Expert consensus on the clinical treatment of burn patients complicated with Coronavirus infection (2023 version)
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摘要: 随着新型冠状病毒感染（COVID-19）实施“乙类乙管”，全国多地出现多波次大量COVID-19病例，新型冠状病毒对机体的长期影响也逐步被重视。烧伤合并COVID-19的临床救治仍是我国烧伤救治机构面临的一大挑战，如何规范此类患者的临床救治，最大限度地改善预后，并为未来类似传染病提供经验，显得尤为必要。为此，中华医学会烧伤外科学分会、中国医疗保健国际交流促进会烧伤医学分会、《中华烧伤与创面修复杂志》编辑委员会共同发起并组织多学科专家，基于目前的循证医学证据、临床实践和其他学科权威指南，制订了该共识，以期规范烧伤合并COVID-19患者的临床救治。Abstract: With China downgrading the management of Coronavirus infection (COVID-19) from Category A to Category B, a large number of COVID-19 patients have occurred in multiple waves across the country. Meanwhile, the long-term impact of Coronavirus on the body has gradually been noticed. However, the clinical treatment of burns complicated with COVID-19 is still a major challenge in Chinese burn centers. It is then essential to standardize the clinical treatment of such patients, improve the prognosis to the greatest extent, and provide valuable experiences for similar infectious diseases in future. Therefore, Chinese Burn Association, Burn Medicine Branch of China International Exchange and Promotion Association for Medical and Healthcare, and Editorial Committee of Chinese Journal of Burns and Wounds jointly initiated and organized multidisciplinary experts to develop this expert consensus based on the current medical evidence, clinical practice, and authoritative guidelines of other disciplines, in order to standardize the clinical treatment of burn patients complicated with COVID-19.
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Key words:
- Burns /
- Coronavirus infection /
- Expert consensus
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参考文献
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1 《烧伤合并新型冠状病毒感染临床救治专家共识（2023版）》的专家推荐意见流程图
注：COVID-19为新型冠状病毒感染，VTE为静脉血栓栓塞烧伤合并新型冠状病毒感染临床救治专家共识（2023版）编写组
表1 牛津大学循证医学中心新5级证据分级标准和本共识推荐强度标准
项目与类别 具体描述 证据级别 Ⅰa 基于多个RCT的系统评价，且文献的同质性好 Ⅰb 单个RCT研究，且可信区间窄 Ⅰc 全或无的病例系列报告 Ⅱa 基于多个队列研究的系统评价 Ⅱb 单个队列研究或质量较差的RCT Ⅱc 结局研究或病因学研究 Ⅲa 病例对照研究的系统评价 Ⅲb 病例对照研究 Ⅳ 单个病例系列研究 Ⅴ 专家意见 推荐强度 强 ≥50%专家意见为“强烈同意” 中 <50%专家意见为“强烈同意”，但“强烈同意+同意”比例>50% 弱 “强烈同意+同意”比例≤50% 注：RCT为随机对照试验 
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