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Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic

Background: Trauma is the leading cause of morbidity and mortality in the pediatric population. During the COVID-19 pandemic (COVID-19), different trends for pediatric trauma (PT) were described. This study aims to explore the trend over time of PT in our center, also considering the effects of COVI...

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Autores principales: Maina, Cecilia, Cioffi, Stefano Piero Bernardo, Altomare, Michele, Spota, Andrea, Virdis, Francesco, Bini, Roberto, Ragozzino, Roberta, Renzi, Federica, Reitano, Elisa, Corasaniti, Lucia, Macchini, Francesco, Chiara, Osvaldo, Cimbanassi, Stefania
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9864714/
https://www.ncbi.nlm.nih.gov/pubmed/36675789
http://dx.doi.org/10.3390/jpm13010128
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author Maina, Cecilia
Cioffi, Stefano Piero Bernardo
Altomare, Michele
Spota, Andrea
Virdis, Francesco
Bini, Roberto
Ragozzino, Roberta
Renzi, Federica
Reitano, Elisa
Corasaniti, Lucia
Macchini, Francesco
Chiara, Osvaldo
Cimbanassi, Stefania
author_facet Maina, Cecilia
Cioffi, Stefano Piero Bernardo
Altomare, Michele
Spota, Andrea
Virdis, Francesco
Bini, Roberto
Ragozzino, Roberta
Renzi, Federica
Reitano, Elisa
Corasaniti, Lucia
Macchini, Francesco
Chiara, Osvaldo
Cimbanassi, Stefania
author_sort Maina, Cecilia
collection PubMed
description Background: Trauma is the leading cause of morbidity and mortality in the pediatric population. During the COVID-19 pandemic (COVID-19), different trends for pediatric trauma (PT) were described. This study aims to explore the trend over time of PT in our center, also considering the effects of COVID-19, focusing on trauma mechanisms, violence-related trauma (VRT) and intentionality, especially suicide attempts (SAs). Methods: All PT patients accepted at Niguarda Trauma Center (NTC) in Milan from January 2015 to December 2020 were retrospectively analyzed. We considered demographics and clinical variables and performed descriptive and year comparison analyses. Results: There were 684 cases of PT accepted at NTC: 84 in 2015, 98 in 2016, 125 in 2017, 119 in 2018, 114 in 2019 and 144 in 2020 (p < 0.001), 66.2% male, mean age 9.88 (±5.17). We observed a higher number of traffic-related, fall-related injuries and an increasing trend for VRT and SAs, peaking in 2020. We report an increasing trend over time for head trauma (p = 0.002). The Injury Severity Score did not significantly change. During COVID-19 we recorded a higher number of self-presenting patients with low priority codes. Conclusions: NTC is the adult level I referral trauma center for the Milan urban area with pediatric commitment. During COVID-19, every traumatic emergency was centralized to NCT. In 2020, we observed an increasing trend in SAs and VRT among PT patients. The psychological impact of the COVID-19 restriction could explain this evidence. The long-term effects of COVID-19 on the mental health of the pediatric population should not be underestimated. Focused interventions on psychological support and prevention of SAs and VRT should be implemented, especially during socio-demographic storms such as the last pandemic.
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spelling pubmed-98647142023-01-22 Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic Maina, Cecilia Cioffi, Stefano Piero Bernardo Altomare, Michele Spota, Andrea Virdis, Francesco Bini, Roberto Ragozzino, Roberta Renzi, Federica Reitano, Elisa Corasaniti, Lucia Macchini, Francesco Chiara, Osvaldo Cimbanassi, Stefania J Pers Med Article Background: Trauma is the leading cause of morbidity and mortality in the pediatric population. During the COVID-19 pandemic (COVID-19), different trends for pediatric trauma (PT) were described. This study aims to explore the trend over time of PT in our center, also considering the effects of COVID-19, focusing on trauma mechanisms, violence-related trauma (VRT) and intentionality, especially suicide attempts (SAs). Methods: All PT patients accepted at Niguarda Trauma Center (NTC) in Milan from January 2015 to December 2020 were retrospectively analyzed. We considered demographics and clinical variables and performed descriptive and year comparison analyses. Results: There were 684 cases of PT accepted at NTC: 84 in 2015, 98 in 2016, 125 in 2017, 119 in 2018, 114 in 2019 and 144 in 2020 (p < 0.001), 66.2% male, mean age 9.88 (±5.17). We observed a higher number of traffic-related, fall-related injuries and an increasing trend for VRT and SAs, peaking in 2020. We report an increasing trend over time for head trauma (p = 0.002). The Injury Severity Score did not significantly change. During COVID-19 we recorded a higher number of self-presenting patients with low priority codes. Conclusions: NTC is the adult level I referral trauma center for the Milan urban area with pediatric commitment. During COVID-19, every traumatic emergency was centralized to NCT. In 2020, we observed an increasing trend in SAs and VRT among PT patients. The psychological impact of the COVID-19 restriction could explain this evidence. The long-term effects of COVID-19 on the mental health of the pediatric population should not be underestimated. Focused interventions on psychological support and prevention of SAs and VRT should be implemented, especially during socio-demographic storms such as the last pandemic. MDPI 2023-01-09 /pmc/articles/PMC9864714/ /pubmed/36675789 http://dx.doi.org/10.3390/jpm13010128 Text en © 2023 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
Maina, Cecilia
Cioffi, Stefano Piero Bernardo
Altomare, Michele
Spota, Andrea
Virdis, Francesco
Bini, Roberto
Ragozzino, Roberta
Renzi, Federica
Reitano, Elisa
Corasaniti, Lucia
Macchini, Francesco
Chiara, Osvaldo
Cimbanassi, Stefania
Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic
title Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic
title_full Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic
title_fullStr Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic
title_full_unstemmed Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic
title_short Increasing Trend in Violence-Related Trauma and Suicide Attempts among Pediatric Trauma Patients: A 6-Year Analysis of Trauma Mechanisms and the Effects of the COVID-19 Pandemic
title_sort increasing trend in violence-related trauma and suicide attempts among pediatric trauma patients: a 6-year analysis of trauma mechanisms and the effects of the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9864714/
https://www.ncbi.nlm.nih.gov/pubmed/36675789
http://dx.doi.org/10.3390/jpm13010128
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