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
| Autor: | Philipp Scheider, Manuela Jaindl, Thomas Sator, Andrea Schuller, Theresia Dangl, Elisabeth Schwendenwein, Stephan Payr, Thomas M. Tiefenboeck, Britta Chocholka |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Traumatic brain injury Health Toxicology and Mutagenesis Article 03 medical and health sciences 0302 clinical medicine paediatric trauma Trauma Centers Epidemiology medicine Humans Trauma centre 030212 general & internal medicine Child Pandemics Retrospective Studies 030222 orthopedics SARS-CoV-2 business.industry Incidence (epidemiology) traumatic brain injury pandemic Public Health Environmental and Occupational Health COVID-19 Retrospective cohort study fractures medicine.disease Europe Communicable Disease Control Emergency medicine Orthopedic surgery Wounds and Injuries Medicine business Trauma surgery |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 5829, p 5829 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 11 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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