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The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()

BACKGROUND: Foreign body ingestions are a common presentation in the emergency department (ED), particularly in young children. OBJECTIVE: We sought to determine whether the COVID-19 pandemic lockdowns had an effect on the proportion of foreign body ingestions. METHODS: We performed a retrospective...

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Autores principales: Neal, Jeffrey T., Monuteaux, Michael C., Porter, John J., Hudgins, Joel D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472683/
https://www.ncbi.nlm.nih.gov/pubmed/36289021
http://dx.doi.org/10.1016/j.jemermed.2022.09.019
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author Neal, Jeffrey T.
Monuteaux, Michael C.
Porter, John J.
Hudgins, Joel D.
author_facet Neal, Jeffrey T.
Monuteaux, Michael C.
Porter, John J.
Hudgins, Joel D.
author_sort Neal, Jeffrey T.
collection PubMed
description BACKGROUND: Foreign body ingestions are a common presentation in the emergency department (ED), particularly in young children. OBJECTIVE: We sought to determine whether the COVID-19 pandemic lockdowns had an effect on the proportion of foreign body ingestions. METHODS: We performed a retrospective review of the Pediatric Health Information System for patients younger than 19 years who were identified by International Classification of Diseases, Tenth Revision codes for foreign body ingestion. We analyzed patients in the following three groups: young children (younger than 5 years), school-aged children (5–12 years), and adolescents (13 years and older), using an interrupted time series analysis. Our primary outcome was the difference in proportion of foreign body ingestions. We compared 1 year after the declaration of the COVID-19 pandemic (March 13, 2020 to March 31, 2021) with the previous 3 years (March 1, 2017 to March 12, 2020). RESULTS: Total pediatric ED encounters decreased in the post period (p < 0.01); 4902 patients per year presented for foreign body ingestion pre–COVID-19 shutdown vs. 5235 patients per year post–COVID-19 shutdown. In all three age groups (young children, school-age children, and adolescents), there was a higher proportion of foreign body ingestions post–COVID-19 shutdown (p < 0.01, p < 0.01, and p = 0.028, respectively), driven primarily by the decrease in total ED encounters. In the youngest age group (younger than 5 years), there was also a significant increase in slope for foreign body ingestions post–COVID-19 (p = 0.010). CONCLUSIONS: The proportion of foreign body ingestions increased after the declaration of the COVID-19 pandemic, primarily driven by an overall decrease in total ED volume.
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spelling pubmed-94726832022-09-14 The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions() Neal, Jeffrey T. Monuteaux, Michael C. Porter, John J. Hudgins, Joel D. J Emerg Med Original Contributions BACKGROUND: Foreign body ingestions are a common presentation in the emergency department (ED), particularly in young children. OBJECTIVE: We sought to determine whether the COVID-19 pandemic lockdowns had an effect on the proportion of foreign body ingestions. METHODS: We performed a retrospective review of the Pediatric Health Information System for patients younger than 19 years who were identified by International Classification of Diseases, Tenth Revision codes for foreign body ingestion. We analyzed patients in the following three groups: young children (younger than 5 years), school-aged children (5–12 years), and adolescents (13 years and older), using an interrupted time series analysis. Our primary outcome was the difference in proportion of foreign body ingestions. We compared 1 year after the declaration of the COVID-19 pandemic (March 13, 2020 to March 31, 2021) with the previous 3 years (March 1, 2017 to March 12, 2020). RESULTS: Total pediatric ED encounters decreased in the post period (p < 0.01); 4902 patients per year presented for foreign body ingestion pre–COVID-19 shutdown vs. 5235 patients per year post–COVID-19 shutdown. In all three age groups (young children, school-age children, and adolescents), there was a higher proportion of foreign body ingestions post–COVID-19 shutdown (p < 0.01, p < 0.01, and p = 0.028, respectively), driven primarily by the decrease in total ED encounters. In the youngest age group (younger than 5 years), there was also a significant increase in slope for foreign body ingestions post–COVID-19 (p = 0.010). CONCLUSIONS: The proportion of foreign body ingestions increased after the declaration of the COVID-19 pandemic, primarily driven by an overall decrease in total ED volume. Elsevier Inc. 2022-12 2022-09-14 /pmc/articles/PMC9472683/ /pubmed/36289021 http://dx.doi.org/10.1016/j.jemermed.2022.09.019 Text en © 2022 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Contributions
Neal, Jeffrey T.
Monuteaux, Michael C.
Porter, John J.
Hudgins, Joel D.
The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()
title The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()
title_full The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()
title_fullStr The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()
title_full_unstemmed The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()
title_short The Effect of COVID-19 Stay-At-Home Orders on the Rate of Pediatric Foreign Body Ingestions()
title_sort effect of covid-19 stay-at-home orders on the rate of pediatric foreign body ingestions()
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472683/
https://www.ncbi.nlm.nih.gov/pubmed/36289021
http://dx.doi.org/10.1016/j.jemermed.2022.09.019
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