A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic

Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Hanson, Holly R. [verfasserIn] Formica, Margaret Laraque-Arena, Danielle Zonfrillo, Mark R. Desai, Puja O’Neil, Joseph O. Unni, Purnima Johnson, Estell Lenita Cobb, Patricia Agarwal, Maneesha Beckworth, Kristen Schroter, Stephanie Strotmeyer, Stephen Donnelly, Katie A. Middelberg, Leah K. Morse, Amber M. Dodington, James Latuska, Richard F. Anderson, Brit Lawson, Karla A. Valente, Michael Levas, Michael N. Kiragu, Andrew Waititu Monroe, Kathy Ruest, Stephanie M. Lee, Lois K. Charyk Stewart, Tanya Attridge, Megan M. Haasz, Maya Jafri, Mubeen McIntire, Alicia Rogers, Steven C. Uspal, Neil G. Blanchard, Ashley Hazeltine, Max D. Riech, Teresa Jennissen, Charles Model, Lynn Fu, Quinney Clukies, Lindsay D. Juang, David Ruda, Michelle T. Prince, Jose M. Chao, Stephanie Yorkgitis, Brian K. Pomerantz, Wendy J.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Pediatrics Injury prevention Injuries Emergency department Pandemic Disparities

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: Injury Epidemiology - Berlin : SpringerOpen, 2014, 10(2023), 1 vom: 13. Dez.
Übergeordnetes Werk:	volume:10 ; year:2023 ; number:1 ; day:13 ; month:12

Links:	Volltext

DOI / URN:	10.1186/s40621-023-00476-z

Katalog-ID:	SPR054078156

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520			\|a Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives.
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allfields	10.1186/s40621-023-00476-z doi (DE-627)SPR054078156 (SPR)s40621-023-00476-z-e DE-627 ger DE-627 rakwb eng Hanson, Holly R. verfasserin (orcid)0000-0002-1537-2363 aut A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. Pediatrics (dpeaa)DE-He213 Injury prevention (dpeaa)DE-He213 Injuries (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Pandemic (dpeaa)DE-He213 Disparities (dpeaa)DE-He213 Formica, Margaret aut Laraque-Arena, Danielle aut Zonfrillo, Mark R. aut Desai, Puja aut O’Neil, Joseph O. aut Unni, Purnima aut Johnson, Estell Lenita aut Cobb, Patricia aut Agarwal, Maneesha aut Beckworth, Kristen aut Schroter, Stephanie aut Strotmeyer, Stephen aut Donnelly, Katie A. aut Middelberg, Leah K. aut Morse, Amber M. aut Dodington, James aut Latuska, Richard F. aut Anderson, Brit aut Lawson, Karla A. aut Valente, Michael aut Levas, Michael N. aut Kiragu, Andrew Waititu aut Monroe, Kathy aut Ruest, Stephanie M. aut Lee, Lois K. aut Charyk Stewart, Tanya aut Attridge, Megan M. aut Haasz, Maya aut Jafri, Mubeen aut McIntire, Alicia aut Rogers, Steven C. aut Uspal, Neil G. aut Blanchard, Ashley aut Hazeltine, Max D. aut Riech, Teresa aut Jennissen, Charles aut Model, Lynn aut Fu, Quinney aut Clukies, Lindsay D. aut Juang, David aut Ruda, Michelle T. aut Prince, Jose M. aut Chao, Stephanie aut Yorkgitis, Brian K. aut Pomerantz, Wendy J. aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 10(2023), 1 vom: 13. Dez. (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:10 year:2023 number:1 day:13 month:12 https://dx.doi.org/10.1186/s40621-023-00476-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 1 13 12
spelling	10.1186/s40621-023-00476-z doi (DE-627)SPR054078156 (SPR)s40621-023-00476-z-e DE-627 ger DE-627 rakwb eng Hanson, Holly R. verfasserin (orcid)0000-0002-1537-2363 aut A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. Pediatrics (dpeaa)DE-He213 Injury prevention (dpeaa)DE-He213 Injuries (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Pandemic (dpeaa)DE-He213 Disparities (dpeaa)DE-He213 Formica, Margaret aut Laraque-Arena, Danielle aut Zonfrillo, Mark R. aut Desai, Puja aut O’Neil, Joseph O. aut Unni, Purnima aut Johnson, Estell Lenita aut Cobb, Patricia aut Agarwal, Maneesha aut Beckworth, Kristen aut Schroter, Stephanie aut Strotmeyer, Stephen aut Donnelly, Katie A. aut Middelberg, Leah K. aut Morse, Amber M. aut Dodington, James aut Latuska, Richard F. aut Anderson, Brit aut Lawson, Karla A. aut Valente, Michael aut Levas, Michael N. aut Kiragu, Andrew Waititu aut Monroe, Kathy aut Ruest, Stephanie M. aut Lee, Lois K. aut Charyk Stewart, Tanya aut Attridge, Megan M. aut Haasz, Maya aut Jafri, Mubeen aut McIntire, Alicia aut Rogers, Steven C. aut Uspal, Neil G. aut Blanchard, Ashley aut Hazeltine, Max D. aut Riech, Teresa aut Jennissen, Charles aut Model, Lynn aut Fu, Quinney aut Clukies, Lindsay D. aut Juang, David aut Ruda, Michelle T. aut Prince, Jose M. aut Chao, Stephanie aut Yorkgitis, Brian K. aut Pomerantz, Wendy J. aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 10(2023), 1 vom: 13. Dez. (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:10 year:2023 number:1 day:13 month:12 https://dx.doi.org/10.1186/s40621-023-00476-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 1 13 12
allfields_unstemmed	10.1186/s40621-023-00476-z doi (DE-627)SPR054078156 (SPR)s40621-023-00476-z-e DE-627 ger DE-627 rakwb eng Hanson, Holly R. verfasserin (orcid)0000-0002-1537-2363 aut A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. Pediatrics (dpeaa)DE-He213 Injury prevention (dpeaa)DE-He213 Injuries (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Pandemic (dpeaa)DE-He213 Disparities (dpeaa)DE-He213 Formica, Margaret aut Laraque-Arena, Danielle aut Zonfrillo, Mark R. aut Desai, Puja aut O’Neil, Joseph O. aut Unni, Purnima aut Johnson, Estell Lenita aut Cobb, Patricia aut Agarwal, Maneesha aut Beckworth, Kristen aut Schroter, Stephanie aut Strotmeyer, Stephen aut Donnelly, Katie A. aut Middelberg, Leah K. aut Morse, Amber M. aut Dodington, James aut Latuska, Richard F. aut Anderson, Brit aut Lawson, Karla A. aut Valente, Michael aut Levas, Michael N. aut Kiragu, Andrew Waititu aut Monroe, Kathy aut Ruest, Stephanie M. aut Lee, Lois K. aut Charyk Stewart, Tanya aut Attridge, Megan M. aut Haasz, Maya aut Jafri, Mubeen aut McIntire, Alicia aut Rogers, Steven C. aut Uspal, Neil G. aut Blanchard, Ashley aut Hazeltine, Max D. aut Riech, Teresa aut Jennissen, Charles aut Model, Lynn aut Fu, Quinney aut Clukies, Lindsay D. aut Juang, David aut Ruda, Michelle T. aut Prince, Jose M. aut Chao, Stephanie aut Yorkgitis, Brian K. aut Pomerantz, Wendy J. aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 10(2023), 1 vom: 13. Dez. (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:10 year:2023 number:1 day:13 month:12 https://dx.doi.org/10.1186/s40621-023-00476-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 1 13 12
allfieldsGer	10.1186/s40621-023-00476-z doi (DE-627)SPR054078156 (SPR)s40621-023-00476-z-e DE-627 ger DE-627 rakwb eng Hanson, Holly R. verfasserin (orcid)0000-0002-1537-2363 aut A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. Pediatrics (dpeaa)DE-He213 Injury prevention (dpeaa)DE-He213 Injuries (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Pandemic (dpeaa)DE-He213 Disparities (dpeaa)DE-He213 Formica, Margaret aut Laraque-Arena, Danielle aut Zonfrillo, Mark R. aut Desai, Puja aut O’Neil, Joseph O. aut Unni, Purnima aut Johnson, Estell Lenita aut Cobb, Patricia aut Agarwal, Maneesha aut Beckworth, Kristen aut Schroter, Stephanie aut Strotmeyer, Stephen aut Donnelly, Katie A. aut Middelberg, Leah K. aut Morse, Amber M. aut Dodington, James aut Latuska, Richard F. aut Anderson, Brit aut Lawson, Karla A. aut Valente, Michael aut Levas, Michael N. aut Kiragu, Andrew Waititu aut Monroe, Kathy aut Ruest, Stephanie M. aut Lee, Lois K. aut Charyk Stewart, Tanya aut Attridge, Megan M. aut Haasz, Maya aut Jafri, Mubeen aut McIntire, Alicia aut Rogers, Steven C. aut Uspal, Neil G. aut Blanchard, Ashley aut Hazeltine, Max D. aut Riech, Teresa aut Jennissen, Charles aut Model, Lynn aut Fu, Quinney aut Clukies, Lindsay D. aut Juang, David aut Ruda, Michelle T. aut Prince, Jose M. aut Chao, Stephanie aut Yorkgitis, Brian K. aut Pomerantz, Wendy J. aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 10(2023), 1 vom: 13. Dez. (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:10 year:2023 number:1 day:13 month:12 https://dx.doi.org/10.1186/s40621-023-00476-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 1 13 12
allfieldsSound	10.1186/s40621-023-00476-z doi (DE-627)SPR054078156 (SPR)s40621-023-00476-z-e DE-627 ger DE-627 rakwb eng Hanson, Holly R. verfasserin (orcid)0000-0002-1537-2363 aut A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. Pediatrics (dpeaa)DE-He213 Injury prevention (dpeaa)DE-He213 Injuries (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Pandemic (dpeaa)DE-He213 Disparities (dpeaa)DE-He213 Formica, Margaret aut Laraque-Arena, Danielle aut Zonfrillo, Mark R. aut Desai, Puja aut O’Neil, Joseph O. aut Unni, Purnima aut Johnson, Estell Lenita aut Cobb, Patricia aut Agarwal, Maneesha aut Beckworth, Kristen aut Schroter, Stephanie aut Strotmeyer, Stephen aut Donnelly, Katie A. aut Middelberg, Leah K. aut Morse, Amber M. aut Dodington, James aut Latuska, Richard F. aut Anderson, Brit aut Lawson, Karla A. aut Valente, Michael aut Levas, Michael N. aut Kiragu, Andrew Waititu aut Monroe, Kathy aut Ruest, Stephanie M. aut Lee, Lois K. aut Charyk Stewart, Tanya aut Attridge, Megan M. aut Haasz, Maya aut Jafri, Mubeen aut McIntire, Alicia aut Rogers, Steven C. aut Uspal, Neil G. aut Blanchard, Ashley aut Hazeltine, Max D. aut Riech, Teresa aut Jennissen, Charles aut Model, Lynn aut Fu, Quinney aut Clukies, Lindsay D. aut Juang, David aut Ruda, Michelle T. aut Prince, Jose M. aut Chao, Stephanie aut Yorkgitis, Brian K. aut Pomerantz, Wendy J. aut Enthalten in Injury Epidemiology Berlin : SpringerOpen, 2014 10(2023), 1 vom: 13. Dez. (DE-627)782241859 (DE-600)2764253-7 2197-1714 nnns volume:10 year:2023 number:1 day:13 month:12 https://dx.doi.org/10.1186/s40621-023-00476-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 1 13 12
language	English
source	Enthalten in Injury Epidemiology 10(2023), 1 vom: 13. Dez. volume:10 year:2023 number:1 day:13 month:12
sourceStr	Enthalten in Injury Epidemiology 10(2023), 1 vom: 13. Dez. volume:10 year:2023 number:1 day:13 month:12
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Pediatrics Injury prevention Injuries Emergency department Pandemic Disparities
isfreeaccess_bool	true
container_title	Injury Epidemiology
authorswithroles_txt_mv	Hanson, Holly R. @@aut@@ Formica, Margaret @@aut@@ Laraque-Arena, Danielle @@aut@@ Zonfrillo, Mark R. @@aut@@ Desai, Puja @@aut@@ O’Neil, Joseph O. @@aut@@ Unni, Purnima @@aut@@ Johnson, Estell Lenita @@aut@@ Cobb, Patricia @@aut@@ Agarwal, Maneesha @@aut@@ Beckworth, Kristen @@aut@@ Schroter, Stephanie @@aut@@ Strotmeyer, Stephen @@aut@@ Donnelly, Katie A. @@aut@@ Middelberg, Leah K. @@aut@@ Morse, Amber M. @@aut@@ Dodington, James @@aut@@ Latuska, Richard F. @@aut@@ Anderson, Brit @@aut@@ Lawson, Karla A. @@aut@@ Valente, Michael @@aut@@ Levas, Michael N. @@aut@@ Kiragu, Andrew Waititu @@aut@@ Monroe, Kathy @@aut@@ Ruest, Stephanie M. @@aut@@ Lee, Lois K. @@aut@@ Charyk Stewart, Tanya @@aut@@ Attridge, Megan M. @@aut@@ Haasz, Maya @@aut@@ Jafri, Mubeen @@aut@@ McIntire, Alicia @@aut@@ Rogers, Steven C. @@aut@@ Uspal, Neil G. @@aut@@ Blanchard, Ashley @@aut@@ Hazeltine, Max D. @@aut@@ Riech, Teresa @@aut@@ Jennissen, Charles @@aut@@ Model, Lynn @@aut@@ Fu, Quinney @@aut@@ Clukies, Lindsay D. @@aut@@ Juang, David @@aut@@ Ruda, Michelle T. @@aut@@ Prince, Jose M. @@aut@@ Chao, Stephanie @@aut@@ Yorkgitis, Brian K. @@aut@@ Pomerantz, Wendy J. @@aut@@
publishDateDaySort_date	2023-12-13T00:00:00Z
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Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Pediatrics</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Injury prevention</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Injuries</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Emergency department</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Pandemic</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Disparities</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" 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author	Hanson, Holly R.
spellingShingle	Hanson, Holly R. misc Pediatrics misc Injury prevention misc Injuries misc Emergency department misc Pandemic misc Disparities A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic
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topic_title	A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic Pediatrics (dpeaa)DE-He213 Injury prevention (dpeaa)DE-He213 Injuries (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Pandemic (dpeaa)DE-He213 Disparities (dpeaa)DE-He213
topic	misc Pediatrics misc Injury prevention misc Injuries misc Emergency department misc Pandemic misc Disparities
topic_unstemmed	misc Pediatrics misc Injury prevention misc Injuries misc Emergency department misc Pandemic misc Disparities
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title	A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic
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title_full	A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic
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author_browse	Hanson, Holly R. Formica, Margaret Laraque-Arena, Danielle Zonfrillo, Mark R. Desai, Puja O’Neil, Joseph O. Unni, Purnima Johnson, Estell Lenita Cobb, Patricia Agarwal, Maneesha Beckworth, Kristen Schroter, Stephanie Strotmeyer, Stephen Donnelly, Katie A. Middelberg, Leah K. Morse, Amber M. Dodington, James Latuska, Richard F. Anderson, Brit Lawson, Karla A. Valente, Michael Levas, Michael N. Kiragu, Andrew Waititu Monroe, Kathy Ruest, Stephanie M. Lee, Lois K. Charyk Stewart, Tanya Attridge, Megan M. Haasz, Maya Jafri, Mubeen McIntire, Alicia Rogers, Steven C. Uspal, Neil G. Blanchard, Ashley Hazeltine, Max D. Riech, Teresa Jennissen, Charles Model, Lynn Fu, Quinney Clukies, Lindsay D. Juang, David Ruda, Michelle T. Prince, Jose M. Chao, Stephanie Yorkgitis, Brian K. Pomerantz, Wendy J.
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title_sort	multicenter evaluation of pediatric emergency department injury visits during the covid-19 pandemic
title_auth	A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic
abstract	Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. © The Author(s) 2023
abstractGer	Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. © The Author(s) 2023
abstract_unstemmed	Background Injuries, the leading cause of death in children 1–17 years old, are often preventable. Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. Mechanisms of injury seen in the PED during 2020 changed compared to 2019, and this can inform injury prevention initiatives. © The Author(s) 2023
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title_short	A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic
url	https://dx.doi.org/10.1186/s40621-023-00476-z
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author2	Formica, Margaret Laraque-Arena, Danielle Zonfrillo, Mark R. Desai, Puja O’Neil, Joseph O. Unni, Purnima Johnson, Estell Lenita Cobb, Patricia Agarwal, Maneesha Beckworth, Kristen Schroter, Stephanie Strotmeyer, Stephen Donnelly, Katie A. Middelberg, Leah K. Morse, Amber M. Dodington, James Latuska, Richard F. Anderson, Brit Lawson, Karla A. Valente, Michael Levas, Michael N. Kiragu, Andrew Waititu Monroe, Kathy Ruest, Stephanie M. Lee, Lois K. Charyk Stewart, Tanya Attridge, Megan M. Haasz, Maya Jafri, Mubeen McIntire, Alicia Rogers, Steven C. Uspal, Neil G. Blanchard, Ashley Hazeltine, Max D. Riech, Teresa Jennissen, Charles Model, Lynn Fu, Quinney Clukies, Lindsay D. Juang, David Ruda, Michelle T. Prince, Jose M. Chao, Stephanie Yorkgitis, Brian K. Pomerantz, Wendy J.
author2Str	Formica, Margaret Laraque-Arena, Danielle Zonfrillo, Mark R. Desai, Puja O’Neil, Joseph O. Unni, Purnima Johnson, Estell Lenita Cobb, Patricia Agarwal, Maneesha Beckworth, Kristen Schroter, Stephanie Strotmeyer, Stephen Donnelly, Katie A. Middelberg, Leah K. Morse, Amber M. Dodington, James Latuska, Richard F. Anderson, Brit Lawson, Karla A. Valente, Michael Levas, Michael N. Kiragu, Andrew Waititu Monroe, Kathy Ruest, Stephanie M. Lee, Lois K. Charyk Stewart, Tanya Attridge, Megan M. Haasz, Maya Jafri, Mubeen McIntire, Alicia Rogers, Steven C. Uspal, Neil G. Blanchard, Ashley Hazeltine, Max D. Riech, Teresa Jennissen, Charles Model, Lynn Fu, Quinney Clukies, Lindsay D. Juang, David Ruda, Michelle T. Prince, Jose M. Chao, Stephanie Yorkgitis, Brian K. Pomerantz, Wendy J.
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doi_str	10.1186/s40621-023-00476-z
up_date	2024-07-03T23:49:13.218Z
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Injury patterns are impacted by changes in the child’s environment, shifts in supervision, and caregiver stressors. The objective of this study was to evaluate the incidence and proportion of injuries, mechanisms, and severity seen in Pediatric Emergency Departments (PEDs) during the COVID-19 pandemic. Methods This multicenter, cross-sectional study from January 2019 through December 2020 examined visits to 40 PEDs for children < 18 years old. Injury was defined by at least one International Classification of Disease-10th revision (ICD-10) code for bodily injury (S00–T78). The main study outcomes were total and proportion of PED injury-related visits compared to all visits in March through December 2020 and to the same months in 2019. Weekly injury visits as a percentage of total PED visits were calculated for all weeks between January 2019 and December 2020. Results The study included 741,418 PED visits for injuries pre-COVID-19 pandemic (2019) and during the COVID-19 pandemic (2020). Overall PED visits from all causes decreased 27.4% in March to December 2020 compared to the same time frame in 2019; however, the proportion of injury-related PED visits in 2020 increased by 37.7%. In 2020, injured children were younger (median age 6.31 years vs 7.31 in 2019), more commonly White (54% vs 50%, p < 0.001), non-Hispanic (72% vs 69%, p < 0.001) and had private insurance (35% vs 32%, p < 0.001). Injury hospitalizations increased 2.2% (p < 0.001) and deaths increased 0.03% (p < 0.001) in 2020 compared to 2019. Mean injury severity score increased (2.2 to 2.4, p < 0.001) between 2019 and 2020. Injuries declined for struck by/against (− 4.9%) and overexertion (− 1.2%) mechanisms. Injuries proportionally increased for pedal cycles (2.8%), cut/pierce (1.5%), motor vehicle occupant (0.9%), other transportation (0.6%), fire/burn (0.5%) and firearms (0.3%) compared to all injuries in 2020 versus 2019. Conclusions The proportion of PED injury-related visits in March through December 2020 increased compared to the same months in 2019. Racial and payor differences were noted. 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score	7.399208

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A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic

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