COVID-19 大流行期间及之后的儿科创伤和骨折流行病学。

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2023-06-19 eCollection Date: 2023-08-01 DOI:10.1177/18632521231180161
Liam R Butler, Erin Abbott, Paulos Mengsteab, Calista L Dominy, Jashvant Poeran, Abigail K Allen, Sheena C Ranade
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引用次数: 0

摘要

目的:以往的文献显示,在 COVID-19 爆发期间,小儿外伤病例有所减少,但很少有文献对大流行高峰期之后的情况进行分析。本研究评估了 COVID-19 大流行之前、期间和之后纽约市一家高流量教学医院的儿科创伤病例流行病学情况:提取了 2018 年 1 月 1 日至 2021 年 11 月 30 日期间儿科创伤骨科病例的机构数据。研究的时间范围如下:(1)2018 年和 2019 年 4 月 1 日至 6 月 22 日(大流行前);(2)2020 年 4 月 1 日至 6 月 22 日(大流行高峰期);(3)2021 年 4 月 1 日至 6 月 22 日(大流行高峰期后)。采用推断统计法比较患者和创伤特征:与大流行前队列(n = 6770)相比,大流行高峰期队列(n = 828)的骨折比例更高(p < 0.01),每周总体创伤率(p < 0.01)和每周骨折率(p < 0.01)显著下降。这种创伤率(p < 0.01)和骨折率(p < 0.01)的下降在大流行后的人群(n = 2509)中持续存在。空间分析发现,与大流行前相比,大流行高峰期纽约市急诊室就诊率较高的邮政编码集群与低收入社区一致:结论:在疫情高峰期,创伤和骨折的总体数量有所下降,流行伤害的类型发生了变化,不同经济资源的社区受到了不同程度的影响。这些趋势在大流行高峰期后的 12 个月内基本保持不变。这项纵向分析有助于为未来的长期重症护理和公共卫生资源分配提供信息并加以改进:证据等级:III 级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Epidemiology of pediatric trauma and fractures during and beyond the COVID-19 pandemic.

Purpose: Previous literature has shown decreases in pediatric trauma during the COVID-19 outbreak, but few have analyzed beyond the peak of the pandemic. This study assesses the epidemiology of pediatric trauma cases in a high-volume teaching hospital in New York City before, during, and after the height of the COVID-19 pandemic.

Methods: Institutional data on pediatric trauma orthopedic cases from January 1, 2018 to November 30, 2021 were extracted. The following time frames were studied: (1) April 1-June 22 in 2018 and 2019 (pre-pandemic), (2) April 1-June 22, 2020 (peak pandemic), and (3) April 1-June 22, 2021 (post-peak pandemic). Inferential statistics were used to compare patient and trauma characteristics.

Results: Compared to the pre-pandemic cohort (n = 6770), the peak pandemic cohort (n = 828) had a greater proportion of fractures (p < 0.01) and had a significantly decreased overall traumas per week rate (p < 0.01) and fractures per week rate (p < 0.01). These decreased trauma (p < 0.01) and fracture rates (p < 0.01) persisted for the post-peak pandemic cohort (n = 2509). Spatial analysis identified zip code clusters throughout New York City with higher rates of emergency department presentation during the peak pandemic compared to pre-pandemic, and these areas aligned with lower-income neighborhoods.

Conclusion: During the peak of the pandemic, overall trauma and fracture volumes decreased, the types of prevalent injuries changed, and neighborhoods of different economic resources were variably impacted. These trends have mostly persisted for 12 months post-peak pandemic. This longitudinal analysis helps inform and improve long-term critical care and public health resource allocation for the future.

Level of evidence: Level III.

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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
期刊最新文献
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