Evidence map›Paper›PMID 34488053›Full record

ArticleChild abuse & neglect2021

Physical abuse of young children during the COVID-19 pandemic: Alarming increase in the relative frequency of hospitalizations during the lockdown period.

Mélanie Loiseau, Jonathan Cottenet, Sonia Bechraoui-Quantin, Séverine Gilard-Pioc, Yann Mikaeloff, Fabrice Jollant, Irène François-Purssell, Andreas Jud, Catherine Quantin

Open access · hybridAbstract read
In one paragraph

Article in Child abuse & neglect, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  6. Suicide Risk Factors in High School Students.International journal of environmental research and public health · 2024
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  9. [Inpatient care capacities in child and adolescent psychiatry-increase in emergency admissions during the COVID-19 pandemic?]Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

Mélanie LoiseauForensic Medicine Unit, University Hospital, Dijon, France.
Jonathan CottenetBiostatistics and Bioinformatics (DIM), University Hospital, Dijon, France.
Sonia Bechraoui-QuantinBiostatistics and Bioinformatics (DIM), University Hospital, Dijon, France.
Séverine Gilard-PiocCabinet d'Expertises Médicales, Dijon, France.
Yann MikaeloffUnité de Rééducation Neurologique Infantile (URNI), DMU Santé de l'enfant et de l'adolescent (SEA), Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris (AP-HP): Equipe "Psychiatrie du développement", CESP, INSERM: Université Paris-Saclay, France.
Fabrice JollantUniversité de Paris, Paris, France; GHU Paris psychiatrie et neurosciences, Paris, France; Department of Psychiatry, McGill University, Montréal, Canada; Chu Nîmes, France.
Irène François-PurssellForensic Medicine Unit, University Hospital, Dijon, France.
Andreas JudChild and Adolescent Psychiatry/Psychotherapy, University Hospital, School of Social Work, Lucerne University of Applied Sciences and Arts, Ulm, Germany.
Catherine QuantinBiostatistics and Bioinformatics (DIM), University Hospital, Dijon, France; Inserm, CIC 1432, Dijon University Hospital, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, Dijon, France; Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm, High-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Villejuif, France. Electronic address: catherine.quantin@chu-dijon.fr.
Centre Hospitalier Universitaire Dijon Bourgogne · FRCentre d’Investigation Clinique 1436FHU Neurovasc · FRMaison des Sciences de l’Homme de Dijon · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn France, the COVID-19 pandemic led to a general lockdown from mid-March to mid-May 2020, forcing families to remain confined. We hypothesized that children may have been victims of more physical abuse during the lockdown, involving an increase in the relative frequency of hospitalization.

methodsUsing the national administrative database on all admissions to public and private hospitals (PMSI), we selected all children aged 0-5 years hospitalized and identified physically abused children based on ICD-10 codes. We included 844,227 children hospitalized in March-April 2017-2020, of whom 476 (0.056%) were admitted for physical abuse. Relative frequency of hospitalization for physical abuse observed in March to April 2020 were compared with those from the same months in the three previous years (2017-2019).

findingsEven if absolute number of children exposed to physical abuse did not fluctuate significantly, we found a significant increase in the relative frequency of young children hospitalized for physical abuse from 2017 (0.053%) to 2020 (0.073%). Compared with the 2017-2019 period, and considering the observed decrease in the number of overall hospital admissions during the first lockdown, the number of children exposed to physical violence was 40% superior to what would be expected.

interpretationThe sharp increase in the relative frequency of hospitalizations for physical abuse in children aged 0-5 years in France is alarming. As only the most severe cases were brought to the hospital for treatment during the lockdown, our figures probably only represent the tip of the iceberg of a general increase of violence against young children.

Indexed as

COVID-19Physical AbuseChildChild, PreschoolCommunicable Disease ControlHospitalizationHumansPandemicsSARS-CoV-2Child abuseCOVID-19HospitalizationLockdown

Identifiers

PMID34488053
PMCPMC8435815
OpenAlexW3197534990

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.