Abstract：
OBJECTIVE: This retrospective cohort study explores the impact of the COVID-19 pandemic on pediatric trauma cases in Singapore\'s National University Hospital from January 2015 to July 2021. The pandemic prompted unprecedented measures, altering societal dynamics. The study hypothesizes a reduction in major trauma incidents during the pandemic period.
METHODS: This is a single-center retrospective study including all pediatric patients presenting with trauma-related ICD-9 codes, and an Injury Severity Score (ISS) greater than 8. Patients were stratified into two time periods: pre-pandemic (January 2015 to March 2020) and pandemic (April 2020 to July 2021) periods.
RESULTS: Out of 254 pediatric trauma cases, 201 occurred pre-pandemic, and 53 during the pandemic. While overall trauma incidence remained similar, the pandemic period saw a shift in injury patterns. Home-based falls increased, vehicular accidents decreased, while deliberate self-harm and caregiver abuse rose significantly. The incidence of serious trauma attributed to non-accidental injury increased during the pandemic.
CONCLUSIONS: The study reveals changing trauma patterns, emphasizing the importance of understanding societal impacts during pandemics. Notably cases of deliberate self-harm and caregiver abuse surged, echoing global concerns highlighted in other studies during the pandemic. The study underscores the need to preempt physical and psychological stressors in vulnerable populations during future pandemics.
METHODS: This is a single-center retrospective study including all pediatric patients presenting with trauma-related ICD-9 codes, and an Injury Severity Score (ISS) greater than 8. Patients were stratified into two time periods: pre-pandemic (January 2015 to March 2020) and pandemic (April 2020 to July 2021) periods.
RESULTS: Out of 254 pediatric trauma cases, 201 occurred pre-pandemic, and 53 during the pandemic. While overall trauma incidence remained similar, the pandemic period saw a shift in injury patterns. Home-based falls increased, vehicular accidents decreased, while deliberate self-harm and caregiver abuse rose significantly. The incidence of serious trauma attributed to non-accidental injury increased during the pandemic.
CONCLUSIONS: The study reveals changing trauma patterns, emphasizing the importance of understanding societal impacts during pandemics. Notably cases of deliberate self-harm and caregiver abuse surged, echoing global concerns highlighted in other studies during the pandemic. The study underscores the need to preempt physical and psychological stressors in vulnerable populations during future pandemics.
摘要：
目的：这项回顾性队列研究探讨了COVID-19大流行对2015年1月至2021年7月新加坡国立大学医院小儿创伤病例的影响。大流行引发了前所未有的措施，改变社会动态。该研究假设在大流行期间重大创伤事件减少。
方法：这是一项单中心回顾性研究，包括所有出现创伤相关ICD-9编码的儿科患者，损伤严重程度评分(ISS)大于8。将患者分为两个时间段：大流行前（2015年1月至2020年3月）和大流行（2020年4月至2021年7月）。
结果：在254例小儿创伤病例中，201发生在大流行前，和53在大流行期间。虽然总体创伤发生率仍然相似，大流行时期的伤害模式发生了转变。家庭跌倒增加，车辆事故减少，而故意的自我伤害和照顾者虐待显著上升。在大流行期间，归因于非意外伤害的严重创伤的发生率增加。
结论：这项研究揭示了创伤模式的变化，强调了解大流行期间社会影响的重要性。值得注意的是，故意自残和虐待照顾者的案件激增，呼应大流行期间其他研究中强调的全球关切。该研究强调，在未来的大流行期间，有必要先发制人地应对脆弱人群的生理和心理压力。
方法：这是一项单中心回顾性研究，包括所有出现创伤相关ICD-9编码的儿科患者，损伤严重程度评分(ISS)大于8。将患者分为两个时间段：大流行前（2015年1月至2020年3月）和大流行（2020年4月至2021年7月）。
结果：在254例小儿创伤病例中，201发生在大流行前，和53在大流行期间。虽然总体创伤发生率仍然相似，大流行时期的伤害模式发生了转变。家庭跌倒增加，车辆事故减少，而故意的自我伤害和照顾者虐待显著上升。在大流行期间，归因于非意外伤害的严重创伤的发生率增加。
结论：这项研究揭示了创伤模式的变化，强调了解大流行期间社会影响的重要性。值得注意的是，故意自残和虐待照顾者的案件激增，呼应大流行期间其他研究中强调的全球关切。该研究强调，在未来的大流行期间，有必要先发制人地应对脆弱人群的生理和心理压力。
