Evidence map›Paper›PMID 34903406›Full record

ArticleBurns : journal of the International Society for Burn Injuries2022

Impact of COVID-19 and containment measures on burn care: A qualitative exploratory study.

Vikash Ranjan Keshri, Margaret Peden, Tanu Jain, Bontha V Babu, Shivangi Saha, Maneesh Singhal, Robyn Norton, Jagnoor Jagnoor

Abstract read
In one paragraph

Article in Burns : journal of the International Society for Burn Injuries, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. The effect of COVID-19 on burn management and outcomes in a resource-limited setting.Burns : journal of the International Society for Burn Injuries · 2022
    Article
  5. 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

8 authors.

Vikash Ranjan KeshriThe George Institute for Global Health, New Delhi, India; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia. Electronic address: Vkeshri@georgeinstitute.org.in.
Margaret PedenThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia; The George Institute for Global Health, London, United Kingdom; School of Public Health, Imperial College London, United Kingdom. Electronic address: mpeden@georgeinstitute.org.uk.
Tanu JainDirectorate General of Health Services, New Delhi, India. Electronic address: drtanujain28@gmail.com.
Bontha V BabuDivision of SBHSR, Indian Council of Medical Research, New Delhi, India. Electronic address: babubontha@gmail.com.
Shivangi SahaDepartment of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address: shivangisaha@gmail.com.
Maneesh SinghalDepartment of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address: drmaneesh@gmail.com.
Robyn NortonThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia; The George Institute for Global Health, London, United Kingdom; School of Public Health, Imperial College London, United Kingdom. Electronic address: rnorton@georgeinstitute.org.
Jagnoor JagnoorThe George Institute for Global Health, New Delhi, India; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia. Electronic address: jjagnoor1@georgeinstitute.org.in.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurn care in India is limited by multiple constraints. The COVID-19 pandemic and the containment measures restricted access to non-COVID emergency conditions, including burns. The aim of this study was to explore the impact of the pandemic on burn care in India.

methodsUsing the qualitative exploratory methods, we conducted in-depth interviews (IDI) with plastic and general surgeons representing burn units from across India. Participants were selected purposively to ensure representation and diversity and the sample size was guided by thematic saturation. Thematic analysis was undertaken adopting an inductive coding using NVivo 12 Pro.

results19 participants from diverse geographic locations and provider types were interviewed. Three major emerging themes were, change in patient and burn injury characteristics; health system barriers, adaptation, and challenges; and lessons and emerging recommendations for policy and practice. There was change in patient load, risk factors, and distribution of burns. The emergency services were intermittently disrupted, the routine and surgical services were rationally curtailed, follow-up and rehabilitation services were most affected. Measures like telemedicine and decentralising burn services emerged as the most important lesson.

conclusionsThe ongoing pandemic has compounded the challenges for burns care in India. Urgent action is required to prioritise targeted prevention, emergency transport, decentralise service delivery, and harnessing technology for ensuring resilience in burns services.

Indexed as

BurnsCOVID-19Burn UnitsHumansPandemicsQualitative ResearchBurnsCOVID-19Health systemIndiaInjuryTelemedicine

Identifiers

PMID34903406
PMCPMC8595323

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.