罗德岛在 COVID-19 大流行期间的儿科伤害趋势。

Pediatric Injury Trends in Rhode Island During the COVID-19 Pandemic.

机构信息

Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI.

Division of Pediatric Emergency Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH.

出版信息

R I Med J (2013). 2024 Apr 1;107(4):23-28.

PMID:38536136

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11558806/

Abstract

BACKGROUND

Pediatric Emergency Department (PED) visits nationally decreased while the proportion of injury-related PED visits increased during the COVID-19 pandemic. Little is known about the trends in Rhode Island (RI).

METHODS

This is a planned sub-analysis of RI data from a retrospective study of pediatric injury-related visits to 40 PEDs for children <18 years old from January 2019-December 2020. We calculated frequencies and compared patient demographics, injury types, severity, and mechanisms for 3/17/2019-12/31/2019 (pre-COVID-19) versus 3/15/2020-12/31/2020 (study period).

RESULTS

Despite a 31.4% decrease in total injury-related PED visits from 2019 to 2020, the proportion of injury-related PED visits increased by 8.1% (p<0.001) in 2020. The mean age of patients decreased from 8.3 (SD 5.4) to 7.7 (SD 5.4) years old (p<0.0001), with a higher proportion of female (p=0.0018), privately insured (p=0.0274), and non-Hispanic White children (p<0.001) in 2020. There was a higher proportion of trauma activations, admissions, and injuries caused by intentional self-harm (all p<0.0001).

CONCLUSIONS

In RI, the total number of injury-related PED visits decreased while the proportion of injury-related PED visits increased during the COVID-19 pandemic, similar to national trends. There were significant demographic, mechanism, and intent shifts among injured patients, highlighting epidemiologic changes during the pandemic and identifying high-risk groups that would benefit from targeted education and interventions.

摘要

背景

在 COVID-19 大流行期间，全国儿科急诊部（PED）就诊量下降，而与伤害相关的 PED 就诊量比例上升。关于罗得岛州（RI）的趋势知之甚少。

方法

这是对 RI 数据的一项计划子分析，该分析来自对 2019 年 1 月至 2020 年 12 月期间前往 40 个 PED 的与儿童伤害相关的就诊的回顾性研究。我们计算了频率，并比较了 2019 年 3 月 17 日至 12 月 31 日（COVID-19 前）与 2020 年 3 月 15 日至 12 月 31 日（研究期间）之间患者人口统计学、伤害类型、严重程度和机制。

结果

尽管与 2019 年相比，2020 年与伤害相关的 PED 就诊量总体下降了 31.4%，但与伤害相关的 PED 就诊量的比例却增加了 8.1%（p<0.001）。患者的平均年龄从 8.3（SD 5.4）岁降至 7.7（SD 5.4）岁（p<0.0001），2020 年女性（p=0.0018）、私人保险（p=0.0274）和非西班牙裔白人儿童（p<0.001）的比例更高。创伤激活、入院和故意自残造成的伤害比例更高（均 p<0.0001）。