Epidemiology of pediatric trauma during the COVID-19 pandemic shelter in place

被引：28

作者：

Bessoff, Kovi E. ^{[1
]}

Han, Ryan W. ^{[2
]}

Cho, Min ^{[3
]}

Stroud, Melanie ^{[4
]}

Urrechaga, Eva M. ^{[5
]}

Thorson, Chad M. ^{[5
,6
]}

Russell, Katie W. ^{[7
]}

Rohan, Autumn ^{[7
]}

Acker, Shannon N. ^{[8
]}

Swain, Shakeva ^{[9
]}

Malvezzi, Leopoldo ^{[10
]}

Fuchs, Julie R. ^{[11
,12
]}

Chao, Stephanie D. ^{[12
]}

机构：

[1] Stanford Sch Med, Dept Surg, Stanford, CA 94305 USA

[2] Stanford Univ, Dept Comp Sci, Stanford, CA 94305 USA

[3] Stanford Univ, Dept Stat, Stanford, CA 94305 USA

[4] Lucile Packard Childrens Hosp Stanford, Palo Alto, CA USA

[5] Univ Miami, Miller Sch Med, Dept Surg, Miami, FL 33136 USA

[6] Univ Miami, Miller Sch Med, Div Pediat Surg, Dept Surg, Miami, FL 33136 USA

[7] Univ Utah, Sch Med, Dept Surg, Div Pediat Surg, Salt Lake City, UT USA

[8] Univ Colorado, Childrens Hosp Colorado, Sch Med, Div Pediat Surg, Aurora, CO USA

[9] Nicklaus Childrens Hosp, Dept Trauma Serv, Miami, FL USA

[10] Nicklaus Childrens Hosp, Dept Pediat Surg, Miami Associates Pediat Surg, Miami, FL USA

[11] Santa Clara Valley Med Ctr, Dept Surg, San Jose, CA 95128 USA

[12] Stanford Sch Med, Div Pediat Surg, Dept Surg, Stanford, CA 94305 USA

来源：

SURGERY OPEN SCIENCE | 2021年 / 6卷

关键词：

IMPACT; ADMISSIONS; INJURY;

D O I：

10.1016/j.sopen.2021.06.001

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: The first COVID-19 cases occurred in the US in January of 2020, leading to the implementation of shelter in place. This study seeks to define the impact of shelter in place on the epidemiology of pediatric trauma. Methods: We examined pediatric trauma admissions at 5 Level 1 and 1 Level 2 US pediatric trauma centers between January 1 and June 30, 2017-2020. Demographic and injury data were compared between pre- and post-shelter in place patient cohorts. Results: A total of 8772 pediatric trauma activations were reviewed. There was a 13% decrease in trauma volume in 2020, with a nadir at 16 days following implementation of shelter in place. Injury severity scores were higher in the post-shelter in place cohort. The incidence of nonmotorized vehicle accidents and gunshot wounds increased in the post-shelter in place cohort. Conclusion: We found an overall decrease in pediatric trauma volume following shelter in place. However, injuries tended to be more severe. Our findings help inform targeted injury prevention campaigns during future pandemics. (C) 2021 The Author(s). Published by Elsevier Inc.

引用

页码：5 / 9

页数：5

共 20 条

[1] Increased Firearm Injury During the COVID-19 Pandemic: A Hidden Urban Burden [J].

Abdallah, Hatem O. ;

Zhao, Cindy ;

Kaufman, Elinore ;

Hatchimonji, Justin ;

Swendiman, Robert A. ;

Kaplan, Lewis J. ;

Seamon, Mark ;

Schwab, C. William ;

Pascual, Jose L. .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2021, 232 (02) :159-168.e3

[2] The Impact Of The COVID-19 Pandemic On Hospital Admissions In The United States [J].

Birkmeyer, John D. ;

Barnato, Amber ;

Birkmeyer, Nancy ;

Bessler, Robert ;

Skinner, Jonathan .

HEALTH AFFAIRS, 2020, 39 (11) :2010-2017

[3] Where Have All the Fractures Gone? The Epidemiology of Pediatric Fractures During the COVID-19 Pandemic [J].

Bram, Joshua T. ;

Johnson, Mitchell A. ;

Magee, Lacey C. ;

Mehta, Nishank N. ;

Fazal, Faris Z. ;

Baldwin, Keith D. ;

Riley, Jake ;

Shah, Apurva S. .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2020, 40 (08) :373-379

[4] The value of the injury severity score in pediatric trauma: Time for a new definition of severe injury? [J].

Brown, Joshua B. ;

Gestring, Mark L. ;

Leeper, Christine M. ;

Sperry, Jason L. ;

Peitzman, Andrew B. ;

Billiar, Timothy R. ;

Gaines, Barbara A. .

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2017, 82 (06) :995-1001

[5]

Christey G, 2020, NEW ZEAL MED J, V133, P81

[6] Impact of shelter-in-place order for COVID-19 on trauma activations: Santa Clara County, California, March 2020 [J].

Forrester, Joseph D. ;

Liou, Raymond ;

Knowlton, Lisa M. ;

Jou, Ronald M. ;

Spain, David A. .

TRAUMA SURGERY & ACUTE CARE OPEN, 2020, 5 (01)

[7] Impact of the COVID-19 Pandemic on Emergency Department Visits-United States, January 1, 2019-May 30, 2020 [J].

Hartnett, Kathleen P. ;

Kite-Powell, Aaron ;

DeVies, Jourdan ;

Coletta, Michael A. ;

Boehmer, Tegan K. ;

Adjemian, Jennifer ;

Gundlapalli, Adi, V .

MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2020, 69 (23) :699-704

[8] Trauma Does not Quarantine Violence During the COVID-19 Pandemic [J].

Hatchimonji, Justin S. ;

Swendiman, Robert A. ;

Seamon, Mark J. ;

Nance, Michael L. .

ANNALS OF SURGERY, 2020, 272 (02) :E53-E54

[9]

Holshue M.L., 2020, NEW ENGL J MED, V382, P929, DOI [DOI 10.1056/NEJMoa2001191, 10.1056/NEJMoa2001191]

[10] Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China [J].

Huang, Chaolin ;

Wang, Yeming ;

Li, Xingwang ;

Ren, Lili ;

Zhao, Jianping ;

Hu, Yi ;

Zhang, Li ;

Fan, Guohui ;

Xu, Jiuyang ;

Gu, Xiaoying ;

Cheng, Zhenshun ;

Yu, Ting ;

Xia, Jiaan ;

Wei, Yuan ;

Wu, Wenjuan ;

Xie, Xuelei ;

Yin, Wen ;

Li, Hui ;

Liu, Min ;

Xiao, Yan ;

Gao, Hong ;

Guo, Li ;

Xie, Jungang ;

Wang, Guangfa ;

Jiang, Rongmeng ;

Gao, Zhancheng ;

Jin, Qi ;

Wang, Jianwei ;

Cao, Bin .

LANCET, 2020, 395 (10223) :497-506

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