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10.1016/j.jss.2022.05.022

http://scihub22266oqcxt.onion/10.1016/j.jss.2022.05.022
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35779448!9149047!35779448
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suck abstract from ncbi


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pmid35779448      J+Surg+Res 2022 ; 279 (ä): 187-192
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  • Unintended Consequences of COVID-19 on Pediatric Falls From Windows: A Multicenter Study #MMPMID35779448
  • Theodorou CM; Brown EG; Jackson JE; Castle SL; Chao SD; Beres AL
  • J Surg Res 2022[Nov]; 279 (ä): 187-192 PMID35779448show ga
  • INTRODUCTION: In attempts to quell the spread of COVID-19, shelter-in-place orders were employed in most states. Increased time at home, in combination with parents potentially balancing childcare and work-from-home duties, may have had unintended consequences on pediatric falls from windows. We aimed to investigate rates of falls from windows among children during the first 6 mo of the COVID-19 pandemic. METHODS: Patients <18 y old admitted to three pediatric trauma centers (two - level 1, one - level 2) between 3/19/20 and 9/19/20 (COVID-era) were compared to a pre-COVID cohort (3/19/19 to 9/19/19). The primary outcome was the rate of falls from windows. Secondary outcomes included injury severity score (ISS), injuries sustained, and mortality. RESULTS: Of 1011 total COVID-era pediatric trauma patients, 36 (3.6%) sustained falls from windows compared to 23 of 1108 (2.1%) pre-COVID era patients (OR 1.7, P = 0.05). The median ISS was seven pre-COVID versus four COVID-era (P = 0.43). The most common injuries sustained were skull fractures (30.5%), extremity injuries (30.5%), and intracranial hemorrhage (23.7%). One-fifth of patients underwent surgery (21.7% pre-COVID versus 19.4% COVID-era, P = 1.0). There was one mortality in the COVID-era cohort and none in the pre-COVID cohort (P = 1.0). CONCLUSIONS: Despite overall fewer trauma admissions during the first 6 mo of the COVID-19 pandemic, the rate of falls from windows nearly doubled compared to the prior year, with substantial associated morbidity. These findings suggest a potential unintended consequence of shelter-in-place orders and support increased education on home safety and increased support for parents potentially juggling multiple responsibilities in the home.
  • |*COVID-19/epidemiology[MESH]
  • |*Wounds and Injuries/epidemiology/therapy[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Injury Severity Score[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]


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