Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Payr, Stephan, Schuller, Andrea, Dangl, Theresia, Scheider, Philipp, Sator, Thomas, Chocholka, Britta, Jaindl, Manuela, Schwendenwein, Elisabeth, Tiefenboeck, Thomas M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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
_version_ 1783707130884259840
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
work_keys_str_mv AT payrstephan maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT schullerandrea maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT dangltheresia maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT scheiderphilipp maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT satorthomas maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT chocholkabritta maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT jaindlmanuela maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT schwendenweinelisabeth maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope
AT tiefenboeckthomasm maintainingmedicalresourcestotreatpaediatricinjuriesduringcovid19lockdownisessentialanepidemiologicalanalysisofalevel1traumacentreincentraleurope