{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T12:55:43Z","timestamp":1772715343930,"version":"3.50.1"},"reference-count":31,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013317","name":"Shanxi Provincial Key Research and Development Project","doi-asserted-by":"publisher","award":["2024SF-YBXM-208"],"award-info":[{"award-number":["2024SF-YBXM-208"]}],"id":[{"id":"10.13039\/501100013317","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,12,20]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the impact of the COVID-19 pandemic on the characteristics and outcomes of patients with burns in a burn centre situated in Northwest China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective descriptive study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was conducted in Tangdu Hospital, a major regional burn centre in Xi'an, Shaanxi Province of China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 1413 patients with burns were included in the study, with the admission period spanning from 2017 to 2019 (before the pandemic) and 2020 to 2022 (during the pandemic).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Burn hospitalisations decreased during the pandemic for both children (9.80%) and adults (24.68%). The pandemic was associated with a decrease in work-related burns and a corresponding increase in the risk of domestic burns (both p&lt;0.001). The proportions of burns due to scald and flame increased, while electrical injury cases and proportions decreased significantly (both p=0.001). The estimated range of % total body surface area (TBSA) for children increased from 8% (IQR: 5\u201312%) to 10% (IQR: 8\u201315%) in children (p&lt;0.001) and from 8% (IQR: 4\u201318%) to 11% (IQR: 6\u201325%) in adults (p&lt;0.001). In children, the number of burn cases transferred from other hospitals decreased (p=0.011). Among adults, the number of female patients with burns rose (p=0.013), and the number of patients with inhalation injury also rose (p=0.009).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>During the COVID-19 pandemic, the number of inpatients with burns declined. Domestic burns became more common, and scald and flame burns as well as the average burn area (% TBSA) increased. These findings might highlight the significance of implementing specific public health strategies and safety measures to improve family safety both during and after the pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-089045","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T04:01:58Z","timestamp":1737000118000},"page":"e089045","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of the COVID-19 pandemic on epidemiological and clinical characteristics of inpatients with burns in a Northwest China burn centre: a retrospective study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2397-3752","authenticated-orcid":false,"given":"Yiwei","family":"Cui","sequence":"first","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuao","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaqi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yige","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongqian","family":"Bian","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueyong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic and Burn Surgery, Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"2025121510572988000_15.1.e089045.1","unstructured":"WHO . Burns. 2023. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/burns [Accessed 18 Dec 2023]."},{"key":"2025121510572988000_15.1.e089045.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.burns.2022.06.018","article-title":"Epidemiology of burn injury and the ideal dressing in global burn care - Regional differences explored","volume":"49","author":"Opriessnig","year":"2023","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1807442"},{"key":"2025121510572988000_15.1.e089045.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2006.04.002"},{"key":"2025121510572988000_15.1.e089045.5","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/j.burns.2009.01.004","article-title":"The spectrum and outcome of burns at a regional hospital in South Africa","volume":"35","author":"Allorto","year":"2009","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.6","doi-asserted-by":"crossref","unstructured":"Wilder-Smith A , Freedman DO . Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med 2020;27. doi:10.1093\/jtm\/taaa020","DOI":"10.1093\/jtm\/taaa020"},{"key":"2025121510572988000_15.1.e089045.7","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-023-15081-4","article-title":"Trends in respiratory diseases before and after the COVID-19 pandemic in China from 2010 to 2021","volume":"23","author":"Zuo","year":"2023","journal-title":"BMC Public Health"},{"key":"2025121510572988000_15.1.e089045.8","unstructured":"China TCPsGotPsRo . Announcement no. 7 of 2022. Available: https:\/\/www.gov.cn\/zhengce\/zhengceku\/2022-12\/26\/content_5733669.htm [Accessed 18 Dec 2023]."},{"key":"2025121510572988000_15.1.e089045.9","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1016\/j.burns.2020.05.022","article-title":"Effects of COVID-19 pandemic on burns epidemiology","volume":"46","author":"Farroha","year":"2020","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.10","doi-asserted-by":"crossref","unstructured":"Yamamoto R , Sato Y , Matsumura K , et al . Characteristics of burn injury during COVID-19 pandemic in Tokyo: A descriptive study. Burns Open 2021. doi:10.1016\/j.burnso.2021.06.007","DOI":"10.1016\/j.burnso.2021.06.007"},{"key":"2025121510572988000_15.1.e089045.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.burnso.2020.07.004"},{"key":"2025121510572988000_15.1.e089045.12","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1016\/j.burns.2020.07.002","article-title":"The impact of COVID-19 pandemic on the activity of a pediatric burn center in Bucharest, Romania","volume":"46","author":"Tatar","year":"2020","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.13","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1016\/j.burns.2020.06.018","article-title":"Changes in burn referrals and injuries during CoVid-19","volume":"46","author":"Chu","year":"2020","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.14","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.jpra.2022.07.002","article-title":"Sustained high demand for intensive care unit resources for the treatment of burn patients during the COVID-19 pandemic in Northern Germany: A single-centre cross-sectional study","volume":"34","author":"Bucher","year":"2022","journal-title":"JPRAS Open"},{"key":"2025121510572988000_15.1.e089045.15","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1093\/jbcr\/irac116","article-title":"Effect of COVID-19 on Emergency Department Visits by Pediatric Burn Patients in Korea: Retrospective Observational Study","volume":"44","author":"Choi","year":"2023","journal-title":"J Burn Care Res"},{"key":"2025121510572988000_15.1.e089045.16","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1093\/jbcr\/irab106","article-title":"The Impact of the COVID-19 Pandemic on Burn Admissions at a Major Metropolitan Burn Center","volume":"42","author":"Codner","year":"2021","journal-title":"J Burn Care Res"},{"key":"2025121510572988000_15.1.e089045.17","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1093\/jbcr\/irac078","article-title":"Burns During Coronavirus Disease 19 Lockdown: a Multi-Center Retrospective Study in Israel","volume":"44","author":"Kruchevsky","year":"2023","journal-title":"J Burn Care Res"},{"key":"2025121510572988000_15.1.e089045.18","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/j.burns.2022.02.016","article-title":"The impact of social isolation by COVID-19 on the epidemiological and clinical profiles of the burn patients. A retrospective study","volume":"48","author":"Melqu\u00edades da Rocha","year":"2022","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.19","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1093\/jbcr\/irad079","article-title":"The Impact of Covid-19 Pandemic on Acute Burn Admissions at the University College Hospital, Ibadan, Nigeria","volume":"45","author":"Olawoye","year":"2024","journal-title":"J Burn Care Res"},{"key":"2025121510572988000_15.1.e089045.20","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1093\/jbcr\/irac041","article-title":"The Effects of the COVID-19 Pandemic on Burn Clinic","volume":"43","author":"Sabeti","year":"2022","journal-title":"J Burn Care Res"},{"key":"2025121510572988000_15.1.e089045.21","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.burns.2020.08.004","article-title":"Burn visits to a pediatric burn center during the COVID-19 pandemic and \u201cStay at home\u201d period","volume":"47","author":"Sethuraman","year":"2021","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.22","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1093\/jbcr\/irab015","article-title":"The Impact of COVID-19 on Adult Burn Management in the United Kingdom: A Regional Center Experience","volume":"42","author":"Varma","year":"2021","journal-title":"J Burn Care Res"},{"key":"2025121510572988000_15.1.e089045.23","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/iraa112"},{"key":"2025121510572988000_15.1.e089045.24","doi-asserted-by":"crossref","DOI":"10.3390\/jcm11123410","article-title":"Challenges in Burn Care during the COVID-19 Pandemic-A Scoping Review","volume":"11","author":"Kohlhauser","year":"2022","journal-title":"J Clin Med"},{"key":"2025121510572988000_15.1.e089045.25","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.burns.2020.06.010","article-title":"Burns in pandemic times \u2013 The Graz way towards COVID-19 and back","volume":"47","author":"Nischwitz","year":"2021","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.26","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13539"},{"key":"2025121510572988000_15.1.e089045.27","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.burns.2020.10.009","article-title":"Brazil Covid-19: Change of hospitalizations and deaths due to burn injury?","volume":"47","author":"Valente","year":"2021","journal-title":"Burns"},{"key":"2025121510572988000_15.1.e089045.28","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1007\/s00508-022-02149-1","article-title":"Impact of the COVID-19 pandemic on the epidemiology of severe burns\u202f: A single center study from a specialized burn center in Vienna","volume":"135","author":"Christ","year":"2023","journal-title":"Wien Klin Wochenschr"},{"key":"2025121510572988000_15.1.e089045.29","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0214556","article-title":"Prevalence of latent tuberculosis in homeless persons: A single-centre cross-sectional study, Germany","volume":"14","author":"von Streit","year":"2019","journal-title":"PLoS ONE"},{"key":"2025121510572988000_15.1.e089045.30","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1590\/1516-3180.2021.0888.r1.22022022","article-title":"Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study","volume":"141","author":"Pan","year":"2023","journal-title":"Sao Paulo Med J"},{"key":"2025121510572988000_15.1.e089045.31","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1093\/jbcr\/irac118","article-title":"A Multi-institutional Study Evaluating Pediatric Burn Injuries During the COVID-19 Pandemic","volume":"44","author":"Georgeades","year":"2023","journal-title":"J Burn Care Res"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2024-089045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T18:57:41Z","timestamp":1765825061000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2024-089045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,15]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bmjopen-2024-089045"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2024-089045","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}