TY - JOUR
PY - 2023//
TI - The impact of COVID-19 on infant maltreatment emergency department and inpatient medical encounters
JO - Journal of pediatrics
A1 - Rebbe, Rebecca
A1 - Reddy, Julia
A1 - Kuelbs, Cynthia L.
A1 - Huang, Jeannie
A1 - Putnam-Hornstein, Emily
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: To assess the counts of infant maltreatment-related medical encounters at a large medical system during a 21-month span of the COVID-19 pandemic.
METHODS: Retrospective data for this study came from all inpatient and emergency department medical encounters for infants from January 1, 2016, through November 30, 2021, at a single children's hospital system in California. Distributions of medical encounters were tabulated and plotted over time. Interrupted time series models were used to evaluate changes in child maltreatment medical encounters.
RESULTS: Medical encounters for infants with child maltreatment diagnoses increased following the onset of COVID-19. Monthly counts of encounters with indicated maltreatment trended upward following the start of the pandemic. Interrupted time series models showed the count of maltreatment encounters increased 64% with the onset of COVID-19.
CONCLUSIONS: We found an increase in infant maltreatment medical encounters during a 21-month period following the onset of COVID-19. These findings suggest that the pandemic may have adversely affected the safety of infants and ongoing work is needed to understand better the pandemic impacts on child maltreatment.
Language: en
LA - en SN - 0022-3476 UR - http://dx.doi.org/10.1016/j.jpeds.2023.113582 ID - ref1 ER -