Unintended Consequences of COVID-19 on Pediatric Falls From Windows: A Multicenter Study

Theodorou, Christina M.; Brown, Erin G.; Jackson, Jordan E.; Castle, Shannon L.; Chao, Stephanie; Beres, Alana L.

doi:10.1016/j.jss.2022.05.022

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…Regarding non-accidental trauma (NAT), we have not yet carried out any analysis of our patients. However, the literature indicates that falls from windows were significantly elevated during the California-wide shelter-in-place mandate [ 51 ]. Some studies have reported significantly higher cases of child abuse and neglect during lockdown [ 9 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Delbrück,

Lambertz,

Migliorini

et al. 2024

Eur J Trauma Emerg Surg

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Purpose The study investigates changes in the injury characteristics of hospitalised children in a paediatric trauma centre during the COVID-19 pandemic. Methods Data from injured children from the pre-pandemic year 2019 were compared to the pandemic year 2020 using Pearson’s chi-squared test and the Mann–Whitney U test. The period of highly restrictive regulations (HRP) was evaluated separately. A comprehensive literature review with defined search terms resulted in a descriptive data synthesis. Results Data from 865 patients indicated reductions in admissions of 5.6% and 54.4% during the HRP. In 2020, the hospitalisation time was longer (2.2 ± 2.7 days in 2019 vs. 2.4 ± 2.6 in 2020, p = 0.045); the proportions of wounds requiring surgical therapy (p = 0.008) and of observational treatments, primarily for mild brain injuries (p = 0.046), were higher; and conservative treatments, primarily for contusions, were lower (p = 0.005). There were no significant changes in age, location of lesions, or frequency of surgical therapy; nor were there differences in the HRP, except for fewer injuries in school and kindergarten (p < 0.001). The literature review summarises the main results of 79 studies. Conclusion Limited resources did not alter the indications for surgical therapy. Further studies should examine whether the more common injuries sustained at home were caused by excessive work/childcare demands on parents. Reduced inpatient conservative treatment implies that hospital resources possibly were overused previously. The literature offers answers to many detailed questions regarding childhood injuries during a pandemic and more efficient safe treatment. Registration Ethical committee of RWTH Aachen University EK 22-320; Center for Translational & Clinical Research RWTH Aachen University (CTC-A) 21-430.

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Section: Resultsmentioning

confidence: 99%

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Delbrück,

Lambertz,

Migliorini

et al. 2024

Eur J Trauma Emerg Surg

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show abstract

“…After an initial decrease during the first weeks of lockdown when alcohol was difficult to access, traumatic and nontraumatic alcohol related hospital presentations increased depending on availability 4,5,7–9 . There were significantly more home‐related injuries such as pediatric injuries from neglect 10 or abuse 11,12 and intimate partner violence 12,13 . The rate of penetrating injury in many US and international trauma centers saw unprecedented increases 1–4,14–18 with a concurrent increase in firearm purchases in the United States 5 .…”

Section: Trauma Epidemiology During Covid‐19mentioning

confidence: 99%