ArticleJournal of burn care & research : official publication of the American Burn Association2026
The Effect of COVID-19 on Length of Stay in Hospital and Patient Population Following Burn Injury.
Article in Journal of burn care & research : official publication of the American Burn Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Acute burn care is heavily resource-dependent and thus was significantly impacted by the COVID-19 pandemic. This study sought to examine the relationship between COVID-19 and the length of stay (LOS) in hospital following burn injury, as prolonged admissions have implications on both individuals and healthcare systems. Additionally, this study explored how COVID-19 affected the homeless burn population, as homelessness has been associated with longer hospital admissions due to limited post-discharge resources. Single-center, retrospective cohort study using data from the Burn Registry and medical chart review with inclusion of all adult burn patients admitted to a quaternary provincial burn unit from April 1, 2016, to March 31, 2023. Patients admitted prior to April 1, 2020, were considered the pre-COVID cohort. Key variables included demographic characteristics and LOS, with homelessness defined as a lack of a fixed address. Of 498 included patients, 301 and 197 were in the pre-COVID and COVID cohorts, respectively. While both cohorts had similar age and gender distributions, a significant difference was noted in LOS between cohorts, with COVID cohort patients staying in hospital for 22 (24) days compared to 20 (29) days in the pre-COVID cohort. More notably, a 58% increase in homeless patients was seen during COVID, with 17% (50/301) of admitted patients being homeless pre-COVID compared to 26% (52/197) during COVID (P < .05). The COVID-19 pandemic resulted in a slightly increased LOS in burn patients, with homeless patients disproportionately affected. This has important implications for both patient outcomes and healthcare resource allocation.
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