在COVID-19大流行之前和期间,虐待头部创伤的住院病例
Nathan L Maassel1, Elena Graetz2, Eric B Schneider2
1Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
JAMA pediatrics
|October 23, 2023
概括
由于COVID-19大流行,幼儿因头部创伤 (AHT) 住院的病例显著减少. 然而,这种趋势可能是暂时的,在婴儿中观察到后来的增加.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 虐待儿童,特别是虐待头部创伤 (AHT) 是一个严重的问题.
- COVID-19 疫情引发了关于其对儿童虐待率和住院治疗的影响的问题.
- 了解严重虐待儿童的流行病相关趋势对于有针对性的预防至关重要.
研究的目的:
- 在COVID-19大流行之前和期间分析虐待头部创伤 (AHT) 住院的趋势.
- 评估疫情期间AHT病例严重程度和临床特征的变化.
- 为了确定可能需要公共卫生干预的AHT发病率的潜在变化.
主要方法:
- 一项回顾性,多中心,横截面研究分析了来自45家三级护理儿童医院的数据.
- 数据包括从2016年到2022年,有2380名5岁以下儿童住院,有虐待和头部创伤的代码.
- 间断时间序列分析检查了2020年3月之前和之后的每月AHT住院病例.
主要成果:
- 总共有2380个AHT住院病例被确定.
- 与流行病前水平相比,在疫情期间每月AHT住院病例减少了25.4%.
- 两期之间没有观察到住院严重程度或临床特征的显著差异.
- 在疫情爆发时,每月AHT住院病例显著减少,特别是在1岁以下的婴儿中,随后出现时间增加.
结论:
- 该研究表明,在COVID-19大流行开始后,AHT住院病例的最初显著下降.
- 在疫情期间,AHT住院的严重程度没有增加.
- AHT住院病例的减少可能是短暂的,后来婴儿的增加证明了这一点,突出显示了持续监测的必要性.
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