Epidemiology of Paediatric Orthopaedic Trauma, Before, During, and After the Outbreak of COVID-19 Pandemic: An Observational Study From a Tertiary Referral Center in Wales

Gokhale, Sandeep; D’sa, Prashanth; Badurudeen, Abdul; Carpenter, Eleanor Clare

doi:10.7759/cureus.19253

Cited by 1 publication

(2 citation statements)

References 17 publications

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“…However, some studies have shown a shift towards an increased occurrence of certain types of fractures in specific body regions [ 12 , 14 , 18 , 38 , 39 ] or a decrease in them [ 3 , 12 ]. Other studies have reported that wound therapy was more common during the pandemic, as our study did [ 3 , 8 , 16 , 20 ].…”

Section: Resultssupporting

confidence: 74%

“…Our results show a significant decrease in injuries sustained during the HRP in public facilities. In the literature, during the pandemic, the majority of studies reported an increase in the proportion of injuries occurring in the domestic environment [ 4 , 8 , 23 , 26 , 41 – 44 ], whereas the incidence of outdoor injuries acquired in public areas or in sports clubs significantly decreased [ 8 , 23 , 26 , 42 , 44 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

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Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review

Delbrück,

Lambertz,

Migliorini

et al. 2024

Eur J Trauma Emerg Surg

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Purpose The study investigates changes in the injury characteristics of hospitalised children in a paediatric trauma centre during the COVID-19 pandemic. Methods Data from injured children from the pre-pandemic year 2019 were compared to the pandemic year 2020 using Pearson’s chi-squared test and the Mann–Whitney U test. The period of highly restrictive regulations (HRP) was evaluated separately. A comprehensive literature review with defined search terms resulted in a descriptive data synthesis. Results Data from 865 patients indicated reductions in admissions of 5.6% and 54.4% during the HRP. In 2020, the hospitalisation time was longer (2.2 ± 2.7 days in 2019 vs. 2.4 ± 2.6 in 2020, p = 0.045); the proportions of wounds requiring surgical therapy (p = 0.008) and of observational treatments, primarily for mild brain injuries (p = 0.046), were higher; and conservative treatments, primarily for contusions, were lower (p = 0.005). There were no significant changes in age, location of lesions, or frequency of surgical therapy; nor were there differences in the HRP, except for fewer injuries in school and kindergarten (p < 0.001). The literature review summarises the main results of 79 studies. Conclusion Limited resources did not alter the indications for surgical therapy. Further studies should examine whether the more common injuries sustained at home were caused by excessive work/childcare demands on parents. Reduced inpatient conservative treatment implies that hospital resources possibly were overused previously. The literature offers answers to many detailed questions regarding childhood injuries during a pandemic and more efficient safe treatment. Registration Ethical committee of RWTH Aachen University EK 22-320; Center for Translational & Clinical Research RWTH Aachen University (CTC-A) 21-430.

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