Hanna E Kläger, Benjamin Nast-Kolb, Lea Reuter, Florian Hoffmann, Sabrina Juranek, Christoph Bidlingmaier, Nicole Fabri, Nils K T Schönberg, Johanna Wagner, Florian Heinen, Oliver Muensterer, Christiane Zeller, Anne-Sophie Holler, Alexandra Fröba-Pohl, Michaela V Bonfert
{"title":"在covid -19相关封锁期间儿科轻度创伤性脑损伤的趋势——单中心研究","authors":"Hanna E Kläger, Benjamin Nast-Kolb, Lea Reuter, Florian Hoffmann, Sabrina Juranek, Christoph Bidlingmaier, Nicole Fabri, Nils K T Schönberg, Johanna Wagner, Florian Heinen, Oliver Muensterer, Christiane Zeller, Anne-Sophie Holler, Alexandra Fröba-Pohl, Michaela V Bonfert","doi":"10.1055/a-2084-2674","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A relevant number of visits to pediatric emergency departments (pED) are associated with mild traumatic brain injury (mTBI). On March 16, 2020, the Bavarian government declared a first full lockdown (LD) related to the coronavirus (COVID-19) pandemic.</p><p><strong>Aim: </strong>The aim of the study was to investigate the impact of LD on pediatric mTBI.</p><p><strong>Methods: </strong>Retrospective chart review of presentations to a pED due to mTBI. Study periods covered LD (03/17/2020 through 05/05/2020) and the same time in 2017, 2018, and 2019 as reference period (RP). Comparative analyses were performed by Chi-square or Fisher's exact test.</p><p><strong>Results: </strong>Numbers of mTBI cases decreased by half. Age distribution did not differ. A significantly higher proportion of mTBI were related to falls at home (<i>p</i> = 0.001). Further, a higher rate of hospital admissions (<i>p</i> = 0.03), a higher proportion of intensive care unit admissions (<i>p</i> = 0.001), a longer duration of hospital stay (<i>p</i> = 0.02), and a higher rate of intracranial pathologies on neuroimaging were observed during LD (<i>p</i> = 0.007).</p><p><strong>Conclusion: </strong>The decrease in mTBI presentations is likely due to an absolute decrease in numbers related to the LD measures, combined with a hesitation to present very minor mTBI to the hospital, because of fear of being infected or not to put additional strain on the healthcare system during this healthcare crisis. On the other hand, data of those that presented with mTBI tend to reflect the more severe spectrum of mTBI.</p>","PeriodicalId":19421,"journal":{"name":"Neuropediatrics","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trends in Pediatric Mild Traumatic Brain Injury During COVID-19-Related Lockdown-A Single-Center Study.\",\"authors\":\"Hanna E Kläger, Benjamin Nast-Kolb, Lea Reuter, Florian Hoffmann, Sabrina Juranek, Christoph Bidlingmaier, Nicole Fabri, Nils K T Schönberg, Johanna Wagner, Florian Heinen, Oliver Muensterer, Christiane Zeller, Anne-Sophie Holler, Alexandra Fröba-Pohl, Michaela V Bonfert\",\"doi\":\"10.1055/a-2084-2674\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A relevant number of visits to pediatric emergency departments (pED) are associated with mild traumatic brain injury (mTBI). On March 16, 2020, the Bavarian government declared a first full lockdown (LD) related to the coronavirus (COVID-19) pandemic.</p><p><strong>Aim: </strong>The aim of the study was to investigate the impact of LD on pediatric mTBI.</p><p><strong>Methods: </strong>Retrospective chart review of presentations to a pED due to mTBI. Study periods covered LD (03/17/2020 through 05/05/2020) and the same time in 2017, 2018, and 2019 as reference period (RP). Comparative analyses were performed by Chi-square or Fisher's exact test.</p><p><strong>Results: </strong>Numbers of mTBI cases decreased by half. Age distribution did not differ. A significantly higher proportion of mTBI were related to falls at home (<i>p</i> = 0.001). Further, a higher rate of hospital admissions (<i>p</i> = 0.03), a higher proportion of intensive care unit admissions (<i>p</i> = 0.001), a longer duration of hospital stay (<i>p</i> = 0.02), and a higher rate of intracranial pathologies on neuroimaging were observed during LD (<i>p</i> = 0.007).</p><p><strong>Conclusion: </strong>The decrease in mTBI presentations is likely due to an absolute decrease in numbers related to the LD measures, combined with a hesitation to present very minor mTBI to the hospital, because of fear of being infected or not to put additional strain on the healthcare system during this healthcare crisis. On the other hand, data of those that presented with mTBI tend to reflect the more severe spectrum of mTBI.</p>\",\"PeriodicalId\":19421,\"journal\":{\"name\":\"Neuropediatrics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neuropediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2084-2674\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/5/1 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neuropediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2084-2674","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/5/1 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Trends in Pediatric Mild Traumatic Brain Injury During COVID-19-Related Lockdown-A Single-Center Study.
Background: A relevant number of visits to pediatric emergency departments (pED) are associated with mild traumatic brain injury (mTBI). On March 16, 2020, the Bavarian government declared a first full lockdown (LD) related to the coronavirus (COVID-19) pandemic.
Aim: The aim of the study was to investigate the impact of LD on pediatric mTBI.
Methods: Retrospective chart review of presentations to a pED due to mTBI. Study periods covered LD (03/17/2020 through 05/05/2020) and the same time in 2017, 2018, and 2019 as reference period (RP). Comparative analyses were performed by Chi-square or Fisher's exact test.
Results: Numbers of mTBI cases decreased by half. Age distribution did not differ. A significantly higher proportion of mTBI were related to falls at home (p = 0.001). Further, a higher rate of hospital admissions (p = 0.03), a higher proportion of intensive care unit admissions (p = 0.001), a longer duration of hospital stay (p = 0.02), and a higher rate of intracranial pathologies on neuroimaging were observed during LD (p = 0.007).
Conclusion: The decrease in mTBI presentations is likely due to an absolute decrease in numbers related to the LD measures, combined with a hesitation to present very minor mTBI to the hospital, because of fear of being infected or not to put additional strain on the healthcare system during this healthcare crisis. On the other hand, data of those that presented with mTBI tend to reflect the more severe spectrum of mTBI.
期刊介绍：
For key insights into today''s practice of pediatric neurology, Neuropediatrics is the worldwide journal of choice. Original articles, case reports and panel discussions are the distinctive features of a journal that always keeps abreast of current developments and trends - the reason it has developed into an internationally recognized forum for specialists throughout the world.
Pediatricians, neurologists, neurosurgeons, and neurobiologists will find it essential reading.
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