Evidence map›Paper›PMID 34517864›Full record

ArticleBMC pediatrics2021

Pediatric emergency department visits due to child abuse and neglect following COVID-19 public health emergency declaration in the Southeastern United States.

Lindsey Rose Bullinger, Angela Boy, Stephen Messner, Shannon Self-Brown

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

  1. Systems-based care of the injured child: Technical report.The journal of trauma and acute care surgery · 2025
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  4. Advanced child tax credit payments and national child abuse hotline contacts, 2019-2022.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024
    Article
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  9. Review
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  13. The impact of COVID-19 on Canadian child maltreatment workers.Children and youth services review · 2022
    Article
  14. Article
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

4 authors at 3 institutions in 1 country.

Lindsey Rose BullingerSchool of Public Policy, Georgia Institute of Technology, 685 Cherry St., 30332, Atlanta, GA, USA. lrbullin@gatech.edu.
Angela BoyStephanie Blank Center for Safe and Healthy Children, Children's Healthcare of Atlanta, Atlanta, USA.
Stephen MessnerStephanie Blank Center for Safe and Healthy Children, Children's Healthcare of Atlanta, Atlanta, USA.
Shannon Self-BrownSchool of Public Health, Georgia State University, Atlanta, USA.
Children's Healthcare of Atlanta · USGeorgia Institute of Technology · USGeorgia State University · US

Funding

Georgia Institute of Technology Executive Vice President for Research COVID-19 Rapid Response Seed Grant
6 · The paper itself

Abstract

backgroundThe ongoing worldwide COVID-19 pandemic has heightened several risk factors  for child abuse and neglect (CAN). We study whether COVID-19 and the public health response to it affected CAN-related pediatric emergency department (ED) visits in the southeastern United States (US).

methodsWe performed a retrospective chart review on medical records of ED visits from a level I pediatric hospital system serving one of the largest metropolitan areas in the southeastern US from January through June 2018-2020. We used multivariate Poisson regression and linear regression to compare professionally identified CAN-related ED visits before and after a COVID-19 public health emergency declaration in 2020, relative to trends over the same period in 2018 and 2019.

resultsAlthough the number of both overall pediatric ED visits and CAN-related ED visits declined, the number of CAN-related ED visits due to neglect from inadequate adult supervision increased by 62 % (p < 0.01). The number of CAN visits per 1,000 pediatric ED visits also increased by 97 % (p < 0.01). Finally, the proportion of CAN-related ED visits due to neglect from inadequate supervision increased by 100 % (p < 0.01).

conclusionsPhysicians should be aware that patients who present with injuries during a pandemic may be victims of neglect due to changes in social structures in their households. In particular, maltreatment presenting to the ED shifted toward treating injuries and abuse resulting from inadequate supervision. Policymakers should consider the impacts of stay-at-home orders on child well-being when determining appropriate public health responses in the midst of a pandemic.

trial registrationNot applicable.

Indexed as

Child AbuseCOVID-19AdultChildEmergency Service, HospitalHumansPandemicsPublic HealthRetrospective StudiesSARS-CoV-2Southeastern United StatesUnited Stateschild abusechild neglectCOVID-19pediatric emergency department

Identifiers

PMID34517864
PMCPMC8435405
OpenAlexW3199080862

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.