@article{ref1,
title="Violent trauma as an indirect impact of the COVID-19 pandemic: a systematic review of hospital reported trauma",
journal="American journal of surgery",
year="2021",
author="Beiter, Kaylin and Hayden, Ellery and Phillippi, Stephen and Conrad, Erich and Hunt, John",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: The COVID-19 pandemic has exacerbated many social conditions associated with violence. The objective of this systematic review was to examine trends in hospital reported violent trauma associated with the pandemic. <br><br>METHODS: Databases were searched in using terms &quot;trauma&quot; or &quot;violence&quot; and &quot;COVID-19,&quot; yielding 4,473 records (2,194 de-duplicated). Exclusion criteria included non-hospital based studies and studies not reporting on violent trauma. 44 studies were included in the final review. <br><br>RESULTS: Most studies reported no change in violent trauma incidence. Studies predominately assessed trends with violent trauma as a proportion of all trauma. All studies demonstrating an increase in violent trauma were located in the United States. <br><br>CONCLUSIONS: A disproportionate rise in violence has been reported within the US. However, most studies examined violent trauma as a proportion of all trauma; results may reflect relative changes from lockdowns. Future studies should examine rates of violent trauma to provide additional context.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2021.05.004",
url="http://dx.doi.org/10.1016/j.amjsurg.2021.05.004"
}