Comparison of PRE and POST COVID-19 Pandemic burn statistics: Initial experience from Rawalian Burn Center, Holy Family Hospital, RMU, Rawalpindi, Pakistan
Objectives: To determine the change in the trend of burn patient epidemiology after the COVID-19 pandemic in terms of frequency of burn injury and mortality rate.
Material and Methods: This cross-sectional descriptive study was carried out at Rawalian burn center, Plastic Surgery Department, Holy Family Hospital RMU Rawalpindi from 1st March to 31st July over a period of 05 months. All burn patients reporting to the Rawalian burn center during the specified period were included in this study by consecutive sampling. Patients were mainly admitted from emergency and some from OPD following the standard admission, inclusion, and exclusion criteria
Results: Mean age of patients in the pre-COVID (Control) period March to July 2019 was 28.84 years with an SD of ±3.73. There were 63% females and 37% males. The total burn surface area range was 8-65% during this period. Whereas in the post-COVID period, March to July 2020 mean age of patients was 29.13 years with an SD of ±4.06. There were 60% females and 40% males. Whereas the total burn surface area range was 10-61% during this period. Frequency per month of burn injury progressively reduced to 58 patients and mortality rate to 1 in July 2020 (post-COVID period). The overall frequency of burn injury (n) during the control period was 367 patients whereas in the post-COVID period is reduced to 326 patients. So there was an 11.17% reduction as compared to the control period. A Chi-square test was applied and was found significant.
Conclusion: Based on the current study it can be concluded that there is a progressive fall in frequency of burn injury and mortality rate during the ongoing COVID-19 pandemic as compared to the PRE-COVID period however further studies are needed to explore the cause of this falling trend.
2. WHO. [Home page of World Health Organization] [online] 2020 FEB11 last update. [ cited 2020 AUG 15] Available from: URL: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it
3. Barret JP, Chong SJ, Depetris N, Fisher MD, Luo G, Moiemen N, et al. Burn center function during the COVID-19 pandemic: An international multi-center report of strategy and experience. Burns. 2020 Apr 10.
4. Farroha A. Effects of COVID-19 pandemic on burns epidemiology. Burns. 2020 May 29. doi: 10.1016/j.burns.2020.05.022
5. Brewster CT, Choong J, Thomas C, Wilson D, Moiemen N. Steam inhalation and paediatric burns during the COVID-19 pandemic. Lancet. 2020 May 30;395(1690):31144-2.
6. D’Asta F, Choong J, Thomas C, Adamson J, Wilson Y, Wilson D, et al. Paediatric burns epidemiology during COVID-19 pandemic and ‘stay home’ era. Burns. 2020 Sep 1.
7. Al-Benna S, Gohritz A. Availability of COVID-19 information from national and international burn society websites. Annals of Burns and Fire Disasters. 2020 Sep 30;33(3):177.
8. Mason SA, Nathens AB, Byrne J, Gonzalez A, Fowler R, Karanicolas P, et al. Trends in the epidemiology of major burn injury among hospitalized patients: A population-based analysis. The journal of trauma and acute care surgery. 2017 Nov;83(5):867.
9. Fan X, Ma B, Zeng D, Fang X, Li H, Xiao S, et al. Burns in a major burns center in East China from 2005 to 2014: incidence and outcome. Burns. 2017 Nov 1;43(7):1586-95.
10. Ryan CM, Stoddard FJ, Kazis LE, Schneider JC. COVID-19 pandemic and the burn survivor community: A call for action. Burns. 2020 Apr 24.
11. Shahmiri SS, Kolahdouzan M, Omrani A, Khazaei M, Salehi H, Motavalian A, et al. Determinants of Mortality and the Lethal Area 50 Index (LA50) in Burn Patients Admitted to a Large Burn Center; A Single Center Experience. Bulletin of Emergency & Trauma. 2017 Jul;5(3):184.
12. Schiefer JL, Perbix W, Grigutsch D, Zinser M, Demir E, Fuchs PC, et al. Etiology, incidence and gender-specific patterns of severe burns in a German Burn Center–Insights of 25 years. Burns. 2016 May 1;42(3):687-96.
13. Ehrl D, Heidekrueger PI, Ninkovic M, Broer PN. Effect of primary admission to burn centers on the outcomes of severely burned patients. Burns. 2018 May 1;44(3):524-30.
Copyright (c) 2021 Sajid Rashid
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
All research articles published in the Journal of Rawalpindi Medical College (JRMC) are fully open access: immediately freely available to read, download, and share. Copyrights of all articles published in JRMC are retained by the authors. First publication rights are granted to JRMC. The journal/publisher is not responsible for subsequent uses of the work.
All articles are published under the Creative Commons Attribution (CC BY-SA 4.0) license.