Wound Care during COVID-19 Pandemic

Tinelli, Giovanni; Sica, Simona; Guarnera, Giorgio; Pitocco, Dario; Tshomba, Yamume

doi:10.1016/j.avsg.2020.06.044

Cited by 26 publications

(30 citation statements)

References 2 publications

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“…57 A small and interesting study by a team from Italy indicated that the COVID-19 pandemic had a significant impact on management of wound dressings and compliance with appointments as it related to VU. 58 As a result, providers tried alternate methods such as simplifying the dressing method and a small group even opted to make videos to help patients do their own dressings. From the patient's perspective, there was a decrease of appointment frequency in 59% of the cases and nearly 61% of VU patients did not maintain any contact with their provider, and some (13%) did not change their dressing at all during the pandemic.…”

Section: Venous Ulcersmentioning

confidence: 99%

Human Wound and Its Burden: Updated 2020 Compendium of Estimates

Sen

2021

Advances in Wound Care

473

333

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Significance: Chronic wounds impact the quality of life (QoL) of nearly 2.5% of the total population in the United States and the management of wounds has a significant economic impact on health care. Given the aging population, the continued threat of diabetes and obesity worldwide, and the persistent problem of infection, it is expected that chronic wounds will continue to be a substantial clinical, social, and economic challenge. In 2020, the coronavirus disease (COVID) pandemic dramatically disrupted health care worldwide, including wound care. A chronic nonhealing wound (CNHW) is typically correlated with comorbidities such as diabetes, vascular deficits, hypertension, and chronic kidney disease. These risk factors make persons with CNHW at high risk for severe, sometimes lethal outcomes if infected with severe acute respiratory syndrome coronavirus 2 (pathogen causing COVID-19). The COVID-19 pandemic has impacted several aspects of the wound care continuum, including compliance with wound care visits, prompting alternative approaches (use of telemedicine and creation of videos to help with wound dressing changes among others), and encouraging a do-it-yourself wound dressing protocol and use of homemade remedies/substitutions. Recent Advances: There is a developing interest in understanding how the social determinants of health impact the QoL and outcomes of wound care patients. Furthermore, addressing wound care in the light of the COVID-19 pandemic has highlighted the importance of telemedicine options in the continuum of care. Future Directions: The economic, clinical, and social impact of wounds continues to rise and requires appropriate investment and a structured approach to wound care, education, and related research.

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Section: Venous Ulcersmentioning

confidence: 99%

Human Wound and Its Burden: Updated 2020 Compendium of Estimates

Sen

2021

Advances in Wound Care

473

333

View full text Add to dashboard Cite

show abstract

“…Finally, over 15% stated that their wound had worsened. 6 Our findings show that the COVID-19 pandemic had a considerable impact on wound care in Germany as well, but to a lesser extent. Obvious reasons may be the higher incidence of COVID-19 cases and, subsequently, the higher exposure risk in Italy.…”

Section: Discussionmentioning

confidence: 57%

“…Recent studies discussed the collateral damage of overburdened health care systems and restricted access to non-essential health services during the COVID-19 pandemic with regard to patients with chronic leg ulcers. 6,11,12 For example, an Italian survey asked medical doctors, nurses, caregivers, and 28 patients with chronic leg ulcers about their perception of the impact of COVID-19 on wound care. This study showed that over 75% of the patients discontinued their consultations at the wound clinic.…”

Section: Discussionmentioning

confidence: 99%

“…limited the care of patients with chronic wounds in Italy. 6 In addition, because of higher age and multiple comorbidities, patients with chronic wounds are at higher risk for a severe course after infection with COVID-19. However, the extent of the COVID-19 outbreak and the public restrictions vary between regions and may influence peoples' attitude and protectoral behaviour.…”

Section: Introductionmentioning

confidence: 99%

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Impact of COVID‐19 on wound care in Germany

Schlager

Kendziora

Patzak

et al. 2021

International Wound Journal

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Recent studies showed that the COVID‐19 pandemic caused collateral damage in health care in terms of reduced hospital submissions or postponed treatment of other acute or chronic ill patients. An anonymous survey was sent out by mail to patients with chronic wounds in order to evaluate the impact of the pandemic on wound care. Sixty‐three patients returned the survey. In 14%, diagnostic workup or hospitalisation was cancelled or postponed. Thirty‐six percent could not seek consultation by their primary care physician as usual. The use of public transport or long travel time was not related to limited access to medical service ( P = .583). In ambulatory care, there was neither a significant difference in the frequency of changing wound dressings ( P = .67), nor in the person, who performed wound care ( P = .39). There were no significant changes in wound‐specific quality of life ( P = .505). No patient used telemedicine in order to avoid face‐to‐face contact or anticipate to pandemic‐related restrictions. The COVID‐19 pandemic impaired access to clinical management of chronic wounds in Germany. It had no significant impact on ambulatory care or wound‐related quality of life. Telemedicine still plays a negligible role in wound care.

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“…This complication highlights that the sudden outbreak of COVID-19 makes the management of wounds even more complicated than usual, for both the patients and their caregivers. ( 10 , 11 )…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Acute Aortic Thrombosis in SARS-CoV-2 Infection

Tinelli

Sica

Montanari

et al. 2021

Annals of Vascular Surgery

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Wound Care during COVID-19 Pandemic

Cited by 26 publications

References 2 publications

Human Wound and Its Burden: Updated 2020 Compendium of Estimates

Human Wound and Its Burden: Updated 2020 Compendium of Estimates

Impact of COVID‐19 on wound care in Germany

Spontaneous Acute Aortic Thrombosis in SARS-CoV-2 Infection

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