Başkent Üniversitesi Makaleler
Permanent URI for this collectionhttps://hdl.handle.net/11727/13096
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Item Burn Care Strategies and Precautions in the Care of 698 Burn Patients During the 15-Month COVID-19 Period in Our Burn Center(Başkent Üniversitesi, 2021-12) Emre Karakaya,; Cem Aydoğan,; Ayşe Ebru Abalı,; Mehmet HaberalABSTRACT OBJECTIVES: The novel 2019 coronavirus disease (COVID-19) was detected for the first time in China and quickly spread globally. Because of its high contagiousness, disruptions occurred in the activities of many health care providers. However, a delay of care for patients with burn injuries is unacceptable. Here, we assessed our burn care strategies and precautions during the COVID-19 pandemic. MATERIALS AND METHODS: Since the start of the pandemic in our country and up to now (March 2020 to August 2021), we have successfully treated 698 patients with burn injuries. We created a 3-degree protection protocol. We also isolated patients who were diagnosed or suspected of having COVID-19 by reducing the number of beds. RESULTS: Of 698 burn patients, 411 were male and 287 were female patients. There were 452 adult and 246 pediatric patients, with 591 of total patients treated as outpatients and 107 who were hospitalized. The patients were mostly injured by scalding burns. Mean total burn surface area of hospitalized patients was 26.2% in adult patients and 9.8% in pediatric patients. We diagnosed only 2 patients with COVID-19. Both patients were successfully treated and discharged. CONCLUSIONS: If burn centers create protection protocols, disruptions can be minimized so that necessary and successfully care to burn patients is provided, even during pandemic periods.Item Pediatric Burns During the COVID-19 Pandemic: A Single-Center Experience(Başkent Üniversitesi, 2021-06) Ayse Ebru Abali; Cem Aydogan; Nigar Turkmen; Mehmet HaberalOBJECTIVES: We documented children treated at our burn center during the COVID-19 pandemic period to investigate the features of pediatric burns and burn care modalities within the influence of pandemic conditions. MATERIALS AND METHODS: Medical records of 248 new admissions and 54 telemedicine visits were collected (March 2020-May 2021). Data collected included age, sex, burn cause, burn extent, affected body site, environment, time of day when injury occurred, time interval between injury and arrival at the burn center, and direct or indirect admissions from other centers. Collected data were also compared according to 2 different subgroups (age and treatment modality [outpatient/inpatient]). P ˂ .05 was considered significant. RESULTS: Male-to-female ratio was 1.07:1. Scalds were the most common burn cause (83.8%), most burns occurred at home (87.1%), and burn injuries mostly occurred between 1200 and 2400 hours (72.2%). Most children were brought to our burn center in the initial 3 days postburn (82.7%). The rate of direct admissions was 60.5%. Most patients were in the 0- to 2-year-old age group (53.6%). The number of admissions on the same day as injury was significantly greater for this age group compared with older groups. Outdoor burns were increased in older children (7- to 11-year-old group and 12- to 18-year-old group) (P ˂ .05). Outpatients and inpatients comprised 87.5% and 12.5%, respectively. The mean total body surface area burned (minimum, maximum) was 2.0 ± 0.3 (0.1%, 50%) for outpatients and 10.4 ± 2.3% (1%, 72%) for inpatients; mean length of hospital stay for inpatients was 9 ± 2.6 days (1, 77 days). CONCLUSIONS: During the pandemic, burn injuries in children continued at the same rate. Meticulous COVID-19 protection is essential for continuity of expected quality in pediatric burn care. Telemedicine is advantageous, and progress on basic burn care guidelines, including telemedicine facilities, should be supported.