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Issue: No. 3 (2023)
Section: Articles
DOI: 10.54804/yhthvb.3.2023.232
Date Published: 21/07/2023
Views 432
Downloads 266
How to Cite
Ngo, M. D., Chu, A. T., Le, Q. C., Do, X. H., & Nguyen, V. D. (2023). Characteristics of collection, results of treatment of patients in 2 years to prevent Covid-19 presentation. Journal of Disaster Medicine and Burn Injuries, 3, 16-29. https://doi.org/10.54804/yhthvb.3.2023.232

Characteristics of collection, results of treatment of patients in 2 years to prevent Covid-19 presentation

Ngo Minh Duc1, , Chu Anh Tuan1, Le Quoc Chieu1, Do Xuan Hai2, Nguyen Van Duy3
1 National Burn Hospital
2 Vietnam Military University
3 103 Military Hospital

Main Article Content

Abstract

Objectives: To evaluate some epidemiological characteristics and treatment results of burn patients treated at the National Park Service during 2 years of COVID-19 disease prevention (2020 - 2021).
Subjects and methods: Retrospective study on 10,050 burn patients who were treated at the National Burn Hospital from 2018 to 2021. Patients were divided into two groups before (2018 - 2019) and during the COVID-19 epidemic (2020 - 2021) for comparison.
Result: The number of patients entering treatment decreased (64.6% compared to the pre-epidemic period); the age group < 16 decreased by 37.7%, the population with health insurance increased by 87.1%; the rate of hospitalization in 24 hours after burns decreased sharply (54.1% compared with 87.4%, p < 0.001); did not increase much in June, August, August; patients with electrical burns increased in both number and percentage (657 accounted for 16.7% compared with 645 accounted for 10.6%, p < 0.05); burn area is 9 (3 - 18) vs 7 (3 - 15)% TBSA, p < 0.001, deep burn is 3 (1 - 8) vs 2 (1 - 7)% TBSA, p < 0.01.
During the period of COVID-19, the treatment day is 16 (10 - 29) days. The mortality rate was 3.3% (compared to 3.4% in the previous period, p > 0.05). The hospital day the patient died was 11 (2 - 24) days compared with 7 (2 - 14) days in the previous period, p < 0.01. LA50 is 74% TBSA (compared to 63% TBSA in the previous stage), and deep burns are 44% TBSA (compared to 35% TBSA in the previous stage). Respiratory damage has a mortality rate of 39.6% (compared to 57.5% in the previous period, p = 0.002).
Conclusion: During the COVID-19 epidemic period, the number of burn patients decreased, the rate of severe burns was higher. Although the mortality rate remained unchanged, the indicators pointing to a better quality of treatment may be due to many favorable conditions for treatment such as reduced patient density, and concentration of resources.

Keywords

Epidemiology, treatment outcomes, burn patients, Covid-19 epidemic

Article Details

References

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