0001-9282-8128 26 Qiao Liang 27 Rai Shankar Man 28 Steinvall Ingrid 29 Tanveer Ahmed 30 Philipe Luiz Vana Molina 31 Wall Shelley 32 Fisher Mark 33 59069__25243__85346f6fedbc4ebcb0094f815088189f.pdf 59069_VoR.pdf 2022-09-27T17:09:56.8469632 Output 938299 application/pdf Version of Record true © 2021 The Author(s). This is an open access article under the CC BY-NC-ND license true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title	Impact of COVID-19 on global burn care
spellingShingle	Impact of COVID-19 on global burn care Tom Potokar
title_short	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_sort	Impact of COVID-19 on global burn care
author_id_str_mv	9a95e66967473650e9ed68f7cad7c681
author_id_fullname_str_mv	9a95e66967473650e9ed68f7cad7c681_***_Tom Potokar
author	Tom Potokar
author2	Pompermaier Laura Adorno José Allorto Nikki Altarrah Khaled Juan Barret Carter Jeffery Chamania Shobha Chong Si Jack Corlew Scott Depetris Nadia Elmasry Moustafa Junlin Liao Haik Josef Horwath Briana Keswani Sunil Kiyozumi Tetsuro Leon-Villapalos Jorge Luo Gaoxing Matsumura Hajime Miranda-Altamirano Ariel Moiemen Naiem Nakarmi Kiran Ahmed Nawar Ntirenganya Faustin Olekwu Anthony Tom Potokar Qiao Liang Rai Shankar Man Steinvall Ingrid Tanveer Ahmed Philipe Luiz Vana Molina Wall Shelley Fisher Mark
format	Journal article
container_title	Burns
container_volume	48
container_issue	6
container_start_page	1301
publishDate	2022
institution	Swansea University
issn	0305-4179 1879-1409
doi_str_mv	10.1016/j.burns.2021.11.010
publisher	Elsevier BV
college_str	Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id	facultyofmedicinehealthandlifesciences
hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
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hierarchy_parent_title	Faculty of Medicine, Health and Life Sciences
department_str	Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description	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. 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. 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. 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. [Abstract copyright: Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.]
published_date	2022-09-01T04:16:05Z
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Impact of COVID-19 on global burn care

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