Trends in the seasonal variation of paediatric fractures

Segal, David M.; Slevin, Omer; Aliev, E.; Borisov, Oleg; Khateeb, Basel; Faour, A.; Palmanovich, Esequiel; Brin, Yaron S.; Weigl, Daniel

doi:10.1302/1863-2548.12.180114

Cited by 26 publications

(21 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The 10 million annual visits to Unites States pediatric emergency departments are composed of approximately 12 percent by musculoskeletal injuries [4,5]. A signi cant proportion of these injuries is occupied by skeletal fractures, which cause considerable cost and morbidity to children.…”

Section: Discussionmentioning

confidence: 99%

“…A signi cant proportion of these injuries is occupied by skeletal fractures, which cause considerable cost and morbidity to children. The overall rate of fractures is said to be increasing, despite the recent aggressive campaigns for injury prevention [4,6].…”

Section: Discussionmentioning

confidence: 99%

“…We decided to compare the children that had a trauma in the rst month of lockdown with the children that came to our Hospital for a trauma in the same month the year before, and not with that ones who came the month before lockdown, because there is a different incidence of children traumas related to stagionality. [4] The inclusion criteria were: The diagnosis was made in all cases by physical examination, and plain radiograph; no CT scan or MRI were required in any case.…”

Section: Methodsmentioning

confidence: 99%

“…(World Health Organization) In the same days, the government of Italy imposed a national quarantine (Prime Minister's Decree) that, with exception for essentials, locked down all commercial and industrial activities, schools and universities, sports, cultural and leisure activities, impacting the whole Italian population. [1,2] Fractures during childhood are common [3,4] and have a great effect on the child's and family's daily life.…”

Section: Introductionmentioning

confidence: 99%

“…[3]. Sports and play are the leading causes for pediatric fractures [4] and the vast majority of major pediatric injuries in emergency rooms are fractures.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Trauma In Children During Lockdown For SARS-CoV-2 Pandemic

Dibello

Salvemini

Colella

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose The purpose of the work is to evaluate the differences between the routine accesses to Pediatric Emergency Room in a second level Children’s Hospital and the ones during an extraordinary event as the first month of the lockdown due to the Sars CoV 2 Pandemic in relation to types, sites and severity of Orthopaedic trauma, age, sex, and place in which the trauma occurred.Methods Authors compared retrospectively all children who had an access to the Emergency Room of Children Hospital Giovanni XXIII of Bari and then to Pediatric Orthopedic Unit during the first month of lockdown due to the Sars CoV 2, from March 10th 2020 to April 10th 2020, with the children that had an access to the same hospital from March 10th 2019 to April 10th 2019 for the sites, the types and the severity of the Orthopedic injuries.Results In 2019 there were 261 accesses to Emergency Room, in 2020 69: during lockdown the reduction was of 75%.The data were statistically significant about: the age, lower in 2020 during lockdown, (p<0.0001) and the worst prognosis of the lesions in the same period, 42.65% of fractures versus 28.05% (p<0003). No statistical evidence about sex, anatomical site of trauma and kind of lesion.Conclusions The volume of the accesses for trauma during lockdown decreased by 75%; this means that to avoid the potential risk of Covid’s infection in Hospital, only children with major trauma were brought there by parents, while the ones with contusions and sprains remained at home.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[3]. Sports and play are the leading causes for pediatric fractures [4] and the vast majority of major pediatric injuries in emergency rooms are fractures.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Trauma In Children During Lockdown For SARS-CoV-2 Pandemic

Dibello

Salvemini

Colella

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Pediatric Trauma and the COVID-19 Pandemic: A 12-Year Comparison in a Level-1 Trauma Center

Sheridan

Nagle

Russell

et al. 2020

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

Background: The effect of COVID-19 on pediatric trauma rates is still largely under investigation. With the potential need to reallocate human and financial resources at this challenging time, it will be useful to have detailed descriptions of the rates of pediatric trauma and understanding of how the pandemic affects these rates. Questions/Purposes: We sought to describe the effect of the COVID-19 pandemic on the number of acute pediatric trauma admissions and procedures performed in a level-I trauma center in Cork University Hospital, Ireland. Methods: We compared the number of acute traumatic pediatric admissions and procedures that occurred during the first 4 weeks of a nationwide lockdown due to COVID-19 with that of the same 4-week period in each of the preceding 11 years. Seasonal variables were measured and controlled for using multivariate regression analysis. Results: A total of 545 pediatric patients (under 16 years of age) were included. Over 12 years, the lowest number of acute traumatic pediatric admissions and procedures was recorded during the 2020 pandemic. There was a significant correlation between the number of school days and the number of acute traumatic admissions, as well as the procedures performed. The relationship between the number of school days and the number of trauma procedures was evident even when controlling for confounder variables of seasonal variation. Conclusion: The COVID-19 pandemic significantly reduced the number of acute traumatic pediatric admissions and procedures performed in our level-I trauma center, likely because of a reduction in school days. With the reopening of schools, playgrounds, and sporting events, an increase in pediatric trauma admissions is anticipated. The results of this study can help prepare institutions and regulatory bodies to plan appropriately for this new phase.

show abstract

The effect of national public health measures on the characteristics of trauma presentations to a busy paediatric emergency service in Ireland: a longitudinal observational study

et al. 2021

View full text Add to dashboard Cite

Background The SARS-CoV-2 pandemic and government-enforced restrictions have impacted medical practices. Aims The aim of our study was to investigate the impact SARS-CoV-2 and public health restrictions had on trauma presentations to a regional paediatric emergency service. Methods We carried out a multisite retrospective longitudinal study of all paediatric ED attendances from 2018 including 13 March to 7 June 2020. This aligned with the initial government-enforced public health phases: delay phase, mitigation phase and reopening phase 1. Results There were 7975 total regional attendances during government-enforced restrictions. This represents 17.5% and 15.6% reductions in site attendances when compared with the two previous years. Regional attendances reduced by 52.5% in 2020 compared with 2018 and 50.9% compared with 2019. Following an initial reduction in injury attendances at the beginning of the 'lockdown' (p = 0.076), the number of injuries consistently grew as weeks progressed (p < 0.05), reaching a peak of 44.6% of all attendances. As restrictions eased, the most common location where injuries occurred moved to areas outside the home (p < 0.000). There was a significant change in injury type, final disposition and device-associated injury (p < 0.05). Wheeled recreational devices were associated with over 20% of all injuries by reopening phase 1. Conclusions This study reveals that total attendances and total injuries reduced during initial phases of the lockdown. This was followed by a significant increase in injury presentations, which reached a peak of 44.6% of all attendances. We identified potential modifiable characteristics of paediatric trauma which can be addressed by future public health strategies.

show abstract

Trends in the seasonal variation of paediatric fractures

Cited by 26 publications

References 31 publications

Trauma In Children During Lockdown For SARS-CoV-2 Pandemic

Trauma In Children During Lockdown For SARS-CoV-2 Pandemic

Pediatric Trauma and the COVID-19 Pandemic: A 12-Year Comparison in a Level-1 Trauma Center

The effect of national public health measures on the characteristics of trauma presentations to a busy paediatric emergency service in Ireland: a longitudinal observational study

Contact Info

Product

Resources

About