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Impact of “Stay-at-Home” orders on non-accidental trauma: A multi-institutional study
It is unclear how Stay-at-Home Orders (SHO) of the COVID-19 pandemic impacted the welfare of children and rates of non-accidental trauma (NAT). We hypothesized that NAT would initially decrease during the SHO as children did not have access to mandatory reporters, and then increase as physicians’ of...
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| Published in: | Journal of pediatric surgery 2022-06, Vol.57 (6), p.1062-1066 |
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| cites | cdi_FETCH-LOGICAL-c471t-8ae1611be9e9cdafb65d237a74c318b6f3a47d77f30e313aa8ba93094ace1fd3 |
| container_end_page | 1066 |
| container_issue | 6 |
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| container_title | Journal of pediatric surgery |
| container_volume | 57 |
| creator | Collings, Amelia T. Farazi, Manzur Van Arendonk, Kyle Fallat, Mary E. Minneci, Peter C. Sato, Thomas T. Speck, K. Elizabeth Deans, Katherine J. Falcone, Richard A. Foley, David S. Fraser, Jason D. Keller, Martin S. Kotagal, Meera Landman, Matthew P. Leys, Charles M. Markel, Troy Rubalcava, Nathan St Peter, Shawn D. Flynn-O'Brien, Katherine T. |
| description | It is unclear how Stay-at-Home Orders (SHO) of the COVID-19 pandemic impacted the welfare of children and rates of non-accidental trauma (NAT). We hypothesized that NAT would initially decrease during the SHO as children did not have access to mandatory reporters, and then increase as physicians’ offices and schools reopened.
A multicenter study evaluating patients |
| doi_str_mv | 10.1016/j.jpedsurg.2022.01.056 |
| format | article |
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A multicenter study evaluating patients <18 years with ICD-10 Diagnosis and/or External Cause of Injury codes meeting criteria for NAT. “Historical” controls from an averaged period of March-September 2016–2019 were compared to patients injured March-September 2020, after the implementation of SHO (“COVID” cohort). An interrupted time series analysis was utilized to evaluate the effects of SHO implementation.
Nine Level I pediatric trauma centers contributed 2064 patients meeting NAT criteria. During initial SHO, NAT rates dropped below what was expected based on historical trends; however, thereafter the rate increased above the expected. The COVID cohort experienced a significant increase in the proportion of NAT patients age ≥5 years, minority children, and least resourced as determined by social vulnerability index (SVI).
The COVID-19 pandemic affected the presentation of children with NAT to the hospital. In times of public health crisis, maintaining systems of protection for children remain essential.
III</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2022.01.056</identifier><identifier>PMID: 35292165</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Child ; Child abuse ; Child Abuse - diagnosis ; Child, Preschool ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; Humans ; Non-accidental trauma ; Pandemics - prevention & control ; Pediatric trauma ; Retrospective Studies ; Trauma Centers</subject><ispartof>Journal of pediatric surgery, 2022-06, Vol.57 (6), p.1062-1066</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier Inc.</rights><rights>2022 Elsevier Inc. All rights reserved. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-8ae1611be9e9cdafb65d237a74c318b6f3a47d77f30e313aa8ba93094ace1fd3</citedby><cites>FETCH-LOGICAL-c471t-8ae1611be9e9cdafb65d237a74c318b6f3a47d77f30e313aa8ba93094ace1fd3</cites><orcidid>0000-0003-4534-0116</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35292165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Collings, Amelia T.</creatorcontrib><creatorcontrib>Farazi, Manzur</creatorcontrib><creatorcontrib>Van Arendonk, Kyle</creatorcontrib><creatorcontrib>Fallat, Mary E.</creatorcontrib><creatorcontrib>Minneci, Peter C.</creatorcontrib><creatorcontrib>Sato, Thomas T.</creatorcontrib><creatorcontrib>Speck, K. Elizabeth</creatorcontrib><creatorcontrib>Deans, Katherine J.</creatorcontrib><creatorcontrib>Falcone, Richard A.</creatorcontrib><creatorcontrib>Foley, David S.</creatorcontrib><creatorcontrib>Fraser, Jason D.</creatorcontrib><creatorcontrib>Keller, Martin S.</creatorcontrib><creatorcontrib>Kotagal, Meera</creatorcontrib><creatorcontrib>Landman, Matthew P.</creatorcontrib><creatorcontrib>Leys, Charles M.</creatorcontrib><creatorcontrib>Markel, Troy</creatorcontrib><creatorcontrib>Rubalcava, Nathan</creatorcontrib><creatorcontrib>St Peter, Shawn D.</creatorcontrib><creatorcontrib>Flynn-O'Brien, Katherine T.</creatorcontrib><creatorcontrib>Midwest Pediatric Surgery Consortium</creatorcontrib><title>Impact of “Stay-at-Home” orders on non-accidental trauma: A multi-institutional study</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>It is unclear how Stay-at-Home Orders (SHO) of the COVID-19 pandemic impacted the welfare of children and rates of non-accidental trauma (NAT). We hypothesized that NAT would initially decrease during the SHO as children did not have access to mandatory reporters, and then increase as physicians’ offices and schools reopened.
A multicenter study evaluating patients <18 years with ICD-10 Diagnosis and/or External Cause of Injury codes meeting criteria for NAT. “Historical” controls from an averaged period of March-September 2016–2019 were compared to patients injured March-September 2020, after the implementation of SHO (“COVID” cohort). An interrupted time series analysis was utilized to evaluate the effects of SHO implementation.
Nine Level I pediatric trauma centers contributed 2064 patients meeting NAT criteria. During initial SHO, NAT rates dropped below what was expected based on historical trends; however, thereafter the rate increased above the expected. The COVID cohort experienced a significant increase in the proportion of NAT patients age ≥5 years, minority children, and least resourced as determined by social vulnerability index (SVI).
The COVID-19 pandemic affected the presentation of children with NAT to the hospital. In times of public health crisis, maintaining systems of protection for children remain essential.
III</description><subject>Child</subject><subject>Child abuse</subject><subject>Child Abuse - diagnosis</subject><subject>Child, Preschool</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - prevention & control</subject><subject>Humans</subject><subject>Non-accidental trauma</subject><subject>Pandemics - prevention & control</subject><subject>Pediatric trauma</subject><subject>Retrospective Studies</subject><subject>Trauma Centers</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNqFkcFu1DAQhi0EokvhFaocuSR44sRJOCCqCmilShzohZM1sSfFq8RebKfS3vog8HJ9ElxtW8GJ00jz__PPaD7GToBXwEG-21bbHZm4huuq5nVdcah4K5-xDbQCypaL7jnb8KyUopH9EXsV45bz3Obwkh2Jth5qkO2Gfb9YdqhT4afi7vbXt4T7ElN57he6u_1d-GAoxMK7wnlXotbWkEs4FynguuD74rRY1jnZ0rqYbFqT9S6rMa1m_5q9mHCO9OahHrOrz5-uzs7Ly69fLs5OL0vddJDKHgkkwEgDDdrgNMrW1KLDrtEC-lFOApvOdN0kOAkQiP2Ig-BDg5pgMuKYfTjE7tZxIaPzfQFntQt2wbBXHq36V3H2h7r2N6rvmzr_Jge8fQgI_udKManFRk3zjI78GlUtG85bPkCfrfJg1cHHGGh6WgNc3WNRW_WIRd1jURxUxpIHT_4-8mnskUM2fDwYKH_qxlJQUVtymowNpJMy3v5vxx87MaZt</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Collings, Amelia T.</creator><creator>Farazi, Manzur</creator><creator>Van Arendonk, Kyle</creator><creator>Fallat, Mary E.</creator><creator>Minneci, Peter C.</creator><creator>Sato, Thomas T.</creator><creator>Speck, K. Elizabeth</creator><creator>Deans, Katherine J.</creator><creator>Falcone, Richard A.</creator><creator>Foley, David S.</creator><creator>Fraser, Jason D.</creator><creator>Keller, Martin S.</creator><creator>Kotagal, Meera</creator><creator>Landman, Matthew P.</creator><creator>Leys, Charles M.</creator><creator>Markel, Troy</creator><creator>Rubalcava, Nathan</creator><creator>St Peter, Shawn D.</creator><creator>Flynn-O'Brien, Katherine T.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4534-0116</orcidid></search><sort><creationdate>20220601</creationdate><title>Impact of “Stay-at-Home” orders on non-accidental trauma: A multi-institutional study</title><author>Collings, Amelia T. ; Farazi, Manzur ; Van Arendonk, Kyle ; Fallat, Mary E. ; Minneci, Peter C. ; Sato, Thomas T. ; Speck, K. 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Elizabeth</creatorcontrib><creatorcontrib>Deans, Katherine J.</creatorcontrib><creatorcontrib>Falcone, Richard A.</creatorcontrib><creatorcontrib>Foley, David S.</creatorcontrib><creatorcontrib>Fraser, Jason D.</creatorcontrib><creatorcontrib>Keller, Martin S.</creatorcontrib><creatorcontrib>Kotagal, Meera</creatorcontrib><creatorcontrib>Landman, Matthew P.</creatorcontrib><creatorcontrib>Leys, Charles M.</creatorcontrib><creatorcontrib>Markel, Troy</creatorcontrib><creatorcontrib>Rubalcava, Nathan</creatorcontrib><creatorcontrib>St Peter, Shawn D.</creatorcontrib><creatorcontrib>Flynn-O'Brien, Katherine T.</creatorcontrib><creatorcontrib>Midwest Pediatric Surgery Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Collings, Amelia T.</au><au>Farazi, Manzur</au><au>Van Arendonk, Kyle</au><au>Fallat, Mary E.</au><au>Minneci, Peter C.</au><au>Sato, Thomas T.</au><au>Speck, K. Elizabeth</au><au>Deans, Katherine J.</au><au>Falcone, Richard A.</au><au>Foley, David S.</au><au>Fraser, Jason D.</au><au>Keller, Martin S.</au><au>Kotagal, Meera</au><au>Landman, Matthew P.</au><au>Leys, Charles M.</au><au>Markel, Troy</au><au>Rubalcava, Nathan</au><au>St Peter, Shawn D.</au><au>Flynn-O'Brien, Katherine T.</au><aucorp>Midwest Pediatric Surgery Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of “Stay-at-Home” orders on non-accidental trauma: A multi-institutional study</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>57</volume><issue>6</issue><spage>1062</spage><epage>1066</epage><pages>1062-1066</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>It is unclear how Stay-at-Home Orders (SHO) of the COVID-19 pandemic impacted the welfare of children and rates of non-accidental trauma (NAT). We hypothesized that NAT would initially decrease during the SHO as children did not have access to mandatory reporters, and then increase as physicians’ offices and schools reopened.
A multicenter study evaluating patients <18 years with ICD-10 Diagnosis and/or External Cause of Injury codes meeting criteria for NAT. “Historical” controls from an averaged period of March-September 2016–2019 were compared to patients injured March-September 2020, after the implementation of SHO (“COVID” cohort). An interrupted time series analysis was utilized to evaluate the effects of SHO implementation.
Nine Level I pediatric trauma centers contributed 2064 patients meeting NAT criteria. During initial SHO, NAT rates dropped below what was expected based on historical trends; however, thereafter the rate increased above the expected. The COVID cohort experienced a significant increase in the proportion of NAT patients age ≥5 years, minority children, and least resourced as determined by social vulnerability index (SVI).
The COVID-19 pandemic affected the presentation of children with NAT to the hospital. In times of public health crisis, maintaining systems of protection for children remain essential.
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| ispartof | Journal of pediatric surgery, 2022-06, Vol.57 (6), p.1062-1066 |
| issn | 0022-3468 1531-5037 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8842346 |
| source | ScienceDirect Freedom Collection |
| subjects | Child Child abuse Child Abuse - diagnosis Child, Preschool COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control Humans Non-accidental trauma Pandemics - prevention & control Pediatric trauma Retrospective Studies Trauma Centers |
| title | Impact of “Stay-at-Home” orders on non-accidental trauma: A multi-institutional study |
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