Acute burns during the COVID-19 pandemic: A one-year retrospective study of 611 patients at a referral burn centre in northern Iran |
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| Authors: | Mohammadreza Mobayen Hossein Torabi Parissa Bagheri Toolaroud Mohammad Tolouei Anoush Dehnadi Moghadam Mohammad Saadatmand Habib EslamiKenarsari Alireza Feizkhah Mohammad Javad Ghazanfari Joseph Osuji Pooyan Ghorbani Vajargah Samad Karkhah |
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| Institution: | 1. Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran;2. Department of General Surgery, Poursina Medical & Educational Center, Guilan University of Medical Sciences, Rasht, Iran;3. Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran;4. Department of General Surgery, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran;5. Anesthesiology Research Center, Guilan University of Medical Sciences, Rasht, Iran;6. Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran;7. Poursina Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran;8. School of Nursing and Midwifery, Faculty of Health, Community, and Education, Mount Royal University, Calgary, Alberta, Canada |
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| Abstract: | Patients with acute burns are more vulnerable to COVID-19 because of physiologically weak immune systems. This study aimed to assess and compare individual characteristics, clinical features, and clinical outcomes of acute burn among COVID-19 and non-COVID-19 patients. A retrospective study, with data collected from 611 acute burn patients with or without a COVID-19 diagnosis referred to a burn centre in Iran. Data were collected from April 2020 to 2021. The mean age of acute burns patients with COVID-19 was higher compared with acute burns patients with non-COVID-19 (47.82 vs. 32.59 years, P < .001). Acute burns occurred more frequently in COVID-19 patients with comorbidities compared with non-COVID-19 patients (48.72% vs. 26.92%, P = .003). 58.97% of COVID-19 patients and 55.42% of non-COVID-19 patients had grade II & III and II burns, respectively (P < .001). The mean total body surface area of the burn was higher in COVID-19 patients compared with non-COVID-19 patients (32.69% vs. 16.22%, P < .001). Hospitalisation in the intensive care unit (ICU) was higher in COVID-19 patients than in non-COVID-19 patients (76.92% vs. 15.73%, P < .001). Length of stay in hospital and ICU, the cost of hospitalisation, and waiting time for the operating room was higher in COVID-19 patients compared with non-COVID-19 patients (15.30 vs. 3.88 days, P < .001; 9.61 vs. 0.75 days, P < .001; 30 430 628.717 vs. 10 219 192.44 rials, P = .011; 0.84 vs. 0.24 min, P < .001, respectively). Intubation and mortality in-hospital were higher in COVID-19 patients compared with non-COVID-19 patients (41.02% vs. 6.99%, P < .001; 35.90% vs. 6.12%, P < .001, respectively). Therefore, it is recommended that health managers and policymakers develop a care plan to provide high-quality care to acute burns patients with COVID-19, especially in low-income countries. |
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| Keywords: | burn injury burns COVID-19 Iran mortality |
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