How the pandemic spread of COVID-19 affected children's traumatology in Italy: changes of numbers, anatomical locations, and severity

Memeo, Antonio; Priano, Daniele; Caldarini, Camilla; Trezza, Paolo; Laquidara, Melania; Montanari, Lucrezia; Randelli, Pietro

doi:10.23736/s0026-4946.20.05910-1

Cited by 10 publications

(5 citation statements)

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“…A distinct advantage is the longer period of comparison (five years) and associated large number of patients in this study, minimising bias by having a steady baseline and resembling this consistency compared to current literature (and, respectively, the longer period of comparison than in other studies) [ 1 , 5 , 6 , 8 , 14 , 15 , 17 ]. As hypothesised, the course of treatment and outcome did not significantly differ due to the COVID-19 restrictions at this level 1 trauma centre, the most representative paediatric trauma department in Austria, despite the low number of patients included in the LD cohort.…”

Section: Discussionmentioning

confidence: 74%

“…Many studies compare their data to the most recent year, which makes their cohort, and thus their results, relatively susceptible to bias [ 6 , 7 , 18 , 19 ]. This study further gives an accurate overview of surgically treated paediatric upper limb fractures from a level 1 trauma centre contrary to the majority of current data from tertiary trauma centres [ 1 , 5 , 8 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 83%

“…To date, the literature mainly focus on paediatric fractures during the COVID-19 pandemic [ 1 , 5 , 8 , 13 , 14 , 15 ]. The herein presented study is the first study in the current literature analysing clinical outcome and possible adverse effects of surgically treated paediatric upper limb fractures during the LD with a concomitant reduction in surgical capacity.…”

Section: Discussionmentioning

confidence: 99%

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Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe

et al. 2022

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The COVID-19 pandemic and the resulting restrictions led to a reduced number of surgeries. This study examines its impact on the course of treatment and clinical outcome of surgically treated paediatric upper limb fractures during that specific period. This retrospective cohort study evaluated all children aged 0–18 years presenting with an upper limb fracture treated surgically at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery of Vienna within lockdown from 16 March to 29 May 2020 (definition applied through corresponding legislation) compared to the same period from 2015 to 2019. A total number of 127 children (m:63; f:44) were included. The lockdown did not lead to a significant increase in complications during and after initial surgery. Time until removal of implant was not significantly prolonged (p = 0.068; p = 0.46). The clinical outcome did not significantly differ compared to previous years. The experience of a level 1 trauma centre showed that despite reduced surgical capacity during the COVID-19 pandemic, no negative differences concerning course of treatment and clinical outcome of surgically treated paediatric upper limb fractures were present. These findings are still of importance since the COVID-19 pandemic continues and several countries in Central Europe are currently under their fourth lockdown.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe

et al. 2022

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“…The incidence of burns and door fingers approached twice the before lockdown incidence and the incidence of fractures decreased. [ 5 8 ]…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Lockdown on the Epidemiologic and Clinic Profiles of Domestic Accidents in Children

Benmassaoud

Balde

Oudghiri

et al. 2022

African Journal of Paediatric Surgery

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Background: Domestic accident (DA) is any harmful accidental event that occurs suddenly in the home or its immediate surroundings. Our study aims to describe the impact of the COVID-19 lockdown in the epidemiological and clinical profiles of DAs in children and their management. Materials and Methods: This was a mixed descriptive study, comparing DAs occurring during the COVID-19 lockdown and the same period of the previous year. We exhaustively included all children aged from 0 to 15 years admitted for DAs. Results: The incidence of DAs remains above 50% in both groups. The average age was 7 years and boys were more affected. Before the COVID-19 lockdown, the most common mechanism encountered was accidents on the public highway 20.75%, while during the lockdown, it was represented by falls from a high place with a height of 2 m or more. During the lockdown, 33.86% of patients consulted after more than 24 h of the trauma. Supracondylar fractures and burns remained the most frequent. In all cases, the cumulative frequency of fractures decreased during the lockdown. The COVID-19 lockdown had no impact on patient's management. Conclusion: The COVID-19 lockdown has negatively increased the consultation delay. However, it has considerably reduced the incidence of fractures.

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“…2 Similarly, Memeo et al saw a 22% increase in pediatric fractures (particularly the upper limb), even with a 78% overall decrease in pediatric emergency room visits. 3 In the United States, Bram et al found a 2.5-fold decrease in pediatric fracture volume with a shift toward home-based and/or bicycle trauma as opposed to sports injuries. 4 This lack of physical activity, particularly sports, 2 is most pronounced amongst adolescents.…”

Section: Introductionmentioning

confidence: 99%

Pain Management in Acute Fracture Care

Swarup

Pandya

2021

Journal of the Pediatric Orthopaedic Society of North America

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The management of pediatric and adolescent pain continues to evolve. Pain, as in the adult population, is a complex process modulated by both physiologic and psychological factors. It is essential for the orthopedic clinician who manages pain in the acute setting to not only understand the medical aspects of pain control, but also the larger context in which the injury is taking place. The opioid crisis has changed the manner in which pain management is delivered, and an understanding of pediatric physiology is critical for delivering analgesia. This is particularly important in the setting of acute fracture management. Utilization of anti-inflammatory medications, diversion techniques, and regional anesthesia are integral to management in the emergency room, pre-operatively, intra-operatively, and post-operatively. A multi-faceted, holistic approach is essential to achieve successful clinical outcomes.

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How the pandemic spread of COVID-19 affected children's traumatology in Italy: changes of numbers, anatomical locations, and severity

Cited by 10 publications

References 0 publications

Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe

Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe

Impact of the COVID-19 Lockdown on the Epidemiologic and Clinic Profiles of Domestic Accidents in Children

Pain Management in Acute Fracture Care

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