Changes in pediatric fracture patterns presenting to US emergency departments before, during, and after the COVID-19 pandemic

Loder, Randall T.; Johnson, Benjamin A.

doi:10.1016/j.heliyon.2023.e20953

Heliyon

2023

DOI: 10.1016/j.heliyon.2023.e20953

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Changes in pediatric fracture patterns presenting to US emergency departments before, during, and after the COVID-19 pandemic

Randall T. Loder,

Benjamin A. Johnson

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2024

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Cited by 2 publications

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Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study

Loder,

Walker,

Blakemore

2024

Children

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Background: Fractures often occur due to equestrian activities with injury patterns varying by age. The purpose of this study was to investigate in detail fracture patterns and associated demographics in children due to equine activities. Materials: The US National Electronic Injury Surveillance System was queried for all injuries with the consumer product code 1239 (horseback riding) from 2000 to 2023. Those <16 years old with fractures were extracted. Statistical analyses were performed with SUDAAN 11.0.01™ software to obtain national estimates. Results: There were an estimated 101,677 patients with a fracture. Girls comprised 72.5% and the patient was discharged from the hospital in 81.5% of cases. Fractures involved the upper extremity in 80,973 (80.0%), the pelvis/lower extremity in 11,794 (11.7%), the spine in 3060 (3.0%), the skull/face in 4321 (4.4%), and the rib/sternum in 940 (0.9%). The humerus, elbow, radius/ulna, and wrist accounted for 62.4% of all the fractures. The youngest age group (0- to 5-year-olds) had more boys and was more likely to be admitted to the hospital. The child was injured due to a fall from the horse in 75.7%, bucked/thrown off/kicked off in 17.0%, with the remaining 7.3% from other mechanisms. Conclusions: This extensive description of fractures in children due to equestrian injuries can be used to determine the effectiveness of future prevention strategies, such as protective equipment and educational programs. It also gives pediatric trauma and orthopedic surgeons an overall view of the types of fractures which occur in children due to equestrian activities.

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Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study

Loder,

Walker,

Blakemore

2024

Children

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The Impact of the COVID-19 Pandemic on the Epidemiology and Management Strategies of Forearm Fractures in Children—a Retrospective Study

David,

Garjoaba,

Popescu-Rohlicek

et al. 2024

Children

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Background: The COVID-19 pandemic has had a considerable influence over the management strategies in pediatric trauma all over the world. We are making a comparative assessment of all pediatric forearm fracture presentations in a tertiary center in Romania in a pre-pandemic year 2019 (NPG) versus a pandemic year 2021 (PG). Material and Methods: We retrospectively compared the epidemiological, the anatomopathological, and the management features of forearm fractures for the two years. Results: A total of 1403 patients with forearm fractures, 720 in NPG and 683 in PG, ages < 1 year–19 years (mean for NPG = 9.38 years and mean for PG = 9.39 years), were included in the study. There are no differences in demographics of the patients. There was an increase in the angulation ratio in the PG group and no other differences in the anatomopathological features. Most of the patients were treated by non-surgical means with no differences between groups. In PG, titan elastic nails were more often used than K-wire for the stabilization of diaphyseal fractures. There was no difference in terms of complication rates and reinterventions between groups. The number of hospital admissions (p < 0.01) and the length of hospital stay were significantly higher in NPG versus PG, (p < 0.01). Conclusions: The COVID-19 pandemic has had little impact on the epidemiology, anatomopathological features, and management strategies of forearm fractures in children. The only significant change in the medical strategy in our series was towards reducing the hospitalization rate and duration, reducing the follow-up visits.

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Changes in pediatric fracture patterns presenting to US emergency departments before, during, and after the COVID-19 pandemic

Cited by 2 publications

References 17 publications

Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study

Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study

The Impact of the COVID-19 Pandemic on the Epidemiology and Management Strategies of Forearm Fractures in Children—a Retrospective Study

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