Adolescent Trauma During the COVID Pandemic: Just Like Adults, Children, or Someone Else?

被引：7

作者：

Ruhi-Williams, Perisa ^{[1
]}

Yeates, Eric O. ^{[1
]}

Grigorian, Areg ^{[1
,2
]}

Schellenberg, Morgan ^{[2
]}

Owattanapanich, Natthida ^{[2
]}

Barmparas, Galinos ^{[3
]}

Margulies, Daniel ^{[3
]}

Juillard, Catherine ^{[4
]}

Garber, Kent ^{[4
]}

Cryer, Henry ^{[4
]}

Tillou, Areti ^{[4
]}

Burruss, Sigrid ^{[5
]}

Penaloza-Villalobos, Liz ^{[5
]}

Lin, Ann ^{[5
]}

Figueras, Ryan Arthur ^{[5
]}

Coimbra, Raul ^{[5
,6
]}

Brenner, Megan ^{[7
]}

Costantini, Todd ^{[8
]}

Santorelli, Jarrett ^{[8
]}

Curry, Terry ^{[8
]}

Wintz, Diane ^{[9
]}

Biffl, Walter L. ^{[10
]}

Schaffer, Kathryn B. ^{[10
]}

Duncan, Thomas K. ^{[11
]}

Barbaro, Casey ^{[11
]}

Diaz, Graal ^{[11
]}

Johnson, Arianne ^{[12
]}

Chinn, Justine ^{[1
]}

Naaseh, Ariana ^{[1
]}

Leung, Amanda ^{[1
]}

Grabar, Christina ^{[1
]}

Nahmias, Jeffry ^{[1
]}

机构：

[1] Univ Calif Irvine UCI, Dept Surg, City Blvd West,Suite 1600, Orange, CA 92868 USA

[2] Univ Southern Calif USC, Dept Surg, Los Angeles, CA USA

[3] Cedars Sinai Med Ctr, Dept Surg, Los Angeles, CA 90048 USA

[4] Univ Calif Los Angeles UCLA, Dept Surg, Los Angeles, CA USA

[5] Loma Linda Univ, Dept Surg, Loma Linda, CA 92350 USA

[6] Riverside Univ Hlth Syst Med Ctr Univ, Moreno Valley, CA USA

[7] Riverside Univ Hlth Syst, Univ Calif Riverside, Dept Surg, Moreno Valley, CA USA

[8] Univ Calif San Diego UCSD, Dept Surg, San Diego, CA USA

[9] Sharp Mem Hosp & Rehabil Ctr, Dept Surg, San Diego, CA USA

[10] Scripps Mem Hosp La Jolla, Trauma Dept, La Jolla, CA USA

[11] Ventura Cty Med Ctr, Dept Surg, Ventura, CA USA

[12] Santa Barbara Cottage Hosp, Cottage Hlth Res Inst, Santa Barbara, CA USA

来源：

AMERICAN SURGEON | 2022年 / 88卷 / 10期

关键词：

COVID-19; adolescent; trauma; pandemic;

D O I：

10.1177/00031348221101475

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

COVID-19 stay-at-home (SAH) orders were impactful on adolescence, when social interactions affect development. This has the potential to change adolescent trauma. A post-hoc multicenter retrospective analysis of adolescent (13-17 years-old) trauma patients (ATPs) at 11 trauma centers was performed. Patients were divided into 3 groups based on injury date: historical control (CONTROL:3/19/2019-6/30/2019, before SAH (PRE:1/1/2020-3/18/2020), and after SAH (POST:3/19/2020-6/30/2020). The POST group was compared to both PRE and CONTROL groups in separate analyses. 726 ATPs were identified across the 3 time periods. POST had a similar penetrating trauma rate compared to both PRE (15.8% vs 13.8%, P = .56) and CONTROL (15.8% vs 14.5%, P = .69). POST also had a similar rate of suicide attempts compared to both PRE (1.2% vs 1.5%, P = .83) and CONTROL (1.2% vs 2.1%, P = .43). However, POST had a higher rate of drug positivity compared to CONTROL (28.6% vs 20.6%, P = .032), but was similar in all other comparisons of alcohol and drugs to PRE and POST periods (all P > .05). Hence ATPs were affected differently than adults and children, as they had a similar rate of penetrating trauma, suicide attempts, and alcohol positivity after SAH orders. However, they had increased drug positivity compared to the CONTROL, but not PRE group.

引用

页码：2429 / 2435

页数：7

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