Increased proportion of physical child abuse injuries at a level I pediatric trauma center during the Covid-19 pandemic.
Increased proportion of physical child abuse injuries at a level I pediatric trauma center during the Covid-19 pandemic.
复制标题
DOI：
10.1016/j.chiabu.2020.104756
复制
发表时间：
2021-06
影响因子：
4.8
通讯作者：
Nasr IW
中科院分区：
文献类型：
--
作者：
Kovler ML;Ziegfeld S;Ryan LM;Goldstein MA;Gardner R;Garcia AV;Nasr IW
新冠肺炎疫情已迫使托儿机构和学校大规模关闭。虽然这些措施对于减缓病毒传播是必要的，但人们对社交距离的次级健康后果知之甚少。这项研究的目的是评估在新冠肺炎大流行期间，一级儿科创伤中心因身体虐待儿童(PCA)而继发伤害的比例。对我们中心的患者进行了回顾，以确定在马里兰州全州范围内关闭儿童保育设施后的一个月内，PCA造成的伤害。通过费舍尔精确检验，比较了新冠肺炎时期和前两年同期接受PCa治疗的患者所占比例。描述了每个时期的人口统计学、损伤概况和结果。有8名患者在新冠肺炎期间接受了自控镇痛损伤的治疗(占创伤患者总数的13%)，相比之下，2019年有4名患者(4%，p<；0.05)，2018年有3名(3%，p<；0.05)。新冠肺炎期间患者的中位年龄为11.5月(智商6.8-24.5)。大多数患者是黑人(75%)，拥有公共医疗保险(75%)。所有损伤都是由钝性创伤引起的，导致头皮/面部挫伤(63%)、头骨骨折(50%)、颅内出血(38%)和长骨骨折(25%)。在新冠肺炎大流行期间，我们中心因身体虐待儿童造成的创伤伤害比例有所增加。应深思熟虑地实施减轻这种社会疏远的次要影响的战略。
The Covid-19 pandemic has forced mass closures of childcare facilities and schools. While these measures are necessary to slow virus transmission, little is known regarding the secondary health consequences of social distancing. The purpose of this study is to assess the proportion of injuries secondary to physical child abuse (PCA) at a level I pediatric trauma center during the Covid-19 pandemic. A retrospective review of patients at our center was conducted to identify injuries caused by PCA in the month following the statewide closure of childcare facilities in Maryland. The proportion of PCA patients treated during the Covid-19 era were compared to the corresponding period in the preceding two years by Fisher’s exact test. Demographics, injury profiles, and outcomes were described for each period. Eight patients with PCA injuries were treated during the Covid-19 period (13 % of total trauma patients), compared to four in 2019 (4 %, p < 0.05) and three in 2018 (3 %, p < 0.05). The median age of patients in the Covid-19 period was 11.5 months (IQR 6.8–24.5). Most patients were black (75 %) with public health insurance (75 %). All injuries were caused by blunt trauma, resulting in scalp/face contusions (63 %), skull fractures (50 %), intracranial hemorrhage (38 %), and long bone fractures (25 %). There was an increase in the proportion of traumatic injuries caused by physical child abuse at our center during the Covid-19 pandemic. Strategies to mitigate this secondary effect of social distancing should be thoughtfully implemented.
登录
查看更多内容
影响因子：
1.8
作者：
Marek, Ashley P;Nygaard, Rachel M;Richardson, Chad J
通讯作者：
Richardson, Chad J
影响因子：
1.7
作者：
Bullock, Daniel P.;Koval, Kenneth J.;Spratt, Kevin F.
通讯作者：
Spratt, Kevin F.
影响因子：
8
作者：
Shanahan, Meghan E.;Zolotor, Adam J.;Runyan, Desmond K.
通讯作者：
Runyan, Desmond K.
影响因子：
3.2
作者：
Peterman A;Neijhoft AN;Cook S;Palermo TM
通讯作者：
Palermo TM
DOI：
10.1016/j.fsir.2020.100089
发表时间：
2020-04-12
期刊：
Forensic Science International. Reports
影响因子：
--
作者：
Campbell AM
通讯作者：
Campbell AM