
| 10.1016/j.jpedsurg.2021.06.014
http://scihub22266oqcxt.onion/10.1016/j.jpedsurg.2021.06.014
 34334186!9568368!34334186
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J+Pediatr+Surg 2022 ; 57 (4): 726-731 Nephropedia Template TP
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Effect of the COVID-19 pandemic on presentation and severity of traumatic injury due to physical child abuse across US children s hospitals #MMPMID34334186De Boer C; Ghomrawi HM; Bouchard ME; Linton SC; Tian Y; Abdullah FJ Pediatr Surg 2022[Apr]; 57 (4): 726-731 PMID34334186show ga
BACKGROUND: Physical child abuse affects 9 in every 1,000 children in the United States and associated traumatic injuries are often identified by the healthcare system. The COVID-19 pandemic has intensified risk factors for physical child abuse and increased avoidance of the healthcare system. This study examined the effect of the COVID-19 pandemic on presentation and severity of physical child abuse. METHODS: A retrospective, cross-sectional study utilizing the Pediatric Health Information System was performed. An interrupted time series analysis estimated the effect of the COVID-19 pandemic on the number of children <15 years old presenting with physical child abuse to children's hospitals from March 1(st) to June 30(th) of 2020 by comparing to those presenting during the same period for years 2016-2019. Hierarchical regression models estimated the effect of the pandemic on likelihood of operative intervention, ICU admission, traumatic brain injury, and mortality. RESULTS: Over the study period, 20,346 physical child abuse encounters were reported by 47 children's hospitals. An interrupted times series model predicted a significant decline in cases due to the effect of the COVID-19 pandemic, representing a deficit of 2,645 cases (p = 0.001). Children presenting during the pandemic had increased odds of requiring ICU admission (p = 0.03) and having a traumatic brain injury in those under 5 years of age (p=<0.001). CONCLUSIONS: The number of children with physical child abuse presenting to children's hospitals significantly declined during the COVID-19 pandemic, but those that did were more likely to be severe. The pandemic may be a risk factor for worse outcomes associated with physical child abuse.|*COVID-19/epidemiology[MESH]|*Child Abuse[MESH]|Adolescent[MESH]|Child[MESH]|Cross-Sectional Studies[MESH]|Hospitals, Pediatric[MESH]|Humans[MESH]|Pandemics[MESH]|Retrospective Studies[MESH]|SARS-CoV-2[MESH]
  
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