Pediatric trauma during the COVID-19 lockdown: caregiver abuse and self-harm in a vulnerable population.
Humans
COVID-19
/ epidemiology
Retrospective Studies
Child
Female
Male
Wounds and Injuries
/ epidemiology
Singapore
/ epidemiology
Vulnerable Populations
/ statistics & numerical data
Child, Preschool
Self-Injurious Behavior
/ epidemiology
Incidence
Adolescent
Caregivers
/ psychology
Infant
SARS-CoV-2
Pandemics
Injury Severity Score
COVID-19
Non-accidental injury
Pediatric trauma
Self-harm
Journal
Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169
Informations de publication
Date de publication:
15 Aug 2024
15 Aug 2024
Historique:
accepted:
16
07
2024
medline:
16
8
2024
pubmed:
16
8
2024
entrez:
15
8
2024
Statut:
epublish
Résumé
This retrospective cohort study explores the impact of the COVID-19 pandemic on pediatric trauma cases in Singapore's National University Hospital from January 2015 to July 2021. The pandemic prompted unprecedented measures, altering societal dynamics. The study hypothesizes a reduction in major trauma incidents during the pandemic period. This is a single-center retrospective study including all pediatric patients presenting with trauma-related ICD-9 codes, and an Injury Severity Score (ISS) greater than 8. Patients were stratified into two time periods: pre-pandemic (January 2015 to March 2020) and pandemic (April 2020 to July 2021) periods. Out of 254 pediatric trauma cases, 201 occurred pre-pandemic, and 53 during the pandemic. While overall trauma incidence remained similar, the pandemic period saw a shift in injury patterns. Home-based falls increased, vehicular accidents decreased, while deliberate self-harm and caregiver abuse rose significantly. The incidence of serious trauma attributed to non-accidental injury increased during the pandemic. The study reveals changing trauma patterns, emphasizing the importance of understanding societal impacts during pandemics. Notably cases of deliberate self-harm and caregiver abuse surged, echoing global concerns highlighted in other studies during the pandemic. The study underscores the need to preempt physical and psychological stressors in vulnerable populations during future pandemics.
Identifiants
pubmed: 39147909
doi: 10.1007/s00383-024-05795-w
pii: 10.1007/s00383-024-05795-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
228Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
What do the different DORSCON levels mean. [Online]. Available: http://www.gov.sg/article/what-do-the-different-dorscon-levels-mean . Accessed 12 Jun. 2020
MOH | News Highlights. [Online]. Available: https://www.moh.gov.sg/news-highlights/details/additional-border-control-measures-to-reduce-further-importation-of-covid-19-cases . Accessed 12 Jun 2020
MOH | News Highlights. [Online]. Available: https://www.moh.gov.sg/news-highlights/details/circuit-breaker-to-minimise-further-spread-of-covid-19 . Accessed 12 Jun 2020
MOH | News Highlights. [Online]. Available: https://www.moh.gov.sg/news-highlights/details/strong-national-push-to-stem-spread-of-covid-19 . Accessed 12 Jun 2020
Saw YE, Tan EY-Q, Liu JS, Liu JC (2021) Predicting public uptake of digital contact tracing during the COVID-19 pandemic: results from a nationwide survey in Singapore. J Med Internet Res 23(2):e24730. https://doi.org/10.2196/24730
doi: 10.2196/24730
pubmed: 33465034
pmcid: 7861036
COVID-19 cases | WHO COVID-19 dashboard, datadot. [Online]. Available: https://data.who.int/dashboards/covid19/cases . Accessed 21 Jan 2024
COVID-19 deaths | WHO COVID-19 dashboard, datadot [Online]. Available: https://data.who.int/dashboards/covid19/cases . Accessed 21 Jan 2024
ICD-ICD-9-International classification of diseases, Ninth Revision. [Online]. Available: https://www.cdc.gov/nchs/icd/icd9.htm . Accessed 12 Jun 2020
Kourti A et al (2023) Domestic violence during the COVID-19 pandemic: a systematic review. Trauma Violence Abuse 24(2):719–745. https://doi.org/10.1177/15248380211038690
doi: 10.1177/15248380211038690
pubmed: 34402325
Yamaoka Y et al (2021) Abusive and positive parenting behavior in Japan during the COVID-19 pandemic under the state of emergency. Child Abuse Negl 120:105212. https://doi.org/10.1016/j.chiabu.2021.105212
doi: 10.1016/j.chiabu.2021.105212
pubmed: 34298262
pmcid: 8609455
Chong S-L et al (2020) Impact of COVID-19 on pediatric emergencies and hospitalizations in Singapore. BMC Pediatr 20:562. https://doi.org/10.1186/s12887-020-02469-z
doi: 10.1186/s12887-020-02469-z
pubmed: 33353540
pmcid: 7755581
Shi Y et al (2021) Impact of the COVID-19 pandemic on trauma activations at a pediatric level 1 trauma center in New York. Pediatr Surg Int. https://doi.org/10.1007/s00383-021-04962-7
doi: 10.1007/s00383-021-04962-7
pubmed: 34264357
pmcid: 8280274
Joint Leaders’ statement-Violence against children: A hidden crisis of the COVID-19 pandemic. [Online]. Available: https://www.who.int/news/item/08-04-2020-joint-leader-s-statement---violence-against-children-a-hidden-crisis-of-the-covid-19-pandemic . Accessed 07 Sep 2021
Sidpra J, Abomeli D, Hameed B, Baker J, Mankad K (2021) Rise in the incidence of abusive head trauma during the COVID-19 pandemic. Arch Dis Child 106(3):e14–e14. https://doi.org/10.1136/archdischild-2020-319872
doi: 10.1136/archdischild-2020-319872
pubmed: 32616522
De Boer C, Ghomrawi HMK, Bouchard ME, Linton SC, Tian Y, Abdullah F (2021) Effect of the COVID-19 pandemic on presentation and severity of traumatic injury due to physical child abuse across US children’s hospitals. J Pediatr Surg. https://doi.org/10.1016/j.jpedsurg.2021.06.014
doi: 10.1016/j.jpedsurg.2021.06.014
pubmed: 34732297
pmcid: 9568368
Kovler ML et al (2021) Increased proportion of physical child abuse injuries at a level I pediatric trauma center during the COVID-19 pandemic. Child Abuse Negl 116:104756. https://doi.org/10.1016/j.chiabu.2020.104756
doi: 10.1016/j.chiabu.2020.104756
pubmed: 33004213
Sanford EL, Zagory J, Blackwell J-M, Szmuk P, Ryan M, Ambardekar A (2021) Changes in pediatric trauma during COVID-19 stay-at-home epoch at a tertiary pediatric hospital. J Pediatr Surg 56(5):918–922. https://doi.org/10.1016/j.jpedsurg.2021.01.020
doi: 10.1016/j.jpedsurg.2021.01.020
pubmed: 33516579
pmcid: 7817462
Russell KW et al (2022) Child physical abuse and COVID-19: trends from nine pediatric trauma centers. J Pediatr Surg 57(2):297–301. https://doi.org/10.1016/j.jpedsurg.2021.09.050
doi: 10.1016/j.jpedsurg.2021.09.050
pubmed: 34758909
Martins-Filho PR, Damascena NP, Lage RC, Sposato KB (2020) Decrease in child abuse notifications during COVID-19 outbreak: a reason for worry or celebration? J Paediatr Child Health 56(12):1980–1981. https://doi.org/10.1111/jpc.15213
doi: 10.1111/jpc.15213
pubmed: 33012011
pmcid: 7675527