Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study

Bruns, Nora; Willemsen, Lea Yvonne; Holtkamp, Katharina; Kamp, Oliver; Dudda, Marcel; Kowall, Bernd; Stang, Andreas; Hey, Florian; Blankenburg, Judith; Sabir, Hemmen; Eifinger, Frank; Haase, Roland; Andrée, Clemens; Heldmann, Michael; Potratz, Jenny; Kurz, Daniel; Schumann, Anja; Müller-Knapp, Merle; Mand, Nadine; Doerfel, Claus; Dahlem, Peter; Rothoeft, Tobias; Ohlert, Manuel; Silkenbäumer, Katrin; Dohle, Frank; Indraswari, Fithri; Niemann, F; Jahn, P.; Merker, Michael; Braun, Nicole; Nuñez, Francisco Brevis; Engler, Matthias; Heimann, Konrad; Wolf, Gerhard; Wulf, Dominik; Hankel, Saskia; Freymann, Holger; Allgaier, Nicolas; Knirsch, Felix; Dercks, Martin; Reinhard, Julia; Hoppenz, Marc; Felderhoff-Müser, Ursula; Dohna-Schwake, Christian

doi:10.3390/children9030363

Cited by 5 publications

(6 citation statements)

References 29 publications

(30 reference statements)

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“…Our results could differ from literature reports, probably because our study was limited to patients treated at the Children's Orthopedic Department exclusively. Interestingly, our observation coincides with the Bruns N et al reports [18]. Based on a retrospective multicenter study among 37 pediatric intensive care units they found that SA increased in adolescent boys (standardized morbidity rate: 1.38) but decreased in adolescent girls (standardized morbidity rate: 0.56).…”

Section: Discussionsupporting

confidence: 92%

“…In 3 patients treated in a pandemic, the suicide attempt was the first manifestation of mental problems, none of these patients received psychiatric help before. The mean hospital stay in both groups was similar and amounted 17.75 days (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) for the group before and 16.2 days for the group after COVID-19, respectively. The most common SA in the group before COVID-19 was a jump from height.…”

Section: Resultsmentioning

confidence: 91%

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Assessment of Children Suicide Attempts Frequency in the Peripandemic Period

Wiktor¹,

Damps²,

Tomaszewski³

2023

Preprint

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Objectives: The aim of our study was to evaluate patients after suicide attempts treated at the Department of Trauma Surgery for Children before and after the outbreak of the Covid-19 pandemic. Material and methods: Retrospective review of the medical database at equal time intervals of 24 months to identify patients treated before and after the COVID-19 was done. Thorough analysis including injury mechanism, medical procedures, history of previous mental disorders or suicidal behavior was performed. Furthermore, results were compared with the Polish police suicide statistics. Results: Based on our retrospective review we found 4 patients treated in our department before the pandemic and 10 patients treated after COVID-19 outbreak. The group before SARS-Cov-2 era consisted of three girls and one boy with a mean age of 14.97 (12.7-17.6). The group treated in the pandemic crisis consisted of 8 boys and 2 girls, the mean age was 15.49 (10.8-17.2). In the pre-COVID-19 group, 2 out of 4 patients had received psychiatric treatment before, but none had attempted suicide before. In the COVID-19 group, 6 out of 10 patients had previously received psychiatric treatment, moreover 3 of them attempted suicide before. Based on our analysis, the number of individuals who displayed suicidal attempts has raised. Between 2018 and 2021 the largest number of suicides concerned the 13-18 y.o. group, both for the Silesian Voivodeship (H=9.374; p=0.0092) and for the whole country (H= 10.203; p=0.0061). Conclusions: 1. Results of our study indicate that the pandemic may have caused a wide range of negative mental health consequences for young individuals; 2. During the SARS-Cov-2 era, we observed an alarming 2.5-fold increase in the number of patients treated after suicide attempts at the children's orthopedic trauma department; 3. Suicide attempts in children are often related with high energy trauma.

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Section: Discussionsupporting

confidence: 92%

Section: Resultsmentioning

confidence: 91%

Assessment of Children Suicide Attempts Frequency in the Peripandemic Period

Wiktor¹,

Damps²,

Tomaszewski³

2023

Preprint

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“…However, less patients had to undergo head or neurosurgical procedures. 31 As expected, and in line with the previous reports, the number of cases drastically dropped to less than half of regular weekly presentations in our pED. 21,30 While during RP about 20% of mTBI were sustained in day care, kindergarten, or school, the drop was to a certain extent attributable to their closure.…”

Section: Discussionsupporting

confidence: 92%

Trends in Pediatric Mild Traumatic Brain Injury During COVID-19-Related Lockdown—A Single-Center Study

Kläger

Nast-Kolb

Reuter³

et al. 2023

Neuropediatrics

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Background: A relevant number of visits to pediatric emergency departments (pED) are associated to mild traumatic brain injury (mTBI). On March 16th 2020, the Bavarian government declared a first full lockdown (LD) related to the 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= .001). Further, a higher rate of hospital admissions (p= .03), a higher proportion of ICU admissions (p= .001), a longer duration of hospital stay (p= .02), and a higher rate of intracranial pathologies on neuroimaging was observed during LD (p= .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 health care system during this health care crisis. On the other hand, data of those that presented with mTBI tend to reflect the more severe spectrum of mTBI.

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“…This can also be confirmed in studies from Turkey and Germany. 37,38 At the same There was also a significant increase in accidents at home and domestic violence during the COVID-19 pandemic, with a simultaneous decrease in weekend and night-time trauma leading to mandible fractures. Due to reduced operating capacities and personnel shortages during the COVID-19 pandemic, a significant increase in days from trauma to operation was recorded.…”

Section: Discussionmentioning

confidence: 99%

Influence of COVID‐19 pandemic on mandible fracture patterns in a German cranio‐maxillofacial trauma center: PreCOVID (2019) versus IntraCOVID (2020)

Dudde,

Schuck,

Schunk

et al. 2024

Dental Traumatology

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Background/AimsThe COVID‐19 (Coronavirus Disease‐2019) pandemic confronted the global healthcare system with a variety of challenges. The pandemic and the associated lockdowns also had an impact on multiple medical disciplines (i.e. delay of surgery, change of hospital admissions). The aim of this study was to analyze the impact of the COVID‐19 pandemic on mandible fracture patterns/distributions and circumstances in a German cranio‐maxillofacial trauma center.Materials and MethodsThis retrospective study compared the mandible fracture patterns of patients in the PreCOVID (PC) era (February 2019–January 2020) with patients in the IntraCOVID (IC) era (February 2020–January 2021). In addition to baseline characteristics, the number/type of mandible fractures, location of the mandible fracture, circumstances leading to mandible fracture, and hospital admissions/treatments were analyzed.ResultsA total of 127 patients was included in this study. In the IC period, the absolute frequencies of mandible fractures decreased (PC = 72 vs. IC = 55). There were minor changes in the mandible fracture locations. An increase of concomitant facial soft tissue injuries (IC = 69.1% vs. PC = 58.3%), as well as higher rates of traumatic tooth loss (IC = 32.7% vs. PC = 22.2%), was observed. Regarding the causes/accidents leading to mandible fractures, there were significant increases in falls and significant decreases in sports accidents as well as interpersonal violence during the IC period. A significant increase in accidents at home and domestic violence during the COVID‐19 pandemic, with a simultaneous decrease in weekend and night‐time trauma leading to mandible fractures was observed. Furthermore, a significant increase in days from trauma to surgery was recorded.ConclusionThe COVID‐19 pandemic had a significant impact on mandibular fracture patterns. The locations and types of mandibular fractures changed slightly. However, significant differences in the circumstances leading to mandible fractures (increased falls, decreased interpersonal violence) were recorded.

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Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study

Cited by 5 publications

References 29 publications

Assessment of Children Suicide Attempts Frequency in the Peripandemic Period

Assessment of Children Suicide Attempts Frequency in the Peripandemic Period

Trends in Pediatric Mild Traumatic Brain Injury During COVID-19-Related Lockdown—A Single-Center Study

Influence of COVID‐19 pandemic on mandible fracture patterns in a German cranio‐maxillofacial trauma center: PreCOVID (2019) versus IntraCOVID (2020)

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