罗德岛州的儿童伤害趋势在COVID-19大流行期间
Jeffrey R Savarino1, Holly R Hanson2, Wendy J Pomerantz2
1Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI.
Rhode Island medical journal (2013)
|March 27, 2024
概括
在COVID-19期间,罗德岛州的儿科紧急诊所对受伤的访问总体下降,但比例增加. 发生了主要的人口和伤害转变,表明需要针对高风险儿科群体进行有针对性的干预.
科学领域:
- 紧急医疗 紧急医疗
- 儿科健康 儿科健康
- 公共卫生 公共卫生
背景情况:
- 国家数据显示,在COVID-19大流行期间,儿科急诊部 (PED) 访问减少,受伤相关访问的比例增加.
- 关于这些趋势的数据有限,特别是在罗德岛 (RI).
研究的目的:
- 在COVID-19大流行之前和期间,分析罗德岛小儿伤害相关访问PED的趋势.
- 为了识别儿科患者出现受伤的人口统计学,损伤类型,严重程度和机制的变化.
主要方法:
- 从2019年1月到2020年12月,对RI的40个PED进行了儿科 (<18岁) 伤害相关访问的回顾性分析.
- 比较COVID-19前 (2019年3月至12月) 和COVID-19 (2020年3月至12月) 期间,分析患者人口统计学,损伤特征和机制.
主要成果:
- 从2019年到2020年,与伤害相关的PED访问总数下降了31.4%,但这些访问的比例增加了8.1%.
- 患者的平均年龄下降,在2020年出现的女性,私人保险和非西班牙裔白人儿童的比例更高.
- 在2020年,由于故意自伤导致的创伤激活,入院和伤害的数量显著增加.
结论:
- 罗德岛州的受伤相关PED访问总数有所减少,但在疫情期间,他们的比例有所增加,反映了国家趋势.
- 在患者人口统计学,伤害机制和意图方面发现了显著的变化.
- 这些发现突出了关键的流行病学变化,并确定了需要有针对性的教育计划和干预措施的高风险儿科人群.
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