@article{ref1,
title="Characteristics of burn injury during COVID-19 pandemic in Tokyo: a descriptive study",
journal="Burns Open",
year="2021",
author="Yamamoto, Ryo and Sato, Yukio and Matsumura, Kazuki and Sasaki, Junichi",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Coronavirus disease 2019 (COVID-19) has drastically changed everyday life worldwide. This study aimed to determine how COVID-19 affected the characteristics and outcomes of patients with severe burn injury by examining a city-wide burn database in Tokyo. <br><br>PATIENTS AND METHODS: A descriptive study was conducted in 14 burn centers using the Tokyo Burn Unit Association registry from 1999-2020. The pandemic started in 2020, while the stay-at-home order lasted from April to May. The demographics, mechanisms, severity, and clinical outcomes were assessed before and during these two time periods. <br><br>RESULTS: In total, 7061 patients with burn injury were enrolled. During the pandemic, there were less patients during the pandemic than previous years, except for April-May; this decreased toward the end of 2020. There were also more scald/contact burns in the upper extremity, less intended and assault injuries, shorter length of hospital stay, and lower in-hospital mortality. During the stay-at-home order, there was increased incidence of flame burns, inhalation injuries, and in-hospital mortality, as well as higher total body surface area of full-thickness burns. <br><br>CONCLUSIONS: This study described the characteristics of burns during the COVID-19 pandemic. The association between the stay-at-home order and severity of burns should be further examined.<p /> <p>Language: en</p>",
language="en",
issn="2468-9122",
doi="10.1016/j.burnso.2021.06.007",
url="http://dx.doi.org/10.1016/j.burnso.2021.06.007"
}