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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
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 chi...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8198406/ https://www.ncbi.nlm.nih.gov/pubmed/34071610 http://dx.doi.org/10.3390/ijerph18115829 |
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author | Payr, Stephan Schuller, Andrea Dangl, Theresia Scheider, Philipp Sator, Thomas Chocholka, Britta Jaindl, Manuela Schwendenwein, Elisabeth Tiefenboeck, Thomas M. |
author_facet | Payr, Stephan Schuller, Andrea Dangl, Theresia Scheider, Philipp Sator, Thomas Chocholka, Britta Jaindl, Manuela Schwendenwein, Elisabeth Tiefenboeck, Thomas M. |
author_sort | Payr, Stephan |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8198406 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81984062021-06-14 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, Stephan Schuller, Andrea Dangl, Theresia Scheider, Philipp Sator, Thomas Chocholka, Britta Jaindl, Manuela Schwendenwein, Elisabeth Tiefenboeck, Thomas M. Int J Environ Res Public Health Article 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. MDPI 2021-05-28 /pmc/articles/PMC8198406/ /pubmed/34071610 http://dx.doi.org/10.3390/ijerph18115829 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Payr, Stephan Schuller, Andrea Dangl, Theresia Scheider, Philipp Sator, Thomas Chocholka, Britta Jaindl, Manuela Schwendenwein, Elisabeth Tiefenboeck, Thomas M. 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 |
title | 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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8198406/ https://www.ncbi.nlm.nih.gov/pubmed/34071610 http://dx.doi.org/10.3390/ijerph18115829 |
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