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在COVID-19大流行期间的儿科创伤:一个3年的回顾分析

Gabriel L Scally¹, Nicholas W Sheets², Emily Dubina²

¹General Surgery Residency Program, Riverside Community Hospital, Riverside, CA, USA.

Clinical pediatrics

|September 16, 2023

概括

由于COVID-19大流行,儿童创伤病例减少了,但伤害严重程度增加了. 与枪支相关的创伤增加,而机动车辆碰撞减少,改变了儿童的受伤模式.

科学领域:

儿科创伤护理儿童创伤护理
公共卫生公共卫生
流行病学流行病学

背景情况:

在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
了解其对儿科创伤的具体影响对于资源配置和预防策略至关重要.

研究的目的:

分析COVID-19大流行之前和期间儿科创伤量,受伤严重程度和受伤机制的变化.
为了比较人口统计数据,损伤严重程度得分 (ISS) 和儿科创伤患者中的特定损伤类型.

主要方法:

美国18个州88家医院对16966名儿科创伤患者 (<17岁) 的回顾性分析.
从2019年到2021年收集的数据,比较大流行前 (2019年) 与大流行年 (2020-2021年).
评估创伤量,ISS和机制,包括与枪支相关的创伤,机动车辆碰撞等.

主要成果:

总体而言,与2019年相比,在疫情期间 (2020-2021) 的儿科创伤量减少了.
伤害严重性得分 (ISS) 从2019年到2020年和2021年显著增加.
与枪支相关的创伤增加,而机动车辆碰撞减少;在自行车,袭击,汽车与行人,游乐场和体育伤害之间也注意到了变化.

结论:

显然,COVID-19大流行已经改变了儿科创伤的格局.
医疗保健系统经历了向更少但更严重的儿科创伤病例的转变.
疫情需要对创伤机制进行重新评估,并为儿科患者群体做预防工作.

关键词:

在 COVID-19 疫情中,儿科儿科儿科儿科一个创伤的创伤创伤.

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