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Published on: February 23, 2024
Trends in Burn Injuries in Northern Israel During the COVID-19 Lockdown
Dani Kruchevsky1, Maher Arraf1, Shir Levanon2
1Plastic and Reconstructive Surgery Department, Rambam Health Care Campus, Haifa, Israel.
Insights
During COVID-19 lockdowns, adult burn injuries significantly decreased, while pediatric cases, especially in young children and females, remained stable or increased, possibly due to increased kitchen activity.
Area of Science:
- Trauma and Injury Research
- Epidemiology
- Public Health
Background:
- COVID-19 pandemic necessitated widespread lockdown policies globally.
- These restrictions impacted daily life, including movement, work, and education.
- Burn injuries represent a significant public health concern, with potential changes during societal disruptions.
Purpose of the Study:
- To investigate temporal variations in burn injuries during the COVID-19 lockdown period in Israel.
- To compare burn injury incidence during the lockdown with pre-lockdown periods.
- To identify demographic and age-related trends in burn injuries during the pandemic.
Main Methods:
- Retrospective analysis of medical records from a northern Israel burn referral center.
- Data collected for March 14, 2020, to April 20, 2020 (lockdown period).
- Comparison with data from parallel periods in 2017–2019.
Main Results:
- A 66% decrease in adult burn patients was observed during the lockdown (P < .0001).
- No significant decrease in pediatric burn patients occurred.
- Children aged 2–5 years and female pediatric patients showed increased susceptibility during lockdown.
Conclusions:
- Lockdown policies during the COVID-19 pandemic led to a significant reduction in adult burn injuries.
- Pediatric burn injuries, particularly in young children and females, did not decrease and may have increased proportionally.
- Findings suggest increased home-based activities, such as cooking, may contribute to pediatric burn risks during lockdowns, informing targeted prevention strategies.
Abstract:
Coronavirus disease 2019 obliged many countries to apply lockdown policies to contain the spread of infection. The restrictions in Israel included limitations on movement, reduction of working capacity, and closure of the educational system. The present study focused on patients treated at a referral center for burns in northern Israel. Their goal was to investigate temporal variations in burn injuries during this period. Data were retrospectively extracted from the medical records of burn patients treated at our hospital between March 14, 2020 and April 20, 2020 (ie, the period of aggravated lockdown). Data from this period were compared with that from paralleling periods between 2017 and 2019. During the lockdown and paralleling periods, 178 patients were treated for burn injuries, of whom 44% were under 18. Although no restrictions were enforced during the virus outbreak period with regard to seeking medical care, we noticed a decrease in the number of patients admitted to the emergency room for all reasons. Of particular interest was a 66% decrease in the number of adult burn patients (P < .0001). Meanwhile, among the pediatric population, no significant decrease was observed. Nonetheless, subgroups with higher susceptibility to burn injuries included children aged 2 to 5 years (56.3% vs 23.8%, P = .016) and female patients from all pediatric age groups (57.1% vs 25%, P = .027). These findings may be explained by the presumably busier kitchen and dining areas during the lockdown. Overall, the study results can assist with building a stronger understanding of varying burn injuries and with developing educational and preventive strategies.
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