Evidence map›Paper›PMID 33549394›Full record

ArticleBurns : journal of the International Society for Burn Injuries2021

St Andrew's COVID-19 surgery safety (StACS) study: The Burns Centre experience.

A C D Smith, B H Miranda, B Strong, R C I Jica, R Pinto-Lopes, W Khan, N A Martin, N El-Muttardi, D Barnes, O P Shelley

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Burns : journal of the International Society for Burn Injuries, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Effects of COVID-19 pandemic on burns care.Burns : journal of the International Society for Burn Injuries · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

A C D SmithSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK. Electronic address: acdsmith@doctors.org.uk.
B H MirandaSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
B StrongSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
R C I JicaSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
R Pinto-LopesSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
W KhanSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
N A MartinSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK; Centre for Trauma Sciences, Queen Mary University of London, UK.
N El-MuttardiSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
D BarnesSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
O P ShelleySt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
Broomfield Hospital · GBQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has the potential to significantly impact burns patients both directly through infective complications of an immunocompromised cohort, and indirectly through disruption of care pathways and resource limitations. The pandemic presents new challenges that must be overcome to maintain patient safety; in particular, the potential increased risks of surgical intervention, anaesthesia and ventilation. This study comprehensively reviews the measures implemented to adapt referral pathways and mitigate the risk posed by COVID-19 during the height of the pandemic, within a large Burns Centre.

methodsA prospective cohort study was designed to assess patients treated at the Burns Centre during the UK COVID-19 pandemic peak (April-May 2020), following implementation of new safety measures. All patients were analysed for 30-day mortality. In addition, a prospective controlled cohort study was undertaken on all inpatients and a random sample of outpatients with telephone follow-up at 30 days. These patients were divided into three groups (operative inpatients, non-operative inpatients, outpatients). COVID-19 related data collected included test results, contact with proven cases, isolation status and symptoms. The implemented departmental service COVID-19 safety adaptations are described.

resultsOf 323 patients treated at the Burns Centre during the study period, no 30-day COVID-19 related deaths occurred (0/323). Of the 80 patients analysed in the prospective controlled cohort section of the study, 51 underwent COVID-19 testing, 3.9% (2/51) were positive. Both cases were in the operative group, however in comparison to the non-operative and outpatient groups, there was no significant increase in COVID-19 incidence in operative patients.

conclusionsWe found no COVID-19 related mortality during the study period. With appropriate precautions, burns patients were not exposed to an increased COVID-19 risk. Similarly, burns patients undergoing operative management were not at a significantly increased risk of contracting COVID-19 in comparison to non-operative groups.

Indexed as

BurnsCOVID-19Patient SafetyPlastic Surgery ProceduresCohort StudiesCOVID-19 TestingEnglandHumansPandemicsPatient SatisfactionProspective StudiesSARS-CoV-2Treatment OutcomeBurnBurnsCoronavirusCOVID-19Surgery

Identifiers

PMID33549394
PMCPMC7847194
OpenAlexW3126467918

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.