Evidence map›Paper›PMID 38093383›Full record

ArticleInjury epidemiology2023

A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic.

Holly R Hanson, Margaret Formica, Danielle Laraque-Arena, Mark R Zonfrillo, Puja Desai, Joseph O O'Neil, Purnima Unni, Estell Lenita Johnson, Patricia Cobb, Maneesha Agarwal and 36 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.5field-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

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

46 authors at 20 institutions in 2 countries.

Holly R HansonDepartment of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA. holly.hanson@cchmc.org.ORCID http://orcid.org/0000-0002-1537-2363
Margaret FormicaDepartment of Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.
Danielle Laraque-ArenaNew York Academy of Medicine, New York, New York, USA.
Mark R ZonfrilloDepartment of Emergency Medicine, Hasbro Children's Hospital and Alpert Medical School of Brown University, Providence, RI, USA.
Puja DesaiDepartment of Pediatrics, St. Louis Children's Hospital and Washington University School of Medicine, St. Louis, MO, USA.
Joseph O O'NeilDepartment of Pediatrics, Indiana University, Indianapolis, IN, USA.
Purnima UnniDepartment of Pediatric Trauma, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
Estell Lenita JohnsonDepartment of Epidemiology, School of Public Health, Injury Free Coalition for Kids, Columbia University, New York City, NY, USA.
Patricia CobbDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Maneesha AgarwalDepartment of Pediatrics and Emergency Medicine, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Kristen BeckworthCenter for Childhood Injury Prevention, Texas Children's Hospital, Houston, TX, USA.
Stephanie SchroterDepartment of Pediatric Emergency Medicine, University of California, Rady Children's Hospital San Diego, San Diego, CA, USA.
Stephen StrotmeyerDepartment of Pediatric General and Thoracic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Katie A DonnellyDivision of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
Leah K MiddelbergDivision of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Amber M MorseDivision of Pediatric Emergency Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.
James DodingtonYale School of Medicine, New Haven, CT, USA.
Richard F LatuskaDivision of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Brit AndersonDepartment of Pediatric Emergency Medicine, Norton Children's Hospital, Louisville, KY, USA.
Karla A LawsonTrauma and Injury Research Center, Dell Children's Medical Center of Central Texas, Austin, TX, USA.
Michael ValenteDepartment of Pediatric Emergency Medicine, Children's Health Orange County, Orange, CA, USA.
Michael N LevasDepartment of Pediatric Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Andrew Waititu KiraguDepartment of Pediatrics, University of Minnesota and Children's Minnesota, Minneapolis, MN, USA.
Kathy MonroeDivision of Pediatric Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Stephanie M RuestDepartment of Emergency Medicine, Hasbro Children's Hospital and Alpert Medical School of Brown University, Providence, RI, USA.
Lois K LeeDivision of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.
Tanya Charyk StewartDepartment of Paediatrics, University of Western Ontario and London Health Sciences Centre, London, ON, Canada.
Megan M AttridgeDivision of Emergency Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Maya HaaszDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Mubeen JafriDepartment of Pediatric Surgery, Oregon Health and Science University, Portland, OR, USA.
Alicia McIntireDepartment of Pediatric Surgery, Randall Children's Hospital at Emanuel Legacy, Portland, OR, USA.
Steven C RogersDepartment of Emergency Medicine, University of Connecticut School of Medicine, Connecticut Children's Hospital, Hartford, CT, USA.
Neil G UspalDivision of Emergency Medicine, University of Washington, Seattle Children's Hospital, Seattle, WA, USA.
Ashley BlanchardDepartment of Emergency Medicine, Columbia University Medical Center, New York City, NY, USA.
Max D HazeltineDepartment of Surgery, UMass Chan Medical School, Worcester, MA, USA.
Teresa RiechDepartment of Pediatric Emergency Medicine, OSF Saint Francis Medical Center, Peoria, IL, USA.
Charles JennissenDepartment of Pediatrics, Roy J. and Lucille A. Carter College of Medicine, University of Iowa, Iowa City, IA, USA.
Lynn ModelDepartment of Pediatric Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
Quinney FuDivision of Emergency Medicine, Phoenix Children's Hospital, Phoenix, AZ, USA.
Lindsay D ClukiesDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis Children's Hospital, St. Louis, MO, USA.
David JuangDepartment of Pediatric Surgery, Children's Mercy Hospital, Kansas City, MO, USA.
Michelle T RudaDepartment of Pediatrics, Children's Memorial Hermann Hospital, UTHealth Houston, Houston, TX, USA.
Jose M PrinceDepartment of Pediatric Surgery, Northwell Health, New Hyde Park, NY, USA.
Stephanie ChaoDivision of Pediatric Surgery, Stanford School of Medicine, Palo Alto, CA, USA.
Brian K YorkgitisDepartment of Surgery, University of FL College of Medicine - Jacksonville, Jacksonville, FL, USA.
Wendy J PomerantzDivision of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center · USBrown University · USSt. Louis Children's Hospital · USAllegheny County · USArkansas Children's Hospital · USBoston Children's Hospital · USChildren's Hospital of Orange County · USChildren's Hospital of Philadelphia · USChildren's Mercy Hospital · USChildren's National · USColumbia University Irving Medical Center · USDell Children's Medical Center of Central Texas · USEmory University · USIndiana University – Purdue University Indianapolis · USJacksonville University · USKosair Children's Hospital · USLurie Children's Hospital · USMaimonides Medical Center · USMedical College of Wisconsin · USMemorial Hermann · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
NCATS NIH HHS KL2 TR003143NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundInjuries, the leading cause of death in children 1-17 years old, are often preventable. Injury patterns are impacted by changes in the child's environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic.

methodsThis multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00-T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020.

resultsThe study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (- 4.9%) and overexertion (- 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019.

conclusionsThe proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives.

Indexed as

DisparitiesEmergency departmentInjuriesInjury preventionPandemicPediatrics

Identifiers

PMID38093383
PMCPMC10717699
OpenAlexW4389676223

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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.