General Surgery Residency Program, Riverside Community Hospital, Riverside, CA, USA.
Riverside Community Hospital, Riverside, CA, USA.
Clin Pediatr (Phila). 2024 Jan;63(1):47-52. doi: 10.1177/00099228231201250. Epub 2023 Sep 16.
The Coronavirus 2019 (COVID-19) pandemic has significantly impacted the volume and types of trauma patients encountered. We performed a retrospective analysis of pediatric trauma patients <17 years old presenting within a large US health care system from 2019 to 2021. Demographics, trauma volume, injury severity, mechanism of injury, and outcomes were compared. A total of 16 966 patients, from 88 hospitals over 18 states, were included in our analysis. Pediatric traumas decreased from 2019 to 2020 and 2021. The injury severity scores (ISSs) increased from 2019 to 2020 and 2019 to 2021. Compared with 2019, more gun-related traumas occurred in both 2020 and 2021, whereas motor vehicle collisions decreased. There were additional changes in bicycle, assault, auto versus pedestrian (AVP), playground, and sports injuries. The COVID-19 pandemic has impacted the volume, injury severity, and mechanism of injury of the pediatric trauma population.
2019 年冠状病毒病（COVID-19）大流行极大地影响了所遇到的创伤患者的数量和类型。我们对 2019 年至 2021 年期间在一个大型美国医疗保健系统中就诊的 17 岁以下儿科创伤患者进行了回顾性分析。比较了人口统计学、创伤量、损伤严重程度、损伤机制和结局。我们的分析共纳入了来自 18 个州的 88 家医院的 16966 名患者。儿科创伤患者从 2019 年到 2020 年和 2021 年减少。伤害严重程度评分（ISS）从 2019 年到 2020 年和 2019 年到 2021 年增加。与 2019 年相比，2020 年和 2021 年发生了更多与枪支有关的创伤，而机动车碰撞则减少了。自行车、攻击、汽车对行人（AVP）、操场和运动伤害也发生了其他变化。COVID-19 大流行影响了儿科创伤人群的数量、损伤严重程度和损伤机制。
