Child maltreatment-related children's emergency department visits before and during the COVID-19 pandemic in Connecticut.
Child maltreatment-related children's emergency department visits before and during the COVID-19 pandemic in Connecticut.
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康涅狄格州 COVID-19 大流行之前和期间，与虐待儿童相关的儿童急诊科就诊。
DOI：
10.1016/j.chiabu.2022.105619
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发表时间：
2022-06
影响因子：
4.8
通讯作者：
Holland ML
中科院分区：
文献类型：
--
作者：
Amick M;Bentivegna K;Hunter AA;Leventhal JM;Livingston N;Bechtel K;Holland ML
以前对国家急诊科数据的研究表明，在大流行期间，因身体虐待而就诊的人数有所减少。然而，到目前为止，还没有研究在考虑特定州的关闭政策时，在单个州内调查多种儿童虐待类型（身体虐待、性虐待和忽视）的发生率。此外，没有类似的研究利用详细的图表审查来确定病例，也没有将医院数据与儿童保护服务（CPS）的报告进行比较。确定在COVID-19大流行之前和期间与儿童虐待相关的急诊科就诊的发生率，包括虐待类型、严重程度和CPS报告的特征。在X州两家三级保健学术儿童医院的18岁以下儿童。通过ICD-10-CM代码和主要关注点和提供者笔记中的关键词识别与虐待相关的急诊科就诊。我们对COVID前（2019年1月1日- 2020年3月15日）和COVID期间（2020年3月16日- 2020年8月31日）的急诊科就诊和虐待儿童咨询以及涉嫌虐待的国家级CPS报告进行了横断面回顾性审查。与虐待相关的急诊科就诊次数从匹配的COVID前期间的15.7次/周（n = 380）减少到COVID期间的12.3次/周（n = 296） （P < 0.01）。然而，在此期间，儿童忽视的急诊科就诊（P < 0.05）和CPS报告（P < 0.001）有所增加。提供者记录确定了62.4%的儿童虐待急诊科就诊，而ICD-10代码仅确定cm占46.8%。在2019冠状病毒病大流行期间，X州因身体虐待和性虐待就诊的人数有所下降，但忽视病例有所增加。
Previous studies of national emergency department (ED) data demonstrate a decrease in visits coded for physical abuse during the pandemic period. However, no study to date has examined the incidence of multiple child maltreatment types (physical abuse, sexual abuse, and neglect), within a single state while considering state-specific closure policies. Furthermore, no similar study has utilized detailed chart review to identify cases, nor compared hospital data to Child Protective Services (CPS) reports. To determine the incidence of child maltreatment-related ED visits before and during the COVID-19 pandemic, including characterizing the type of maltreatment, severity, and CPS reporting. Children younger than 18 years old at two tertiary-care, academic children's hospitals in X state. Maltreatment-related ED visits were identified by ICD-10-CM codes and keywords in chief concerns and provider notes. We conducted a cross-sectional retrospective review of ED visits and child abuse consultations during the pre-COVID (1/1/2019–3/15/2020) and COVID (3/16/2020–8/31/2020) periods, as well as state-level CPS reports for suspected maltreatment. Maltreatment-related ED visits decreased from 15.7/week in the matched pre-COVID period (n = 380 total) to 12.3/week (n = 296 total) in the COVID period (P < .01). However, ED visits (P < .05) and CPS reports (P < .001) for child neglect increased during this period. Provider notes identified 62.4% of child maltreatment ED visits, while ICD-10 codes identified only-CM captured 46.8%. ED visits for physical and sexual abuse declined, but neglect cases increased during the COVID-19 pandemic in X state.
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影响因子：
3.7
作者：
Hunter, Amy A.;Livingston, Nina;Bernstein, Bruce
通讯作者：
Bernstein, Bruce
DOI：
10.1002/emp2.12316
发表时间：
2020-12
影响因子：
2.3
作者：
Niforatos JD;Chaitoff A;Zheutlin AR;Feinstein MM;Raja AS
通讯作者：
Raja AS
影响因子：
3.1
作者：
Wood, Joanne N.;French, Benjamin;Berger, Rachel
通讯作者：
Berger, Rachel
影响因子：
3.3
作者：
Schneider, William;Waldfogel, Jane;Brooks-Gunn, Jeanne
通讯作者：
Brooks-Gunn, Jeanne
影响因子：
168.9
作者：
Barlow, KM;Minns, RA
通讯作者：
Minns, RA