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Effects of the COVID-19 pandemic on pediatric trauma in Southern California.
Yeates, Eric O; Grigorian, Areg; Schellenberg, Morgan; Owattanapanich, Natthida; Barmparas, Galinos; Margulies, Daniel; Juillard, Catherine; Garber, Kent; Cryer, Henry; Tillou, Areti; Burruss, Sigrid; Penaloza-Villalobos, Liz; Lin, Ann; Figueras, Ryan Arthur; Coimbra, Raul; Brenner, Megan; Costantini, Todd; Santorelli, Jarrett; Curry, Terry; Wintz, Diane; Biffl, Walter L; Schaffer, Kathryn B; Duncan, Thomas K; Barbaro, Casey; Diaz, Graal; Johnson, Arianne; Chinn, Justine; Naaseh, Ariana; Leung, Amanda; Grabar, Christina; Nahmias, Jeffry.
  • Yeates EO; Department of Surgery, University of California, Irvine (UCI), 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
  • Grigorian A; Department of Surgery, University of California, Irvine (UCI), 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
  • Schellenberg M; Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA.
  • Owattanapanich N; Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA.
  • Barmparas G; Department of Surgery, University of Southern California (USC), Los Angeles, CA, USA.
  • Margulies D; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Juillard C; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Garber K; Department of Surgery, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Cryer H; Department of Surgery, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Tillou A; Department of Surgery, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Burruss S; Department of Surgery, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Penaloza-Villalobos L; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Lin A; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Figueras RA; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Coimbra R; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Brenner M; Department of Surgery, Loma Linda University, Loma Linda, CA, USA.
  • Costantini T; Riverside University Health System Medical Center, Moreno Valley, CA, USA.
  • Santorelli J; Department of Surgery, University of California, Riverside/Riverside University Health System, Moreno Valley, CA, USA.
  • Curry T; Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA.
  • Wintz D; Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA.
  • Biffl WL; Department of Surgery, University of California, San Diego (UCSD), San Diego, CA, USA.
  • Schaffer KB; Department of Surgery, Sharp Memorial Hospital, San Diego, CA, USA.
  • Duncan TK; Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
  • Barbaro C; Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
  • Diaz G; Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.
  • Johnson A; Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.
  • Chinn J; Department of Surgery, Ventura County Medical Center, Ventura, CA, USA.
  • Naaseh A; Santa Barbara Cottage Hospital, Cottage Health Research Institute, Santa Barbara, CA, USA.
  • Leung A; Department of Surgery, University of California, Irvine (UCI), 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
  • Grabar C; Department of Surgery, University of California, Irvine (UCI), 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
  • Nahmias J; Department of Surgery, University of California, Irvine (UCI), 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.
Pediatr Surg Int ; 38(2): 307-315, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1544430
ABSTRACT

PURPOSE:

The COVID-19 pandemic resulted in increased penetrating trauma and decreased length of stay (LOS) amongst the adult trauma population, findings important for resource allocation. Studies regarding the pediatric trauma population are sparse and mostly single-center. This multicenter study examined pediatric trauma patients, hypothesizing increased penetrating trauma and decreased LOS after the 3/19/2020 stay-at-home (SAH) orders.

METHODS:

A multicenter retrospective analysis of trauma patients ≤ 17 years old presenting to 11 centers in California was performed. Demographic data, injury characteristics, and outcomes were collected. Patients were divided into three groups based on injury date 3/19/2019-6/30/2019 (CONTROL), 1/1/2020-3/18/2020 (PRE), 3/19/2020-6/30/2020 (POST). POST was compared to PRE and CONTROL in separate analyses.

RESULTS:

1677 patients were identified across all time periods (CONTROL 631, PRE 479, POST 567). POST penetrating trauma rates were not significantly different compared to both PRE (11.3 vs. 9.0%, p = 0.219) and CONTROL (11.3 vs. 8.2%, p = 0.075), respectively. POST had a shorter mean LOS compared to PRE (2.4 vs. 3.3 days, p = 0.002) and CONTROL (2.4 vs. 3.4 days, p = 0.002). POST was also not significantly different than either group regarding intensive care unit (ICU) LOS, ventilator days, and mortality (all p > 0.05).

CONCLUSIONS:

This multicenter retrospective study demonstrated no difference in penetrating trauma rates among pediatric patients after SAH orders but did identify a shorter LOS.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Child / Humans Country/Region as subject: North America Language: English Journal: Pediatr Surg Int Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: S00383-021-05050-6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Child / Humans Country/Region as subject: North America Language: English Journal: Pediatr Surg Int Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: S00383-021-05050-6