TY  - JOUR
PY  - 2021//
TI  - Effects of the COVID-19 pandemic on pediatric trauma in Southern California
JO  - Pediatric surgery international
A1  - Yeates, Eric O.
A1  - Grigorian, Areg
A1  - Schellenberg, Morgan
A1  - Owattanapanich, Natthida
A1  - Barmparas, Galinos
A1  - Margulies, Daniel
A1  - Juillard, Catherine
A1  - Garber, Kent
A1  - Cryer, Henry
A1  - Tillou, Areti
A1  - Burruss, Sigrid
A1  - Penaloza-Villalobos, Liz
A1  - Lin, Ann
A1  - Figueras, Ryan Arthur
A1  - Coimbra, Raul
A1  - Brenner, Megan
A1  - Costantini, Todd
A1  - Santorelli, Jarrett
A1  - Curry, Terry
A1  - Wintz, Diane
A1  - Biffl, Walter L.
A1  - Schaffer, Kathryn B.
A1  - Duncan, Thomas K.
A1  - Barbaro, Casey
A1  - Diaz, Graal
A1  - Johnson, Arianne
A1  - Chinn, Justine
A1  - Naaseh, Ariana
A1  - Leung, Amanda
A1  - Grabar, Christina
A1  - Nahmias, Jeffry
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: The COVID-19 pandemic resulted in increased penetrating trauma and decreased length of stay (LOS) amongst the adult trauma population, findings important for resource allocation. Studies regarding the pediatric trauma population are sparse and mostly single-center. This multicenter study examined pediatric trauma patients, hypothesizing increased penetrating trauma and decreased LOS after the 3/19/2020 stay-at-home (SAH) orders. <br><br>METHODS: A multicenter retrospective analysis of trauma patients ≤ 17 years old presenting to 11 centers in California was performed. Demographic data, injury characteristics, and outcomes were collected. Patients were divided into three groups based on injury date: 3/19/2019-6/30/2019 (CONTROL), 1/1/2020-3/18/2020 (PRE), 3/19/2020-6/30/2020 (POST). POST was compared to PRE and CONTROL in separate analyses. <br><br>RESULTS: 1677 patients were identified across all time periods (CONTROL: 631, PRE: 479, POST: 567). POST penetrating trauma rates were not significantly different compared to both PRE (11.3 vs. 9.0%, p = 0.219) and CONTROL (11.3 vs. 8.2%, p = 0.075), respectively. POST had a shorter mean LOS compared to PRE (2.4 vs. 3.3 days, p = 0.002) and CONTROL (2.4 vs. 3.4 days, p = 0.002). POST was also not significantly different than either group regarding intensive care unit (ICU) LOS, ventilator days, and mortality (all p > 0.05). <br><br>CONCLUSIONS: This multicenter retrospective study demonstrated no difference in penetrating trauma rates among pediatric patients after SAH orders but did identify a shorter LOS.<p />  <p>Language: en</p>
LA  - en
SN  - 0179-0358
UR  - http://dx.doi.org/10.1007/s00383-021-05050-6
ID  - ref1
ER  -