ArticleJournal of pediatric surgery2022
Epidemiology of pediatric trauma during the coronavirus disease-2019 pandemic.
Article in Journal of pediatric surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 29 citations in OpenAlex.
- Comprehensive epidemiological assessment of trauma incidents at a level I trauma center.World journal of clinical cases · 2024Article
- Epidemiological changes in the pattern of children's traumatic injuries at Hong Kong emergency departments during the COVID-19 pandemic: a retrospective, single-institutional, serial and comparative study.Pediatric surgery international · 2024Article
- Effect of the COVID-19 pandemic on potential health emergencies in paediatric patients: a retrospective cohort study.Frontiers in public health · 2024Article
- Trends in pediatric firearm-related injuries and disparities in acute outcomes.Frontiers in public health · 2024Article
- A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic.Injury epidemiology · 2023Article
- Kids gone wild - Alcohol use and patient characteristics in pediatric trauma during the coronavirus disease 2019 pandemic.Pediatric investigation · 2023Article
- Changing patterns in the burden of paediatric injuries during the COVID-19 pandemic: a study in Mozambique's central hospitals.BMC health services research · 2023Article
- Article
- What Changes Have Occurred in the Pattern of Paediatric Burns in the Last Years with Special Attention to the COVID-19 Pandemic?European burn journal · 2023Review
- Evaluating the Regional Differences in Pediatric Injury Patterns During the COVID-19 Pandemic.The Journal of surgical research · 2023Article
- Profile of patients visiting the emergency departments at Haji Adam Malik and Universitas Sumatera Utara hospitals in Medan, Indonesia.IJID regions · 2023Article
- The Effects of the COVID-19 Pandemic on Violent Injuries in Children: A Literature Review.Advances in pediatrics · 2023Review
- Effect of the COVID-19 pandemic on emergency department attendances for pediatric injuries in Mozambique's central hospitals: an interrupted time series and a comparison within the restriction periods between 2019 and 2020.Trauma surgery & acute care open · 2023Article
- Unintended Consequences of COVID-19 on Pediatric Falls From Windows: A Multicenter Study.The Journal of surgical research · 2022Article
- Trends in Pediatric Anterior Cruciate Ligament Reconstruction: The Effect of COVID-19.Journal of athletic training · 2022Article
- Traumatic injuries in children during COVID-19 pandemic: a national report from northern Iran.International journal of burns and trauma · 2022Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background/purposeWe aimed to describe the epidemiology of trauma activations and variations in injury patterns, injury severity, and hospital length-of-stay for injured children in Los Angeles (LA) County during the coronavirus-disease-19 (COVID-19) pandemic.
methodsWe conducted a retrospective cross-sectional study of children aged < 18-years evaluated in 15 trauma centers from 2019 to 2020 and entered in the LA County trauma registry. We defined 01/01/2019-03/18/2020 as pre-pandemic and 03/19/2020-12/31/2020 as the pandemic period. Our primary outcome was pediatric trauma activations. We analyzed demographic and clinical data, including types and severity of injuries sustained. We conducted unadjusted bivariate analyzes of injury patterns between periods. Segmented linear regression models were used to test rates (per 100,000 LA County children) of trauma activations pre-pandemic versus the pandemic period.
resultsWe studied 4399 children with trauma activations, 2695 of which occurred pre-pandemic and 1701 in the pandemic period. Motor vehicle collisions, gunshot wounds, and burns increased during the pandemic (all p-values< 0.05), while sports injuries decreased (p < 0.001). Median injury severity scores (p = 0.323) and Glasgow Coma Scales (p = 0.558) did not differ between periods, however mortality (p = 0.023) decreased during the pandemic. Segmented linear regression estimates demonstrated that rates of trauma activations pre-pandemic were similar to the pandemic period (p = 0.384).
conclusionPediatric trauma activations in LA County did not significantly differ during the COVID-19 pandemic, but types and severity of injuries varied between pre-pandemic and pandemic periods. With lockdown restrictions being lifted and novel SARS-CoV-2 variants circulating, our investigation describes this recent epidemiologic phenomenon to aid future preparation for healthcare systems. LEVEL OF EVIDENCE: Level III TYPE OF STUDY: Retrospective cross-sectional study.
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