Imperial College London
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DrMargiePeden

Faculty of Medicine, School of Public Health

Senior Research Fellow
 
 
 
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Contact

 

m.peden

 
 
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Location

 

Translation & Innovation Hub BuildingWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Keshri:2022:10.1016/j.burns.2021.11.011,
author = {Keshri, VR and Peden, M and Jain, T and Babu, BV and Saha, S and Singhal, M and Norton, R and Jagnoor, J},
doi = {10.1016/j.burns.2021.11.011},
journal = {Burns},
pages = {1497--1508},
title = {Impact of COVID-19 and containment measures on burn care: A qualitative exploratory study},
url = {http://dx.doi.org/10.1016/j.burns.2021.11.011},
volume = {48},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Burn 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. METHODS: Using 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. RESULTS: 19 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. CONCLUSIONS: The 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.
AU  - Keshri,VR
AU  - Peden,M
AU  - Jain,T
AU  - Babu,BV
AU  - Saha,S
AU  - Singhal,M
AU  - Norton,R
AU  - Jagnoor,J
DO  - 10.1016/j.burns.2021.11.011
EP  - 1508
PY  - 2022///
SN  - 0305-4179
SP  - 1497
TI  - Impact of COVID-19 and containment measures on burn care: A qualitative exploratory study
T2  - Burns
UR  - http://dx.doi.org/10.1016/j.burns.2021.11.011
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34903406
UR  - https://www.sciencedirect.com/science/article/pii/S0305417921003168?via%3Dihub
UR  - http://hdl.handle.net/10044/1/98430
VL  - 48
ER  -
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