Evidence map›Paper›PMID 35970637›Full record

ArticleInjury2022

A traumatic pandemic: High acuity pediatric trauma in the COVID19 era.

Tai Kyung S Hairston, David Philpott, Leticia Manning Ryan, Isam Nasr, Marquita Genies, Oluwakemi Badaki-Makun

Open access · greenAbstract read
In one paragraph

Article in Injury, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. 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

6 authors at 1 institution in 1 country.

Tai Kyung S HairstonDepartment of Pediatrics, Johns Hopkins University School of Medicine; 733 N Broadway, Baltimore, MD 21205, United States. Electronic address: thairst2@jhmi.edu.
David PhilpottDepartment of Pediatrics, Johns Hopkins University School of Medicine; 733 N Broadway, Baltimore, MD 21205, United States.
Leticia Manning RyanDivision of Pediatric Emergency Medicine, Johns Hopkins University School of Medicine; 733 N Broadway, Baltimore, MD 21205, United States.
Isam NasrGeneral Pediatric Surgery, Johns Hopkins University School of Medicine; 733 N Broadway, Baltimore, MD 21205, United States.
Marquita GeniesDepartment of Pediatrics, Johns Hopkins University School of Medicine; 733 N Broadway, Baltimore, MD 21205, United States.
Oluwakemi Badaki-MakunDivision of Pediatric Emergency Medicine, Johns Hopkins University School of Medicine; 733 N Broadway, Baltimore, MD 21205, United States.
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGaps remain in our understanding on how COVID19 affects trends in pediatric trauma, the leading cause of mortality and morbidity during childhood and adolescence.

methodsWe compared high acuity trauma visits (requiring admission, surgery, or fatality) presenting between March through February 2021 to corresponding months in 2017-2019. We evaluated the differences in mechanisms of injury, age, and Area Deprivation Index (ADI), a measure of socioeconomic disadvantage, during this time period. Data were analyzed using longitudinal time series analyses and t-tests.

resultsOf 687 traumas presenting from March 2020 through February 2021, 322 were high acuity traumas. High acuity traumas declined significantly to a nadir of 16 in April 2020. High acuity traumas increased and surpassed previous years to a peak of 40 visits in August 2020 and from October through December 2020. There were more visits for high acuity assaults and confirmed or suspected physical child abuse but fewer for falls, drownings, and motor vehicle accidents from March to August 2020 and from October through December 2020 compared to prior years. High acuity assaults and physical child abuse cases on average were from the most disadvantaged areas, and physical child abuse patients were younger during the peak of the Pandemic compared to Pre-Pandemic months.

conclusionThis analysis provides insight into how the COVID19 pandemic has affected high acuity trauma in an inner-city pediatric population. Findings may be used to guide public health measures on safety and injury prevention as the pandemic continues.

Indexed as

Child AbuseCOVID-19DrowningAccidents, TrafficAdolescentChildHumansPandemicsRetrospective StudiesChild abuseHealth disparitiesInjury prevention

Identifiers

PMID35970637
PMCPMC9359594
OpenAlexW4291381630

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.