ArticleThe Journal of surgical research2023
Pediatric Injury Transfer Patterns During the COVID-19 Pandemic: An Interrupted time Series Analysis.
Article in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- The impact of COVID-19 and public health measures on homicide and suicide trends in Botswana using an interrupted time series analysis.Injury epidemiology · 2025Article
- Review of pediatric emergency care and the COVID-19 pandemic.Journal of the American College of Emergency Physicians open · 2023Article
- Relationship between the COVID-19 pandemic and structural inequalities within the pediatric trauma population.Injury epidemiology · 2023Article
- Differences in Trampoline-Related Knee Injuries Between Children and Adults: A Cross-Sectional Study.Orthopaedic journal of sports medicine · 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
- The Effects of the COVID-19 Pandemic on Violent Injuries in Children: A Literature Review.Advances in pediatrics · 2023Review
- Secondary impacts of the COVID-19 pandemic at a tertiary children's hospital in Canada: a mixed-methods study.BMJ open · 2023Article
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Authors and funding
21 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWith the expected surge of adult patients with COVID-19, the Children's Hospital Association recommended a tiered approach to divert children to pediatric centers. Our objective was understanding changes in interfacility transfer to Pediatric Trauma Centers (PTCs) during the first 6 mo of the pandemic.
methodsChildren aged < 18 y injured between January 1, 2016 and September 30, 2020, who met National Trauma Databank inclusion criteria from 9 PTCs were included. An interrupted time-series analysis was used to estimate an expected number of transferred patients compared to observed volume. The "COVID" cohort was compared to a historical cohort (historical average [HA]), using an average across 2016-2019. Site-based differences in transfer volume, demographics, injury characteristics, and hospital-based outcomes were compared between cohorts.
resultsTwenty seven thousand thirty one/47,382 injured patients (57.05%) were transferred to a participating PTC during the study period. Of the COVID cohort, 65.4% (4620/7067) were transferred, compared to 55.7% (3281/5888) of the HA (P < 0.001). There was a decrease in 15-y-old to 17-y-old patients (10.43% COVID versus 12.64% HA, P = 0.003). More patients in the COVID cohort had injury severity scores ≤ 15 (93.25% COVID versus 87.63% HA, P < 0.001). More patients were discharged home after transfer (31.80% COVID versus 21.83% HA, P < 0.001).
conclusionsTransferred trauma patients to Level I PTC increased during the COVID-19 pandemic. The proportion of transferred patients discharged from emergency departments increased. Pediatric trauma transfers may be a surrogate for referring emergency department capacity and resources and a measure of pediatric trauma triage capability.
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