Bruns, Nora ORCID: 0000-0003-3809-1887, Willemsen, Lea Y., Holtkamp, Katharina, Kamp, Oliver, Dudda, Marcel ORCID: 0000-0001-6641-5506, Kowall, Bernd, Stang, Andreas, Hey, Florian, Blankenburg, Judith ORCID: 0000-0002-1029-5215, Sabir, Hemmen, Eifinger, Frank ORCID: 0000-0003-1758-6039, Fuchs, Hans ORCID: 0000-0003-1303-3699, Haase, Roland, Andree, Clemens, Heldmann, Michael, Potratz, Jenny, Kurz, Daniel, Schumann, Anja, Mueller-Knapp, Merle, Mand, Nadine ORCID: 0000-0001-5973-3311, Doerfel, Claus, Dahlem, Peter, Rothoeft, Tobias, Ohlert, Manuel, Silkenbaeumer, Katrin, Dohle, Frank, Indraswari, Fithri, Niemann, Frank, Jahn, Peter ORCID: 0000-0003-1814-6836, Merker, Michael ORCID: 0000-0002-6295-1309, Braun, Nicole, Nunez, Francisco Brevis, Engler, Matthias, Heimann, Konrad, Wolf, Gerhard K., Wulf, Dominik, Hankel, Saskia, Freymann, Holger ORCID: 0000-0001-5932-8666, Allgaier, Nicolas, Knirsch, Felix, Dercks, Martin, Reinhard, Julia, Hoppenz, Marc, Felderhoff-Mueser, Ursula and Dohna-Schwake, Christian (2022). Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany-A Multicenter Study. Children-Basel, 9 (3). BASEL: MDPI. ISSN 2227-9067

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Abstract

Children's and adolescents' lives drastically changed during COVID lockdowns worldwide. To compare accident- and injury-related admissions to pediatric intensive care units (PICU) during the first German COVID lockdown with previous years, we conducted a retrospective multicenter study among 37 PICUs (21.5% of German PICU capacities). A total of 1444 admissions after accidents or injuries during the first lockdown period and matched periods of 2017-2019 were reported and standardized morbidity ratios (SMR) were calculated. Total PICU admissions due to accidents/injuries declined from an average of 366 to 346 (SMR 0.95 (CI 0.85-1.05)). Admissions with trauma increased from 196 to 212 (1.07 (0.93-1.23). Traffic accidents and school/kindergarten accidents decreased (0.77 (0.57-1.02 and 0.26 (0.05-0.75)), whereas household and leisure accidents increased (1.33 (1.06-1.66) and 1.34 (1.06-1.67)). Less neurosurgeries and more visceral surgeries were performed (0.69 (0.38-1.16) and 2.09 (1.19-3.39)). Non-accidental non-suicidal injuries declined (0.73 (0.42-1.17)). Suicide attempts increased in adolescent boys (1.38 (0.51-3.02)), but decreased in adolescent girls (0.56 (0.32-0.79)). In summary, changed trauma mechanisms entailed different surgeries compared to previous years. We found no evidence for an increase in child abuse cases requiring intensive care. The increase in suicide attempts among boys demands investigation.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bruns, NoraUNSPECIFIEDorcid.org/0000-0003-3809-1887UNSPECIFIED
Willemsen, Lea Y.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Holtkamp, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kamp, OliverUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dudda, MarcelUNSPECIFIEDorcid.org/0000-0001-6641-5506UNSPECIFIED
Kowall, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stang, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hey, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blankenburg, JudithUNSPECIFIEDorcid.org/0000-0002-1029-5215UNSPECIFIED
Sabir, HemmenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eifinger, FrankUNSPECIFIEDorcid.org/0000-0003-1758-6039UNSPECIFIED
Fuchs, HansUNSPECIFIEDorcid.org/0000-0003-1303-3699UNSPECIFIED
Haase, RolandUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andree, ClemensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heldmann, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Potratz, JennyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kurz, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schumann, AnjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller-Knapp, MerleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mand, NadineUNSPECIFIEDorcid.org/0000-0001-5973-3311UNSPECIFIED
Doerfel, ClausUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dahlem, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rothoeft, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ohlert, ManuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Silkenbaeumer, KatrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dohle, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Indraswari, FithriUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Niemann, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jahn, PeterUNSPECIFIEDorcid.org/0000-0003-1814-6836UNSPECIFIED
Merker, MichaelUNSPECIFIEDorcid.org/0000-0002-6295-1309UNSPECIFIED
Braun, NicoleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nunez, Francisco BrevisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Engler, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heimann, KonradUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolf, Gerhard K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wulf, DominikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hankel, SaskiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freymann, HolgerUNSPECIFIEDorcid.org/0000-0001-5932-8666UNSPECIFIED
Allgaier, NicolasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Knirsch, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dercks, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reinhard, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoppenz, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Felderhoff-Mueser, UrsulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dohna-Schwake, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698097
DOI: 10.3390/children9030363
Journal or Publication Title: Children-Basel
Volume: 9
Number: 3
Date: 2022
Publisher: MDPI
Place of Publication: BASEL
ISSN: 2227-9067
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CHILDRENMultiple languages
PediatricsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69809

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