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Article

COVID-19 Changed the Incidence and the Pattern of Pediatric Traumas: A Single-Centre Study in a Pediatric Emergency Department

1
Department of Orthopedics, Children’s Hospital Bambino Gesù, Palidoro, 00165 Rome, Italy
2
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 21 Via Álvaro del Portillo, 00128 Rome, Italy
3
Department of Emergency, Children’s Hospital Bambino Gesù, Palidoro, 00165 Rome, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Russell S. Kirby and Maria Esposito
Int. J. Environ. Res. Public Health 2021, 18(12), 6573; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126573
Received: 21 March 2021 / Revised: 3 May 2021 / Accepted: 16 June 2021 / Published: 18 June 2021
(This article belongs to the Special Issue The Burden of Orthopedic Surgery)
The first wave of COVID-19 spread worldwide from March to May 2020. Italy was one of the countries in the world where the lockdown period was most prolonged and restrictive. To date, the impact of prolonged lockdown on pediatric traumas has not fully investigated. This paper aimed to analyze, and compare to 2019, the incidence and the fracture pattern in patients admitted to our pediatric hospital during the total lockdown period. A single-center retrospective study was performed. The data were gathered from the Pediatric Emergency Department (PED) of the Bambino Gesù Children Hospital of Rome (Palidoro). This PED is the pediatric referral center for Rome and the hub for pediatric traumas of the region. Any admission diagnosis for fracture, trauma, sprains and dislocation during the lockdown period (10 March–4 May) were included. The demographic data, diagnosis, type of treatment, fracture segment, bone involvement and time interval between trauma and presentation to the PED were recorded. In 2020, a reduction of total traumas and fractures, compared to 2019 (p < 0.001), occurred (81%). Superior limb and inferior limb fractures decreased in 2020 compared to 2019 (p < 0.05). The identification of pediatric traumas and fractures trend could be useful to reorganize the PED. Epidemiological data from the previous lockdown could be helpful to prepare the healthcare system for new pandemic waves. Moreover, sharing national statistics and correlating those to other countries’ protocols, could be helpful to solve problems in case of worldwide emergency situations. View Full-Text
Keywords: COVID 19; epidemiology; pediatric; trauma; fracture; children; lockdown COVID 19; epidemiology; pediatric; trauma; fracture; children; lockdown
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MDPI and ACS Style

Ruzzini, L.; De Salvatore, S.; Lamberti, D.; Maglione, P.; Piergentili, I.; Crea, F.; Ossella, C.; Costici, P.F. COVID-19 Changed the Incidence and the Pattern of Pediatric Traumas: A Single-Centre Study in a Pediatric Emergency Department. Int. J. Environ. Res. Public Health 2021, 18, 6573. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126573

AMA Style

Ruzzini L, De Salvatore S, Lamberti D, Maglione P, Piergentili I, Crea F, Ossella C, Costici PF. COVID-19 Changed the Incidence and the Pattern of Pediatric Traumas: A Single-Centre Study in a Pediatric Emergency Department. International Journal of Environmental Research and Public Health. 2021; 18(12):6573. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126573

Chicago/Turabian Style

Ruzzini, Laura, Sergio De Salvatore, Daniela Lamberti, Pierluigi Maglione, Ilaria Piergentili, Francesca Crea, Chiara Ossella, and Pier F. Costici 2021. "COVID-19 Changed the Incidence and the Pattern of Pediatric Traumas: A Single-Centre Study in a Pediatric Emergency Department" International Journal of Environmental Research and Public Health 18, no. 12: 6573. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126573

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