Abstract
Objective: The COVID-19 pandemic has affected the whole world in terms of health, social life, and economics. In this study, the frequency of pediatric home accidents in the second wave of the pandemic, where social isolation continues, was investigated.
Material and Methods: This is a single center, retrospective study. We evaluated cases of patients under the age of 18 who were admitted to the hospital due to a home accident between November 1, 2020 and January 31, 2021 (the second wave of the pandemic). Results were compared with the patients who were admitted to the same emergency department within the same period of the previous year. Researchers examined home accidents in three groups: crash-fall-incision (1), intoxication-foreign body ingestion (2), and burns (3). The patients were divided into four age groups: 0-1 year, 2-5 years, 6-11 years, and 12-17 years.
Results: The study was completed with 607 cases pre-Covid and 683 cases post-Covid. The median age was 44.4 month (17-57) from 2019-2020 and 49.1 month (18-64) from 2020-2021 (p=0.154). The outpatient and sequela-free discharges were more frequent in both periods (p=0.046). In the second wave of the pandemic, there was an increase in burns and fall related admissions compared to before the pandemic (p<0.001). All types of home accidents were frequently detected at the ages of five years and younger.
Conclusion: In this study, analyzing the second wave of the pandemic compared to pre-pandemic times, Researchers noted a decrease in the number of emergency admissions and an increase in admissions related to home accidents.
Keywords
References
- Keays G, Friedman D, Gagnon I. Injuries in the time of COVID-19. Les blessures au temps de la COVID-19. Health Promot Chronic Dis Prev Can 2020;40:336-41.
- Kruizinga MD, Peeters D, van Veen M, van Houten M, Wieringa J, Noordzij JG, et al. The impact of lockdown on pediatric ED visits and hospital admissions during the COVID19 pandemic: a multicenter analysis and review of the literature. Eur J Pediatr 2021;180:2271-9.
- Ferrero F, Ossorio MF, Torres FA, Debaisi G. Impact of the COVID-19 pandemic in the paediatric emergency department attendances in Argentina. Arch Dis Child 2021;106:e5.
- Silvagni D, Baggio L, Lo Tartaro Meragliotta P, Soloni P, La Fauci G, Bovo C, et al. Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy. Pediatr Rep 2021;13:168-76.
- Bruns, N, Willemsen L, Holtkamp K, Kamp O, Dudda M, Kowall B, et al. Trends in accident-related admissions to pediatric intensive care units during the first COVID-19 lockdown in Germany. medRxiv 2021:2021.08.06.21261728.
- Bressan S, Gallo E, Tirelli F, Gregori D, Da Dalt L. Lockdown: more domestic accidents than COVID-19 in children. Arch Dis Child 2021;106:e3.
- Coccia M. The impact of first and second wave of the COVID-19 pandemic in society: comparative analysis to support control measures to cope with negative effects of future infectious diseases. Environ Res 2021;197:111099.
- Fidancı İ, Taşar MA, Akıntuğ B, Fidancı İ, Bulut İ. The impact of the COVID-19 pandemic on paediatric emergency service. Int J Clin Pract 2021;75:e14398.
- Pines JM, Zocchi MS, Black BS, et al. Characterizing pediatric emergency department visits during the COVID-19 pandemic. Am J Emerg Med 2021;41:201-4.
- Isba R, Edge R, Auerbach M, Cicero MX, Jenner R, Setzer E, et al. COVID-19: Transatlantic Declines in Pediatric Emergency Admissions. Pediatr Emerg Care 2020;36:551-3.
- United Nations Educational, Scientific and Cultural Organization. Education: from school closure to recovery. COVID-19 Recovery Research Web site. Available at: https://en.unesco.org/covid19/educationresponse#schoolclosures. Accessed June 19, 2023.
- Alptekin F, Uskun E, Kisioglu AN, Ozturk M. Unintentional non-fatal home-related injuries in Central Anatolia, Turkey: frequencies, characteristics, and outcomes. Injury 2008;39:535-46.
- Emeksiz S, Koçkuzu E, Akcan Yıldız L, Tehçi AK, Alan B, Kar R, et al. Evaluation of Pediatric Trauma Patients Requiring Pediatric Intensive Care Follow-up and Identifying the Differences in Refugee Children. Türkiye Çocuk Hast Derg 2021; 15: 394-9.
- Judy K. Unintentional injuries in pediatrics. Pediatr Rev 2011: 32 : 431-9.
- Chaffard-Luçon MP, Beltzer N, Rigou A, Claudet I. Child defenestration: An unexpected collateral effect of the first COVID-19 lockdown!. Arch Pediatr 2022;29:249-52.
- Tracy LM, Lo CH, Cleland H., Teague WJ, Gabbe BJ. Early Impact of COVID-19 Pandemic on Burn Injuries, Admissions, and Care in a Statewide Burn Service. Eur Burn J 2022, 3: 447–56.
- Speidel AJ, Wölfle L, Mayer B, Posovsky C. Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017. BMC Pediatr 2020;20:560.
- Sharpe SJ, Rochette LM, Smith GA. Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatrics 2012;129:1111-7.
- Festa NT, Thakkar H, Hewitt R, Dhaiban M, Muthialu N, Cross K, et al. Foreign body ingestion during the COVID-19 pandemic: a retrospective single centre review. BMJ Paediatr Open 2021;5:e001042.
- Pizzol A, Rigazio C, Calvo PL, Scottoni F, Pane A, Gennari F, et al. Foreign-body Ingestions in Children During COVID-19 Pandemic in a Pediatric Referral Center. JPGN Rep 2020;1:e018.
- Hussain Sadeq, Entesar H Husain, Farah Almutawa, Al-Qabandi W, AlSaleem T. Effect of COVID-19 Pandemic on Accidental Ingestions in Children: Observational Study. J Pediatr Perinatol Child Health 2021; 5: 224-9.
- Lee SJ, Ward KP, Lee JY, Rodriguez CM. Parental Social Isolation and Child Maltreatment Risk during the COVID-19 Pandemic. J Fam Violence 2022;37:813-24.
- Kovler ML, Ziegfeld S, Ryan LM, Goldstein MA, Gardner R, Garcia AV, et al. Increased proportion of physical child abuse injuries at a level I pediatric trauma center during the Covid-19 pandemic. Child Abuse Negl 2021;116:104756.
- Bullinger LR, Raissian KM, Feely M, Schneider WJ. The neglected ones: Time at home during COVID-19 and child maltreatment. Child Youth Serv Rev 2021;131:106287.
- Rapoport E, Reisert H, Schoeman E, Adesman A. Reporting of child maltreatment during the SARS-CoV-2 pandemic in New York City from March to May 2020. Child Abuse Negl 2021;116:104719.
- Barboza GE, Schiamberg LB, Pachl L. A spatiotemporal analysis of the impact of COVID-19 on child abuse and neglect in the city of Los Angeles, California. Child Abuse Negl 2021;116:104740.
- US Department of Health and Human Services. Child Maltreatment 2020. Publication date: January 19, 2022. Available at: https://www.acf.hhs.gov/cb/report/child-maltreatment-2020. Accessed June 19, 2023.
Abstract
Amaç: COVİD-19 pandemisi tüm dünyada sağlık, sosyal hayat ve ekonomiyi etkilemiştir. Çalışmamızda pandeminin ikinci dalgasında, sosyal izolasyon devam ederken çocukluk dönemi ev kazalarının sıklığının araştırılmıştır.
Gereç ve Yöntemler: Çalışmamız tek merkezli ve retrospektif bir çalışmadır. 1 Kasım 2020-31 Ocak 2021 tarihleri arasında (pandeminin ikinci dalgası) ev kazası nedeniyle hastaneye başvuran 18 yaş altı hastalar değerlendirilmiştir. Sonuçlar bir önceki yılın aynı döneminde, ev kazası nedeniyle hastanemize başvuran hastalar ile karşılaştırıldı. Ev kazaları, çarpma-düşme-kesi, intoksikasyon-yabancı cisim alımı ve yanık olmak üzere 3 grupta incelendi. Hastalar 0-1 yaş, 2-5 yaş, 6-11 yaş ve 12-17 yaş olmak üzere dört yaş grubuna ayrıldı.
Bulgular: Çalışma Covid öncesi 607 olgu ve Covid-19 sonrası 683 olguyla tamamlandı. Ortanca yaş 2019-20 yıllarında 44.4 (17-57) ay, 2020-21 yıllarında 49.1 (18-64) aydı (p=0.154). Her iki dönemde de ayaktan hasta ve sekelsiz taburculuk daha sıktı (p=0.046). Pandeminin ikinci dalgasında pandemi öncesine göre yanık ve düşmelere bağlı başvurularda artış saptandı (p<0.001). Tüm kazalar 5 yaş ve altında daha sık görüldü.
Sonuç: Çalışmamızda pandemi öncesine göre pandeminin ikinci dalgasında; acil başvuru sayısında azalma gözlenirken, ev kazası nedeniyle başvuranlarda artış gözlendi.
Keywords
References
- Keays G, Friedman D, Gagnon I. Injuries in the time of COVID-19. Les blessures au temps de la COVID-19. Health Promot Chronic Dis Prev Can 2020;40:336-41.
- Kruizinga MD, Peeters D, van Veen M, van Houten M, Wieringa J, Noordzij JG, et al. The impact of lockdown on pediatric ED visits and hospital admissions during the COVID19 pandemic: a multicenter analysis and review of the literature. Eur J Pediatr 2021;180:2271-9.
- Ferrero F, Ossorio MF, Torres FA, Debaisi G. Impact of the COVID-19 pandemic in the paediatric emergency department attendances in Argentina. Arch Dis Child 2021;106:e5.
- Silvagni D, Baggio L, Lo Tartaro Meragliotta P, Soloni P, La Fauci G, Bovo C, et al. Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy. Pediatr Rep 2021;13:168-76.
- Bruns, N, Willemsen L, Holtkamp K, Kamp O, Dudda M, Kowall B, et al. Trends in accident-related admissions to pediatric intensive care units during the first COVID-19 lockdown in Germany. medRxiv 2021:2021.08.06.21261728.
- Bressan S, Gallo E, Tirelli F, Gregori D, Da Dalt L. Lockdown: more domestic accidents than COVID-19 in children. Arch Dis Child 2021;106:e3.
- Coccia M. The impact of first and second wave of the COVID-19 pandemic in society: comparative analysis to support control measures to cope with negative effects of future infectious diseases. Environ Res 2021;197:111099.
- Fidancı İ, Taşar MA, Akıntuğ B, Fidancı İ, Bulut İ. The impact of the COVID-19 pandemic on paediatric emergency service. Int J Clin Pract 2021;75:e14398.
- Pines JM, Zocchi MS, Black BS, et al. Characterizing pediatric emergency department visits during the COVID-19 pandemic. Am J Emerg Med 2021;41:201-4.
- Isba R, Edge R, Auerbach M, Cicero MX, Jenner R, Setzer E, et al. COVID-19: Transatlantic Declines in Pediatric Emergency Admissions. Pediatr Emerg Care 2020;36:551-3.
- United Nations Educational, Scientific and Cultural Organization. Education: from school closure to recovery. COVID-19 Recovery Research Web site. Available at: https://en.unesco.org/covid19/educationresponse#schoolclosures. Accessed June 19, 2023.
- Alptekin F, Uskun E, Kisioglu AN, Ozturk M. Unintentional non-fatal home-related injuries in Central Anatolia, Turkey: frequencies, characteristics, and outcomes. Injury 2008;39:535-46.
- Emeksiz S, Koçkuzu E, Akcan Yıldız L, Tehçi AK, Alan B, Kar R, et al. Evaluation of Pediatric Trauma Patients Requiring Pediatric Intensive Care Follow-up and Identifying the Differences in Refugee Children. Türkiye Çocuk Hast Derg 2021; 15: 394-9.
- Judy K. Unintentional injuries in pediatrics. Pediatr Rev 2011: 32 : 431-9.
- Chaffard-Luçon MP, Beltzer N, Rigou A, Claudet I. Child defenestration: An unexpected collateral effect of the first COVID-19 lockdown!. Arch Pediatr 2022;29:249-52.
- Tracy LM, Lo CH, Cleland H., Teague WJ, Gabbe BJ. Early Impact of COVID-19 Pandemic on Burn Injuries, Admissions, and Care in a Statewide Burn Service. Eur Burn J 2022, 3: 447–56.
- Speidel AJ, Wölfle L, Mayer B, Posovsky C. Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017. BMC Pediatr 2020;20:560.
- Sharpe SJ, Rochette LM, Smith GA. Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatrics 2012;129:1111-7.
- Festa NT, Thakkar H, Hewitt R, Dhaiban M, Muthialu N, Cross K, et al. Foreign body ingestion during the COVID-19 pandemic: a retrospective single centre review. BMJ Paediatr Open 2021;5:e001042.
- Pizzol A, Rigazio C, Calvo PL, Scottoni F, Pane A, Gennari F, et al. Foreign-body Ingestions in Children During COVID-19 Pandemic in a Pediatric Referral Center. JPGN Rep 2020;1:e018.
- Hussain Sadeq, Entesar H Husain, Farah Almutawa, Al-Qabandi W, AlSaleem T. Effect of COVID-19 Pandemic on Accidental Ingestions in Children: Observational Study. J Pediatr Perinatol Child Health 2021; 5: 224-9.
- Lee SJ, Ward KP, Lee JY, Rodriguez CM. Parental Social Isolation and Child Maltreatment Risk during the COVID-19 Pandemic. J Fam Violence 2022;37:813-24.
- Kovler ML, Ziegfeld S, Ryan LM, Goldstein MA, Gardner R, Garcia AV, et al. Increased proportion of physical child abuse injuries at a level I pediatric trauma center during the Covid-19 pandemic. Child Abuse Negl 2021;116:104756.
- Bullinger LR, Raissian KM, Feely M, Schneider WJ. The neglected ones: Time at home during COVID-19 and child maltreatment. Child Youth Serv Rev 2021;131:106287.
- Rapoport E, Reisert H, Schoeman E, Adesman A. Reporting of child maltreatment during the SARS-CoV-2 pandemic in New York City from March to May 2020. Child Abuse Negl 2021;116:104719.
- Barboza GE, Schiamberg LB, Pachl L. A spatiotemporal analysis of the impact of COVID-19 on child abuse and neglect in the city of Los Angeles, California. Child Abuse Negl 2021;116:104740.
- US Department of Health and Human Services. Child Maltreatment 2020. Publication date: January 19, 2022. Available at: https://www.acf.hhs.gov/cb/report/child-maltreatment-2020. Accessed June 19, 2023.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Early Pub Date | August 1, 2023 |
| Publication Date | November 27, 2023 |
| Submission Date | April 7, 2023 |
| Published in Issue | Year 2023 Volume: 17 Issue: 6 |
The publication language of Turkish Journal of Pediatric Disease is English.
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