The increase in paediatric orthopaedic trauma injuries following the end of the curfew during the COVID-19 period

Kalem, Mahmut; Özbek, Emre Anıl; Kocaoğlu, Hakan; Merter, Abdullah; Karaca, Mustafa Onur; Şahin, Ercan; Başarır, Kerem

doi:10.1302/1863-2548.15.210071

Cited by 7 publications

(6 citation statements)

References 22 publications

(28 reference statements)

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“…Jin et al reported that the number of patients with allergic rhinitis and acute pharyngitis in the department of otolaryngology increased signi cantly from February to April 2020 compared to the previous three years 13 . Other studies with different inclusion times also showed an increase in pediatric consults 14,15 . From our research, no signi cant increase was observed in the number of patients during the COVID-19 period compared with the pre-COVID-19 period, but it is important to note that the number increased substantially during the post-COVID-19 period.…”

Section: Discussionmentioning

confidence: 76%

The change in pediatric subject symptoms during the COVID-19 pandemic in China

Tang

Luo

et al. 2022

Preprint

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Background: It is reported that the adverse impact of nonpharmaceutical interventions (NPIs) on the mental health of children and adolescents may lead to psychologically related disorders during the coronavirus disease 2019 (COVID-19) period. Subject symptoms such as chest pain, chest tightness, and palpitation are closely related to increased stress and anxiety in children and adolescents. The present research aimed to determine the change in pediatric consult of the symptoms onset in children during the COVID-19 period compared with before and after the COVID-19 period.Methods: Children who visited Women and Children's Hospital, Qingdao University between January 23 to April 30, 2019 (pre-COVID-19 period), January 23 to April 30, 2020 (COVID-19 period), and January 23 to April 30, 2021 (post-COVID-19 period) presenting chest pain, chest tightness, and palpitation were recruited. Information to determine gender, ages, department for the initial visit, clinical manifestations, time from the latest onset to the visit, and diagnosis were recorded.Result: A total of 891 patients were enrolled in the present study (514 males; median age: 7.72). 123 patients presented during the pre-COVID-19 period while 130 during the COVID-19 period, nevertheless, the number substantially increased during the post-COVID-19 period (n=638). There was no significant difference among groups in the distribution of organic etiology. The median time from the latest onset to the visit during the pre-COVID-19 period was 7 days compared to 10 days during the COVID-19 period and 3 days during the post-COVID period. Conclusion: The pediatric consult of children with subject symptoms presented increased substantially during the post-COVID-19 period, with a less median time from the latest onset to the visit. The major etiology of subject symptoms was shown in favor of non-organic during the three periods.

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Section: Discussionmentioning

confidence: 76%

The change in pediatric subject symptoms during the COVID-19 pandemic in China

Tang

Luo

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…Jin et al reported that the number of patients with allergic rhinitis and acute pharyngitis in the department of otolaryngology increased significantly from February to April 2020 compared to the previous 3 years [ 14 ]. Other studies with different inclusion times also showed an increase in pediatric consults [ 15 , 16 ]. From our research, no significant increase was observed in the number of patients during the COVID-19 period compared with the pre-COVID-19 period, but it is important to note that the number increased substantially during the post-COVID-19 period.…”

Section: Discussionmentioning

confidence: 78%

The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation

Tang

Luo

et al. 2022

Ital J Pediatr

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Background It is reported that the adverse impact of nonpharmaceutical interventions (NPIs) on the mental health of children and adolescents may lead to psychologically related disorders during the coronavirus disease 2019 (COVID-19) period. Subject symptoms such as chest pain, chest tightness, and palpitation may be related to increased stress and anxiety in children and adolescents. The present research aimed to determine the number of pediatric consults and etiology of subject symptoms during the COVID-19 pandemic period and compared it with the same timelines in 2019 and 2021 to discuss the impact of different periods on the organic disease onset of children with subject symptoms, especially in cardiac involvement. Methods Children who visited Qingdao Women and Children’s Hospital, Qingdao University between January 23 to April 30, 2019 (pre-COVID-19 period), January 23 to April 30, 2020 (COVID-19 period), and January 23 to April 30, 2021 (post-COVID-19 period) presenting chest pain, chest tightness, and palpitation were recruited. Information to determine gender, age, medical history, department for the initial visit, clinical manifestations, time from the latest onset to the visit, and diagnosis were recorded. Result A total of 891 patients were enrolled in the present study (514 males; median age: 7.72). One hundred twenty-three patients presented during the pre-COVID-19 period while 130 during the COVID-19 period, nevertheless, the number substantially increased during the post-COVID-19 period (n = 638). Cardiac etiology accounted for 1.68% (n = 15) of the patient population, including arrhythmias (n = 10, 1.12%), myocarditis (n = 4, 0.44%), and atrial septal defect (n = 1, 0.11%). There was no significant difference among groups in the distribution of organic etiology. The median time from the latest onset to the visit during the pre-COVID-19 period was 7 days compared to 10 days during the COVID-19 period and 3 days during the post-COVID period. Conclusion During the post-COVID-19 period, the median time from the latest onset to the visit was significantly shorter than that in the pre-COVID-19 period or COVID-19 period. The pediatric consult of children with subject symptoms presented increased substantially during the post-COVID-19 period, while there was no significant difference in the number of patients involving the cardiac disease. Clinicians ought to be more careful to screen heart diseases to prevent missed diagnosis and misdiagnosis during special periods.

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“…For example, a trend towards decreased injuries persisted for 12 months after the peak of the pandemic [ 5 ], and the number of paediatric orthopaedic surgery visits did not return to prepandemic levels in 2021 [ 6 ]. In contrast, a study by Kalem et al [ 35 ] found that after the first 3 months following the lockdown, the prevalence of outdoor traumas, high-energy traumas, the rate of patients treated with surgery, and the rate of admission to the emergency department were significantly higher than in the previous year. The authors assumed that children’s lower extremity muscle strength and neuromuscular control decreased after staying at home for a prolonged period.…”

Section: Resultsmentioning

confidence: 84%

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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The increase in paediatric orthopaedic trauma injuries following the end of the curfew during the COVID-19 period

Cited by 7 publications

References 22 publications

The change in pediatric subject symptoms during the COVID-19 pandemic in China

The change in pediatric subject symptoms during the COVID-19 pandemic in China

The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation

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

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