The impact of COVID-19 on clinical outcomes of burn patients

Elliot T Walters; Alen Palackic; Camila Franco-Mesa; Nikhil R Shah; Michael J Erickson; Steven E Wolf

doi:10.1093/burnst/tkad042

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The impact of COVID-19 on clinical outcomes of burn patients

更新时间：2024-02-04

- The impact of COVID-19 on clinical outcomes of burn patients
- The impact of COVID-19 on clinical outcomes of burn patients
- Burns & Trauma 2023年11卷第1期
- 作者机构：
  
  1. Department of Surgery, University of Texas Medical Branch
  2. Division of Plastic
  3. Medical University of Graz
- 作者简介：
- 基金信息：
  
  Remembering the 15 Burn Research and Education Endowment, NIH (UL1TR001439).
- DOI：10.1093/burnst/tkad042
  中图分类号：
- 纸质出版日期：2023，
  
  网络出版日期：2023-12-5，
扫描看全文
Elliot T Walters, Alen Palackic, Camila Franco-Mesa, 等. The impact of COVID-19 on clinical outcomes of burn patients[J]. Burns & Trauma, 2023,11(1).

Elliot T Walters, Alen Palackic, Camila Franco-Mesa, Nikhil R Shah, Michael J Erickson, Steven E Wolf, The impact of COVID-19 on clinical outcomes of burn patients, Burns & Trauma, Volume 11, 2023, tkad042, https://doi.org/10.1093/burnst/tkad042
Elliot T Walters, Alen Palackic, Camila Franco-Mesa, 等. The impact of COVID-19 on clinical outcomes of burn patients[J]. Burns & Trauma, 2023,11(1). DOI： 10.1093/burnst/tkad042.

Elliot T Walters, Alen Palackic, Camila Franco-Mesa, Nikhil R Shah, Michael J Erickson, Steven E Wolf, The impact of COVID-19 on clinical outcomes of burn patients, Burns & Trauma, Volume 11, 2023, tkad042, https://doi.org/10.1093/burnst/tkad042 DOI：

摘要

Abstract

BackgroundMultiple studies have shown the SARS-CoV-2 virus (COVID-19) to be associated with deleterious outcomes in a wide range of patients. The impact of COVID-19 has not been well investigated among burned patients. We suspect that patients will have worsened respiratory and thrombotic complications

ultimately leading to increased mortality. The objective of this study is to determine the impact a concurrent infection of COVID-19 has on clinical outcomes after a burn injury.MethodsThis is a retrospective

propensity matched

cohort study. We examined a de-identified database of electronic medical records of over 75 million patients across 75 health care associations in the United States for patients treated for thermal burns from 1 January 2020

to 31 July 2021

and those who also were diagnosed with COVID-19 infection within one day before or after injury based on International Classification of Disease

tenth revision (ICD-10) codes. Study participants included adults who were treated for a burn injury during the study period.ResultsWe included 736 patients with burn injury and concomitant COVID-19 infection matched to 736 patients with burn injury and no concurrent COVID-19 infection (total 1472 patients

mean age 36.3 ± 24.3). We found no significant increase in mortality observed for patients with concurrent COVID-19 (OR 1.203

95% CI 0.517–2.803; p = 0.6675). We did observe significant increase in infections (OR 3.537

95% CI 2.798–4.471; p = 0.0001)

thrombotic complications (OR 2.342

95% CI 1.351–4.058; p = 0.0018)

as was the incidence of hypertrophic scarring (OR 3.368

95% CI 2.326–4.877; p = 0.0001).ConclusionsWe observed that concurrent COVID-19 infection was associated with an increase in infections

thrombosis and hypertrophic scarring but no increase in mortality in our cohort of burn patients.

关键词

Keywords

COVID-19InfectionMortalityBurnThrombosisScarring

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