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Title: Impact of the first COVID lockdown on accident- and injury-related pediatric intensive care admissions in Germany : a multicenter study
Author(s): Bruns, Nora
Willemsen, Lea Y.
Holtkamp, Katharina
Kamp, Oliver
Dudda, Marcel
Kowall, Bernd
Stang, Andreas
Hey, Florian
Blankenburg, Judith
Sabir, Hemmen
Eifinger, Frank
Fuchs, Hans
Haase, Roland
Andrée, Clemens
Heldmann, Michael
Potratz, Jenny
Kurz, Daniel
Schumann, Anja
Müller-Knapp, Merle
Mand, Nadine
Doerfel, Claus
Dahlem, Peter
Rothoeft, Tobias
Ohlert, Manuel
Silkenbäumer, Katrin
Dohle, Frank
Indraswari, Fithri
Niemann, Frank
Jahn, Peter
Merker, Michael
Braun, Nicole
Brevis Nunez, Francisco
Engler, Matthias
Heimann, Konrad
Wolf, Gerhard K.
Wulf, Dominik
Hankel, Saskia
Freymann, Holger
Allgaier, Nicolas
Knirsch, Felix
Dercks, Martin
Reinhard, Julia
Hoppenz, Marc
Felderhoff-Müser, Ursula
Dohna-Schwake, Christian
Issue Date: 2022
Type: Article
Language: English
Abstract: Children’s and adolescents’ lives drastically changed during COVID lockdowns worldwide. To compare accident- and injury-related admissions to pediatric intensive care units (PICU) during the first German COVID lockdown with previous years, we conducted a retrospective multicenter study among 37 PICUs (21.5% of German PICU capacities). A total of 1444 admissions after accidents or injuries during the first lockdown period and matched periods of 2017–2019 were reported and standardized morbidity ratios (SMR) were calculated. Total PICU admissions due to accidents/injuries declined from an average of 366 to 346 (SMR 0.95 (CI 0.85–1.05)). Admissions with trauma increased from 196 to 212 (1.07 (0.93–1.23). Traffic accidents and school/kindergarten accidents decreased (0.77 (0.57–1.02 and 0.26 (0.05–0.75)), whereas household and leisure accidents increased (1.33 (1.06–1.66) and 1.34 (1.06–1.67)). Less neurosurgeries and more visceral surgeries were performed (0.69 (0.38–1.16) and 2.09 (1.19–3.39)). Non-accidental non-suicidal injuries declined (0.73 (0.42–1.17)). Suicide attempts increased in adolescent boys (1.38 (0.51–3.02)), but decreased in adolescent girls (0.56 (0.32–0.79)). In summary, changed trauma mechanisms entailed different surgeries compared to previous years. We found no evidence for an increase in child abuse cases requiring intensive care. The increase in suicide attempts among boys demands investigation.
Open Access: Open access publication
License: (CC BY 4.0) Creative Commons Attribution 4.0(CC BY 4.0) Creative Commons Attribution 4.0
Sponsor/Funder: Publikationsfonds MLU
Journal Title: Children
Publisher: MDPI
Publisher Place: Basel
Volume: 9
Issue: 3
Original Publication: 10.3390/children9030363
Appears in Collections:Open Access Publikationen der MLU

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