Staying home but not out of trouble: no reduction in presentations to the South Australian paediatric major trauma service despite the <scp>COVID</scp>‐19 pandemic

Williams, Nicole; Winters, J Leigha; Cooksey, Rebecca

doi:10.1111/ans.16277

Cited by 12 publications

(16 citation statements)

References 3 publications

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“…Another study observed a significant increase in fractures during the COVID-19 pandemic accompanied by a decrease in overall paediatric visits at their department but lacking any signs of significance [11]. This decrease/increase in paediatric injuries agrees with the regional differences and strictness of the COVID-19 LD policies [14]. This could also be the reason for the observations in the present study.…”

Section: Discussionsupporting

confidence: 86%

Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential—An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe

Payr

Schuller

Dangl

et al. 2021

IJERPH

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Background: This study examined the effect of the COVID-19 pandemic and the resulting decrease in the incidence of various categories of injuries, with the main focus on fractures and mild traumatic brain injuries in a paediatric population. Methods: This retrospective cohort study evaluated all children from 0 to 18 years of age presenting with an injury at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery in Vienna during the lockdown from 16 March to 29 May 2020 compared to records over the same timeframe from 2015 to 2019. Results: In total, 14,707 patients with injuries were included. The lockdown did not lead to a significant decrease in fractures but, instead, yielded a highly significant increase in mild traumatic brain injuries when compared to all injuries that occurred (p = 0.082 and p = 0.0001) as well as acute injuries (excluding contusions, distortions and miscellaneous non-acute injuries) (p = 0.309 and p = 0.034). Conclusions: The percentage of paediatric fractures did not decrease at the level 1 trauma centre, and a highly significant proportional increase in paediatric patients with mild traumatic brain injuries was observed during the COVID-19 lockdown. Therefore, medical resources should be maintained to treat paediatric trauma patients and provide neurological monitoring during pandemic lockdowns.

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Section: Discussionsupporting

confidence: 86%

Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential—An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe

Payr

Schuller

Dangl

et al. 2021

IJERPH

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“…Of the 12 case control studies which included the incidence of trauma sustained indoors, 11 reported an increase. 11 , 12 , 19 , 20 , 22 , 33 , 45 , 47 , 49 , 52 , 62 This was reported to be statistically significant in studies from France (p < 0.0001) 19 , Ireland (p < 0.001) 33 , US (p < 0.001) 52 and Australia (p < 0.002) 47 . Of the cohort studies included, the prevalence of indoor trauma ranged from 14.9 to 54.95%.…”

Section: Resultsmentioning

confidence: 87%

“… 10 , 11 , 12 , 13 , 14 , 15 , 17 , 19 , 20 , 25 , 27 , 34 , 35 , 37 , 41 , 42 , 43 , 44 , 45 , 46 Hernigou et al 16 reported a concomitant increase in paediatric trauma and reduction in adult trauma during the pandemic at their centre in Belgium, a finding replicated in one Australian centre. 47 Additionally, Wong et al‘s centre based in Australia reported no change in paediatric trauma requiring acute admission. 48 Of the 7 studies reporting the injury severity score (ISS) of patients presenting during the pandemic, 5 reported a similar or slightly reduced presenting ISS during the pandemic, when compared with pre-pandemic years.…”

Section: Resultsmentioning

confidence: 99%

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The global burden of trauma during the COVID-19 pandemic: A scoping review

Waseem

Nayar

Hull

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Purpose; The COVID-19 pandemic has necessitated profound adaptations in the delivery of healthcare to manage a rise in critically unwell patients. In an attempt to slow the spread of the virus nationwide lockdown restrictions were introduced. This review aims to scope the literature on the impact of the pandemic and subsequent lockdown on the presentation and management of trauma globally. Methods; A scoping review was conducted in accordance with PRISMA-ScR guidelines. A systematic search was carried out on the Medline, EMBASE and Cochrane databases to identify papers investigating presentation and management of trauma during the COVID-19 pandemic. All studies based on patients admitted with orthopaedic trauma during the COVID-19 pandemic were included. Exclusion criteria were opinion-based reports, reviews, studies that did not provide quantitative data and papers not in English. Results; Three hundred and thirty seven studies were screened, with 17 meeting the eligibility criteria. Studies reported on the footfall of trauma in the UK, Europe, Asia, USA, Australia and New Zealand. A total of 29,591 patients during the pandemic were considered. Mean age was 43.7 years (range <1–103); 54.8% were male. Reported reductions in trauma footfall ranged from 20.3% to 84.6%, with a higher proportion of trauma occurring secondary to interpersonal violence, deliberate self-harm and falls from a height. A decrease was seen in road traffic collisions, sports injuries and trauma occurring outdoors. There was no significant change in the proportion of patients managed operatively, and the number of trauma patients reported to be COVID-19 positive was low. Conclusion; Whilst the worldwide COVID-19 pandemic has caused a reduction in the number of trauma patients; the services managing trauma have continued to function despite infrastructural, personnel and pathway changes in health systems. The substantial effect of the COVID-19 pandemic on elective orthopaedics is well described, however the contents of this review evidence minimal change in the delivery of effective trauma care despite resource constraints during this global COVID-19 pandemic.

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“…The Royal Australasian College of Surgeons’ Trauma Committee was quick to publish a position statement about the importance of maintaining trauma services without reallocation of essential trauma staff for general pandemic associated tasks. South Australian data showed no decrease in pediatric trauma, [ 4 ] but drops in adult trauma similar to that in other geographic regions. [ 5 ] Some preliminary results showed that major trauma mortality during the strictest lockdown and physical distancing period decreased compared with the age and injury severity matched controls.…”

Section: Australiamentioning

confidence: 91%

Orthopaedic trauma care during the early COVID-19 pandemic in the Asia-Pacific region

Kurozumi

Minehara

Kim³

et al. 2021

OTA International: The Open Access Journal of Orthopaedic Trauma

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The Asia-Pacific region countries, with their large and socioeconomically diverse populations and infrastructures, were amongst the earliest to have to respond to the COVID-19 pandemic. Although the disease is not one of surgical trauma, its effects on orthopaedic injuries have been significant. Medical systems had to adapt to better focus on patients with a highly communicable disease, while continuing to provide essential services. Even though many countries saw a decrease in traumatic injuries during the initial periods, orthopaedic trauma services nevertheless had to adapt accordingly to system-wide organizational changes. While each country took their individual approaches to address the pandemic, there were also consistencies in how musculoskeletal injuries and conditions were handled during these early stages of the pandemic. This article reviews those early management approaches to musculoskeletal injury care during the COVID-19 pandemic in different countries throughout the Asia-Pacific region following the initial outbreak in China: Australia, South Korea, and Japan.

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Staying home but not out of trouble: no reduction in presentations to the South Australian paediatric major trauma service despite the COVID‐19 pandemic

Cited by 12 publications

References 3 publications

Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential—An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe

Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential—An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe

The global burden of trauma during the COVID-19 pandemic: A scoping review

Orthopaedic trauma care during the early COVID-19 pandemic in the Asia-Pacific region

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