Incidence of pediatric injury visits decreased while trauma surgeries remained stable during the first and second waves of the COVID-19 pandemic in Finland:a register-based study

作     者：Joonas Kuorikoski Ilari Kuitunen Mikko Uimonen Ville M Mattila Ville Ponkilainen Joonas Kuorikoski;Ilari Kuitunen;Mikko Uimonen;Ville M Mattila;Ville Ponkilainen

作者机构：Department of SurgeryCentral Finland Central HospitalJyvaskylaFinland Department of PediatricsMikkeli Central HospitalMikkeliFinland Department of PediatricsUniversity of Eastern FinlandMikkeliFinland Department of Orthopaedics and TraumatologyTampere University HospitalTampereFinland Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland 

出 版 物：《World Journal of Pediatric Surgery》 (世界小儿外科杂志（英文）)

年 卷 期：2021年第4卷第4期

页      面：47-51页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：injuries pediatric markedly 

摘      要：Introduction The COVID-19 pandemic has reduced pediatric emergency department(ED)visits and *** study evaluates the incidence of pediatric trauma ED visits and surgeries in Finland during the first and second waves of the *** Three large Finnish hospitals,covering one-sixth of the Finnish pediatric population,*** on all ED visits and trauma surgeries between January 2017 and December 2020 were collected from hospital discharge *** incidences with 95%CI were calculated per 100000 person-months by Poisson exact method and compared by incidence rate ratio(IRR).Results During the lockdown the incidence of head injuries(IRR 0.19,95%CI 0.04 to 0.87),sprains(IRR 0.25,95%CI 0.14 to 0.46),and fractures(IRR 0.36,95%CI 0.25 to 0.51)decreased in the 13-17 years age *** the 4-12 years age group a 55%decrease(IRR 0.45,95%CI 0.22 to 0.96)in head injuries was *** the period of regional restrictions a subtle decrease in head injuries was seen in the 13-17 years age group(IRR 0.26,95%CI 0.09 to 0.78).During the lockdown in March 2020 the incidence of fractures decreased in the oldest age group(13-17 years)(IRR 0.62,95%CI 0.46 to 0.85),while a rebound in incidence was seen at the end of the lockdown period in *** The nationwide lockdown and the cancellation of sports and other hobbies markedly decreased the injuries among children aged 13-17 years,while the decrease was lower among children aged 4-12 *** of sports and hobbies did not affect patients under 4 years of age.