Başkent Üniversitesi Yayınları

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Author: search.filters.author.Cem AydoganSubject: search.filters.subject.Children

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    Did COVID-19 Pandemic Conditions Change the Features of Pediatric Minor Burn Injuries? A Single-Center Experience
    (Başkent Üniversitesi, 2021) Ayse Ebru Abali; Mehmet Haberal; Nigar Turkmen; Semra Kamilova; Cem Aydogan
    ABSTRACT OBJECTIVES: Social life changes during the COVID-19 pandemic may have influenced burn injury characteristics among children. Here, we compared features among pediatric burn outpatients who were treated at our burn center before and during the COVID-19 pandemic. MATERIALS AND METHODS: We compared medical records of 217 patients treated between March 2018 and May 2019 (pre-pandemic; group I) and 212 patients treated between March 2020 and May 2021 (during the pandemic; group II). P < .05 was significant. RESULTS: In group I versus group II, mean age was 4.19 ± 0.4 versus 4.25 ± 0.3 years, male-to-female ratio was 0.9:1 versus 1.1:1, and mean total surface area burned was 1.87 ± 0.2% versus 1.93 ± 0.3%, respectively (P > .05). Most patients in both groups lived in urban settings, had mostly day-time injuries, and were under the umbrella of the social security system, with cause of burns being mostly scalds (P > .05). Injuries occurred mostly at home in both groups, but more patients in group II had outdoor burns (P < .05). Hands, head, and neck regions were more commonly involved in group I than in group II (P < .05). Group II patients were more frequently admitted on the same day as injury (P < .05), but rates of direct burn center admission were similar with resembling numbers of other medical center admissions before reaching to our burn-center (P > .05). CONCLUSIONS: The COVID-19 pandemic did not change primary burn injury features among our pediatric outpatients. Decreases in burns to hands, head, and neck and increases in admissions on the same day as injury during the pandemic may be a clue for enhanced caregiver precaution against injuries to children during lockdowns. Increased admissions on the same day as injury may reflect our uninterrupted burn care service, because many other medical centers had to serve COVID-19 patients rather than burn victims.
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    Pediatric Burns During the COVID-19 Pandemic: A Single-Center Experience
    (Başkent Üniversitesi, 2021-06) Ayse Ebru Abali; Cem Aydogan; Nigar Turkmen; Mehmet Haberal
    OBJECTIVES: 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.