TY - JOUR
PY - 2024//
TI - An increase in electrical burns during the Covid lockdown in Western Cape, South Africa
JO - Burns: journal of the International Society for Burn Injuries
A1 - MacQuene, Tamlyn
A1 - Kleintjes, Wayne
A1 - Nieuwoudt, Willa
A1 - Camp, Sarah
A1 - Lydon, Georgia
A1 - Chu, Kathryn
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: A severe Covid lockdown in South Africa may have changed burn patterns due to the downturn of the economy and stay-at-home policies. We describe the volume and type of burn admitted to a tertiary hospital before and during the Covid lockdown.
MATERIALS AND METHODS: This was a retrospective study from before (April 2019-March 2020) and during (April 2020-March 2021) the Covid pandemic. Patient demographics, burn etiology, and clinical outcomes were described. Logistic regression was used to model associations between burn etiology and the Covid period.
RESULTS: Of 544 burns, 254 (46.7%) occurred before and 290 (53.3%, p = 0.051) during Covid. The proportion of electrical burns doubled during Covid n = 20, 32.3% vs n = 42, 67.7%, (p = 0.053) periods. At least half were associated with suspected cable or copper theft. On multivariate analysis, flame burns (OR=2.42, p < 0.001), electrical burns (OR=4.88, p < 0.001), and paying patients (OR=4.21, p < 0.001) were more likely to be associated with the Covid period.
CONCLUSION: Electrical burns doubled during Covid, potentially related to an increase in cable and copper wire theft, a phenomenon described during hard economic times in other settings. More studies to understand this potential relationship are indicated to prepare burn centers during future pandemics and/or economic hardship.
Language: en
LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2024.02.011 ID - ref1 ER -