ArticleChild abuse & neglect2022
Child maltreatment-related children's emergency department visits before and during the COVID-19 pandemic in Connecticut.
Article in Child abuse & neglect, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed, 21 citations in OpenAlex.
- County variations in child maltreatment risk and service responses during and post the COVID-19 pandemic: a mixed-methods study.Journal of public child welfare · 2026Article
- The Impact of COVID-19 on Infant Maltreatment Emergency Department and Inpatient Medical Encounters.The Journal of pediatrics · 2023Article
- Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness.Healthcare (Basel, Switzerland) · 2023Article
- Child physical abuse screening in a pediatric ED; Does TRAIN(ing) Help?BMC pediatrics · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPrevious studies of national emergency department (ED) data demonstrate a decrease in visits coded for physical abuse during the pandemic period. However, no study to date has examined the incidence of multiple child maltreatment types (physical abuse, sexual abuse, and neglect), within a single state while considering state-specific closure policies. Furthermore, no similar study has utilized detailed chart review to identify cases, nor compared hospital data to Child Protective Services (CPS) reports.
objectiveTo determine the incidence of child maltreatment-related ED visits before and during the COVID-19 pandemic, including characterizing the type of maltreatment, severity, and CPS reporting. PARTICIPANTS AND
settingChildren younger than 18 years old at two tertiary-care, academic children's hospitals in X state.
methodsMaltreatment-related ED visits were identified by ICD-10-CM codes and keywords in chief concerns and provider notes. We conducted a cross-sectional retrospective review of ED visits and child abuse consultations during the pre-COVID (1/1/2019-3/15/2020) and COVID (3/16/2020-8/31/2020) periods, as well as state-level CPS reports for suspected maltreatment.
resultsMaltreatment-related ED visits decreased from 15.7/week in the matched pre-COVID period (n = 380 total) to 12.3/week (n = 296 total) in the COVID period (P < .01). However, ED visits (P < .05) and CPS reports (P < .001) for child neglect increased during this period. Provider notes identified 62.4% of child maltreatment ED visits, while ICD-10 codes identified only-CM captured 46.8%.
conclusionED visits for physical and sexual abuse declined, but neglect cases increased during the COVID-19 pandemic in X state.
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Registered trials
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