COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate

The ramifications from the 2019 severe acute respiratory syndrome coronavirus 2 (COVID-19) pandemic caused by the novel corona virus will be felt globally for years to come. Mandates to shelter-in-place were called in nearly every state to limit viral exposure. The impact of the mandate on acute bur...

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Main Authors: Felicia N. Williams, Lori Chrisco, Rabia Nizamani, Booker T. King
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:Burns Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468912220300419
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author Felicia N. Williams
Lori Chrisco
Rabia Nizamani
Booker T. King
author_facet Felicia N. Williams
Lori Chrisco
Rabia Nizamani
Booker T. King
author_sort Felicia N. Williams
collection DOAJ
description The ramifications from the 2019 severe acute respiratory syndrome coronavirus 2 (COVID-19) pandemic caused by the novel corona virus will be felt globally for years to come. Mandates to shelter-in-place were called in nearly every state to limit viral exposure. The impact of the mandate on acute burn admissions was unknown. Our objective was to assess the impact of a shelter-in-place order on acute burn admissions at our burn center. All patients admitted to the burn center with burn injuries– including inhalation injury only– and desquamating skin disorders between March 10th to May 22nd, 2020 were eligible for inclusion. We compared all burn center admissions to a month-matched historical cohort from 2019, and summertime admissions for the last five years. Statistical significance was accepted as p < 0.05. There was a 9% increase in pediatric admissions after the shelter-in-place order. Compared to the 2019 cohort, there was a 28% increase in admissions of school aged children in 2020. This was not statistically significant. While the purpose of the “shelter-in-place” mandate was to reduce viral transmission of COVID-19, it consequently led to an increased percentage of admissions of school age children- comparable to our summertime numbers. More outreach and education are needed to provide safe resources for families during this pandemic.
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spelling doaj.art-8463a8d152c244988719dd27d548f55c2022-12-22T00:15:50ZengElsevierBurns Open2468-91222020-10-0144158159COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandateFelicia N. Williams0Lori Chrisco1Rabia Nizamani2Booker T. King3Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, United States; North Carolina Jaycee Burn Center, Chapel Hill, NC, United States; Corresponding author at: Department of Surgery, North Carolina Jaycee Burn Center, 101 Manning Drive CB 7600, Chapel Hill, NC 27599-7600, United States.Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, United States; North Carolina Jaycee Burn Center, Chapel Hill, NC, United StatesDepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, United States; North Carolina Jaycee Burn Center, Chapel Hill, NC, United StatesDepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, United States; North Carolina Jaycee Burn Center, Chapel Hill, NC, United StatesThe ramifications from the 2019 severe acute respiratory syndrome coronavirus 2 (COVID-19) pandemic caused by the novel corona virus will be felt globally for years to come. Mandates to shelter-in-place were called in nearly every state to limit viral exposure. The impact of the mandate on acute burn admissions was unknown. Our objective was to assess the impact of a shelter-in-place order on acute burn admissions at our burn center. All patients admitted to the burn center with burn injuries– including inhalation injury only– and desquamating skin disorders between March 10th to May 22nd, 2020 were eligible for inclusion. We compared all burn center admissions to a month-matched historical cohort from 2019, and summertime admissions for the last five years. Statistical significance was accepted as p < 0.05. There was a 9% increase in pediatric admissions after the shelter-in-place order. Compared to the 2019 cohort, there was a 28% increase in admissions of school aged children in 2020. This was not statistically significant. While the purpose of the “shelter-in-place” mandate was to reduce viral transmission of COVID-19, it consequently led to an increased percentage of admissions of school age children- comparable to our summertime numbers. More outreach and education are needed to provide safe resources for families during this pandemic.http://www.sciencedirect.com/science/article/pii/S2468912220300419Pediatric burnsCOVID-19PandemicSchool-age childrenShelter-in-place
spellingShingle Felicia N. Williams
Lori Chrisco
Rabia Nizamani
Booker T. King
COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate
Burns Open
Pediatric burns
COVID-19
Pandemic
School-age children
Shelter-in-place
title COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate
title_full COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate
title_fullStr COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate
title_full_unstemmed COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate
title_short COVID-19 related admissions to a regional burn center: The impact of shelter-in-place mandate
title_sort covid 19 related admissions to a regional burn center the impact of shelter in place mandate
topic Pediatric burns
COVID-19
Pandemic
School-age children
Shelter-in-place
url http://www.sciencedirect.com/science/article/pii/S2468912220300419
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