Brazil Covid-19: Change of hospitalizations and deaths due to burn injury?

Valente, Thiago Maciel; Ferreira, Luiz Philipe de Souza; Silva, Rafael André da; Leite, Jean Michel Rocha Sampaio; Tiraboschi, Fernanda Assunção; Barboza, Michelli Caroline de Camargo

doi:10.1016/j.burns.2020.10.009

Cited by 11 publications

(13 citation statements)

References 8 publications

(8 reference statements)

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“…Conversely, less patients during the pandemic suffered from intended burns (9 [4.4%] vs 584 [8.5%]), assault injuries (14 [6.9%] vs 718 [10.5%]), head and/or neck injuries (37 [18.2%] vs 1685 [24.6%]), and associated inhalation injuries (74 [36.5%] vs 2877 [42.0%]). Regarding the severity and outcomes of burn injuries, a slightly higher %TBSA of partial-thickness burns (4 [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] vs 3 [0–10] %TBSA), shorter LOS (3 [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] vs 5 [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] days), and lower in-hospital mortality (18 [8.9%] vs 817 [11.9%]) were seen in patients during pandemic compared to before the pandemic.…”

Section: Resultsmentioning

confidence: 99%

“…As less restriction would have relatively less impact on lifestyles, the reduction of patients under the stay-at-home order would likely be less than other regions. Notably, the differences in socioeconomic situation have also affected the changes of burn injuries even within the same country [14] . Another reason could be the localization of burn patients at burn centers due to temporary shutdown of wound clinics during the stay-at-home order; this was also observed in other regions [11] , [25] .…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, reduced admission with the same demands on burn intensive care unit (ICU) was reported by a regional burn center in Canada [10] , and significant decreases of hospitalization due to burn injuries were found in several burn centers across the UK [11] , [12] , [13] . Moreover, no significant changes in burn injury admission and mortality by burns were observed in Brazil [14] .…”

Section: Introductionmentioning

confidence: 92%

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Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study

et al. 2021

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Introduction Coronavirus disease 2019 (COVID-19) has drastically changed everyday life worldwide. This study aimed to determine how COVID-19 affected the characteristics and outcomes of patients with severe burn injury by examining a city-wide burn database in Tokyo. Patients and Methods A descriptive study was conducted in 14 burn centers using the Tokyo Burn Unit Association registry from 1999–2020. The pandemic started in 2020, while the stay-at-home order lasted from April to May. The demographics, mechanisms, severity, and clinical outcomes were assessed before and during these two time periods. Results In total, 7061 patients with burn injury were enrolled. During the pandemic, there were less patients during the pandemic than previous years, except for April–May; this decreased toward the end of 2020. There were also more scald/contact burns in the upper extremity, less intended and assault injuries, shorter length of hospital stay, and lower in-hospital mortality. During the stay-at-home order, there was increased incidence of flame burns, inhalation injuries, and in-hospital mortality, as well as higher total body surface area of full-thickness burns. Conclusions This study described the characteristics of burns during the COVID-19 pandemic. The association between the stay-at-home order and severity of burns should be further examined.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

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Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study

et al. 2021

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“…Brazil was the first LA country to report cases of COVID-19 [16][17][18] . Since it presents favorable conditions to face a pandemic when compared to other LA countries, it was expected to have lower rates.…”

Section: Discussionmentioning

confidence: 99%

Statistical Modeling of deaths due to COVID-19 influenced by social isolation in Latin American countries

Silva

Ferreira

Leite

et al. 2021

Preprint

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Social isolation is extremely important to minimize the effects of a pandemic. Latin American (LA) countries have similar socioeconomic characteristics and health system infrastructures. These countries face difficulties to deal with the COVID-19 pandemic and some of them had very high death rates. Government stringency index (GSI) of twelve LA countries was gathered from the Oxford COVID-19 Government Response Tracker (OxCGRT) project. GSI was calculated considering nine metrics such as school and work closures, stay-at-home requirements, among others types of social distancing and isolation measures. Population data from the United Nations Population Fund and number of deaths data was collected from the dashboard of the World Health Organization (WHO). We performed an analysis of the period March-December using a mixed linear model approach. Peru, Brazil, Chile, Bolivia, Colombia, Argentina and Ecuador had the highest death rates with an increasing trend over time, while Suriname, Venezuela, Uruguay, Paraguay and Guyana had the lowest ones, which remained steady. GSI in most countries followed the same pattern during the analyzed months. i.e., high indices at the beginning of the pandemic and lower ones in the last evaluated months, while the number of deaths increased over the whole period. Almost no country kept its GSI high for much time, especially from October to December. Time and GSI as well as their interaction were highly significant. As their interaction increases, death rate decreases. In conclusion, our statistical model explains and substantiates the need for maintaining social distancing and isolation measures over time during the pandemic.

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“…During the COVID-19 pandemic, many countries embraced measures to guarantee social isolation, including restricting outdoor activities, which may eventually lead to burn injuries due to the increased risk of domestic accidents [6] . However, the initial evidence is contradictory about the trend of burn injuries during this pandemic [7] , [8] , [9] , [10] , [11] . Different countries chose different measures to deal with the COVID-19 pandemic, such as changing surgical priorities and not exempting burn care [6] .…”

Section: To the Editormentioning

confidence: 99%