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The impact and lessons learnt from the COVID-19 pandemic on a UK Burns Centre.
Phillips, Georgina S A; Talwar, Cyrus; Makaranka, Stanislau; Collins, Declan P.
  • Phillips GSA; Department of Burns and Plastic Surgery, Chelsea and Westminster Hospital, London, SW10 9NH, UK. Electronic address: georgina.phillips@chelwest.nhs.uk.
  • Talwar C; Department of Burns and Plastic Surgery, Chelsea and Westminster Hospital, London, SW10 9NH, UK.
  • Makaranka S; Department of Burns and Plastic Surgery, Chelsea and Westminster Hospital, London, SW10 9NH, UK.
  • Collins DP; Department of Surgery and Cancer, Imperial College, London, SW7 2AZ, UK.
Burns ; 47(7): 1556-1562, 2021 11.
Article in English | MEDLINE | ID: covidwho-1056399
ABSTRACT
The COVID-19 pandemic has dramatically impacted healthcare provision in the UK and burns services have had to adapt to ensure the continuity of a safe care. As we return to "normality" we reflect on lessons learnt from our response to this pandemic. A service evaluation was performed from patient notes between March 23rd and May 8th 2020 and an anonymous survey given to patients attending outpatient appointments. 258 patients were referred to our burns service and 148 patients completed the survey. Eleven burns were caused by treatment or prevention of COVID-19. Patients delayed seeking medical attention due to concern of catching COVID-19 (36% adults, 8% children). There was a delay in referral of 17 patients despite them fulfilling the referral criteria. Infection rates were higher following delayed presentation (21% vs 6%). The majority of burns were managed conservatively (237/258). Dressing changes were performed at home by 32% of patients. The outreach team treated 22 patients. During the pandemic telemedicine has improved the efficiency of outpatient burn care and outreach nurses have enabled treatment of vulnerable patients. More must be done to raise public awareness of preventable causes of burn injury and to reassure them to seek help when burns occur.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burn Units / Burns / Infection Control / COVID-19 Type of study: Experimental Studies / Observational study Limits: Adult / Child / Humans Country/Region as subject: Europa Language: English Journal: Burns Journal subject: Traumatology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burn Units / Burns / Infection Control / COVID-19 Type of study: Experimental Studies / Observational study Limits: Adult / Child / Humans Country/Region as subject: Europa Language: English Journal: Burns Journal subject: Traumatology Year: 2021 Document Type: Article