TY  - JOUR
PY  - 2022//
TI  - A multi-institutional study evaluating pediatric burn injuries during the COVID-19 pandemic
JO  - Journal of burn care and research
A1  - Georgeades, Christina M.
A1  - Collings, Amelia T.
A1  - Farazi, Manzur
A1  - Fallat, Mary E.
A1  - Minneci, Peter C.
A1  - Sato, Thomas T.
A1  - Speck, K. Elizabeth
A1  - Van Arendonk, Kyle
A1  - Deans, Katherine J.
A1  - Falcone, Richard A.
A1  - Foley, David S.
A1  - Fraser, Jason
A1  - Gadepalli, Samir
A1  - Keller, Martin S.
A1  - Kotagal, Meera
A1  - Landman, Matthew P.
A1  - Leys, Charles M.
A1  - Markel, Troy A.
A1  - Rubalcava, Nathan
A1  - St Peter, Shawn D.
A1  - Flynn-O'Brien, Katherine T.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - During the COVID-19 pandemic, children were out of school due to Stay-at-Home orders. The objective of this study was to investigate how the COVID-19 pandemic may have impacted the incidence of burn injuries in children. Eight Level I Pediatric Trauma Centers participated in a retrospective study evaluating children <18 years old with traumatic injuries defined by the National Trauma Data Bank. Patients with burn injuries were identified by ICD-10 codes. Historical controls from March-September 2019 ("Control" cohort) were compared to patients injured after the start of the COVID-19 pandemic from March-September 2020 ("COVID" cohort). A total of 12,549 pediatric trauma patients were included, of which 916 patients had burn injuries. Burn injuries increased after the start of the pandemic (COVID 522/6711 [7.8%] vs. Control 394/5838 [6.7%], p=0.03). There were no significant differences in age, race, insurance status, burn severity, injury severity score, intent or location of injury, and occurrence on a weekday or weekend between cohorts. There was an increase in flame burns (COVID 140/522 [26.8%] vs. Control 75/394 [19.0%], p=0.01) and a decrease in contact burns (COVID 118/522 [22.6%] vs. Control 112/394 [28.4%], p=0.05). More patients were transferred from an outside institution (COVID 315/522 patients [60.3%] vs. Control 208/394 patients [52.8%], p=0.02), and intensive care unit length of stay increased (COVID median 3.5 days [interquartile range 2.0-11.0] vs. Control median 3.0 days [interquartile range 1.0-4.0], p=0.05). Pediatric burn injuries increased after the start of the COVID-19 pandemic despite Stay-at-Home orders intended to optimize health and increase public safety.<p />  <p>Language: en</p>
LA  - en
SN  - 1559-047X
UR  - http://dx.doi.org/10.1093/jbcr/irac118
ID  - ref1
ER  -