TY - JOUR PY - 2023// TI - Changes in pediatric non-accidental trauma emergency department visits during and following the COVID-19 lockdown JO - American surgeon A1 - Gilchrist, S. Austin A1 - Stanfield, Jennifer A1 - Tan, Martin Aaron M. A1 - Hicks, R. Chace A1 - Urevick, Alexander A1 - Cabbage, Tanner A1 - Bhattacharya, S. Dave SP - ePub EP - ePub VL - ePub IS - ePub N2 - A level 1 pediatric trauma registry database was examined for all non-accidental trauma (NAT) emergency department visits between 2016 and 2021, and average injury severity score assigned to those patients with physical injuries over 2019-2021. There was a decline in NAT visits in 2020 (267) from prior years (343 visits average over 2016-2019), with subsequent increase in 2021 (548). Injury severity score increased (ISS) in 2020 (7.3) when compared to 2019 (5.71), with a decline in average ISS in 2021 (5.42). This data highlights the potential for missed abuse during closures with increased detection following reopening. Our data regarding ISS demonstrates the pediatric population is at risk of more severe abuse during times of familial stress. We need increased awareness that periods of vulnerability to NAT exist, as seen during the COVID-19 pandemic.

Language: en

LA - en SN - 0003-1348 UR - http://dx.doi.org/10.1177/00031348231173951 ID - ref1 ER -