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Evaluating the Regional Differences in Pediatric Injury Patterns During the COVID-19 Pandemic
Amelia T Collings1, Manzur Farazi2, Kyle J Van Arendonk2
1Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
The Journal of Surgical Research
|April 22, 2023
Summary
Pediatric injury patterns varied significantly across US trauma centers during the COVID-19 pandemic. Bicycle and penetrating injuries saw notable increases, highlighting regional differences in trauma response.
Area of Science:
- Pediatric Trauma
- Epidemiology
- Public Health
Background:
- Conflicting reports exist on pediatric injury patterns during the COVID-19 pandemic.
- Existing data lacks regional granularity to understand variations in pediatric trauma.
Purpose of the Study:
- To investigate variations in pediatric injury patterns across US trauma centers during the COVID-19 pandemic.
- To compare injury data from a COVID-19 cohort with historical controls.
Main Methods:
- Multicenter retrospective study of pediatric trauma patients (<18 years).
- Comparison of patients injured during COVID-19 stay-at-home orders (COVID cohort) with historical controls (2016-2019).
- Analysis of injury type, intent, and mechanism at the site level.
Main Results:
- Overall trauma volume increased in the COVID cohort, but with site-specific decreases and increases.
- Bicycle injuries increased at all sites (24%-135%).
- Penetrating injuries showed a greater relative increase than blunt injuries at most sites.
Conclusions:
- Significant discrepancies in pediatric injury patterns were observed across individual trauma centers.
- Sociopolitical climate and local pandemic policies may influence injury trends.
- Further investigation into community responses during stress is needed for future preparedness.
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