#RSTNCOVID
The current COVID-19 pandemic has severely restricted resources and led to changes in national guidance on how to manage patients with various injuries, cancer and burns.
The aim of the #RSTNCOVID project is to record the changes in both patient care and pathways during the pandemic.
This information will help to support future clinical care and research.
The project encompasses 5 domains: burns, hands, lower limb, skin cancer and steroid injections.
To get involved register with the individual projects you wish to join. Scroll down to find the project or click the project link above.
The protocol for the whole project will be made available shortly.
COVID Burns
The aim of the COVID-19 Burns project is to establish the impact of the COVID-19 pandemic on the provision of burns services and management of burns in the United Kingdom.
During the pandemic there may have been changes in patient presentation, referral pathways and management decisions. These may have impacted on patient care (delay in surgery, prolonged hospital stay) and outcomes (infection, burn progression).
A better understanding of the impact of changes in burns management and any improvements in care that have been identified will help preparation for a further wave of COVID-19 and allow lessons to be learnt.
The project includes a service evaluation (20 patients per collaborator) and a survey of each centres MDT.
Click here to register and receive further information.
PDF versions of REDCap instruments for reference:
RSTN COVID BURNS SURVEY
RSTN COVID BURNS SE
COVID Hands
The COVID hand project is a collaboration between hand surgeons and hand therapists. The aim of the study is to investigate the changes in hand surgery pathways and care during the peak of the pandemic. The results will help inform the changes in service delivery during the recovery and inform future research.
The three parts are:
– Hand unit survey
– Hand surgery service evaluation
– Hand therapy survey
The quick start guide can be viewed here.
Click here to register and receive further information.
PDF versions of REDCap instruments for reference:
RSTN COVID HAND SURGEON SURVEY
RSTN COVID HAND SE
RSTN COVID HAND THERAPY SURVEY
Lower limb (INTELLECT COVID)
The COVID lower limb project is an extension of the INTELLECT study that was already running. INTELLECT is an international, multi-centre, retrospective audit of patients with open lower limb fractures, gathering a set of core outcomes for open lower limb fractures.
The INTELLECT COVID project is a international service evaluation running from January 1st 2020 – 31st May 2020.
To register your interest contact: intellect.rstn@gmail.com
PDF versions of REDCap instruments for reference:
INTELLECT COVID SURVEY
INTELLECT COVID SE
Skin
The COVID Skin project builds on the Non-Melanoma Skin Cancer: Plast UK project that had started as the pandemic hit.
The project has been expanded to include melanoma skin cancer care during the pandemic.
The clinician surveys have also been adapted to include COVID related questions.
To register contact: nmscaudit@gmail.com
PDF version of REDCap instrument for reference:
COVID MELANOMA PLAST UK
STING (STeroid Injections durinG COVID-19)
A significant clinical question during the pandemic is the safety of steroid use.
As communicated by Little et al (1), removing steroid injections as a legitimate treatment option for a large cohort of patients does not seem a measured or responsible option.