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Adolescent Trauma During the COVID Pandemic: Just Like Adults, Children, or Someone Else?
Ruhi-Williams, Perisa; Yeates, Eric O; Grigorian, Areg; Schellenberg, Morgan; Owattanapanich, Natthida; Barmparas, Galinos; Margulies, Daniel; Juillard, Catherine; Garber, Kent; Cryer, Henry; Tillou, Areti; Burruss, Sigrid; Penaloza-Villalobos, Liz; Lin, Ann; Figueras, Ryan Arthur; Coimbra, Raul; Brenner, Megan; Costantini, Todd; Santorelli, Jarrett; Curry, Terry; Wintz, Diane; Biffl, Walter L; Schaffer, Kathryn B; Duncan, Thomas K; Barbaro, Casey; Diaz, Graal; Johnson, Arianne; Chinn, Justine; Naaseh, Ariana; Leung, Amanda; Grabar, Christina; Nahmias, Jeffry.
  • Ruhi-Williams P; Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
  • Yeates EO; Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
  • Grigorian A; Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
  • Schellenberg M; Department of Surgery, 23336University of Southern California (USC), Los Angeles, CA, USA.
  • Owattanapanich N; Department of Surgery, 23336University of Southern California (USC), Los Angeles, CA, USA.
  • Barmparas G; Department of Surgery, 23336University of Southern California (USC), Los Angeles, CA, USA.
  • Margulies D; Department of Surgery, 22494Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Juillard C; Department of Surgery, 22494Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Garber K; Department of Surgery, 8783University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Cryer H; Department of Surgery, 8783University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Tillou A; Department of Surgery, 8783University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Burruss S; Department of Surgery, 8783University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
  • Penaloza-Villalobos L; Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
  • Lin A; Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
  • Figueras RA; Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
  • Coimbra R; Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
  • Brenner M; Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
  • Costantini T; 472028Riverside University Health System Medical CenterUniversity, Moreno Valley, CA, USA.
  • Santorelli J; University of California, Riverside/Riverside University Health System Department of Surgery, Moreno Valley, CA, USA.
  • Curry T; Department of Surgery, 8784University of California, San Diego (UCSD), San Diego, CA, USA.
  • Wintz D; Department of Surgery, 8784University of California, San Diego (UCSD), San Diego, CA, USA.
  • Biffl WL; Department of Surgery, 8784University of California, San Diego (UCSD), San Diego, CA, USA.
  • Schaffer KB; Department of Surgery, 21380Sharp Memorial Hospital, San Diego, CA, USA.
  • Duncan TK; Trauma Department, 24146Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
  • Barbaro C; Trauma Department, 24146Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
  • Diaz G; Department of Surgery, 25352Ventura County Medical Center, Ventura, CA, USA.
  • Johnson A; Department of Surgery, 25352Ventura County Medical Center, Ventura, CA, USA.
  • Chinn J; Department of Surgery, 25352Ventura County Medical Center, Ventura, CA, USA.
  • Naaseh A; Cottage Health Research Institute, 22854Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.
  • Leung A; Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
  • Grabar C; Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
  • Nahmias J; Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
Am Surg ; 88(10): 2429-2435, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1854593
ABSTRACT
COVID-19 stay-at-home (SAH) orders were impactful on adolescence, when social interactions affect development. This has the potential to change adolescent trauma. A post-hoc multicenter retrospective analysis of adolescent (13-17 years-old) trauma patients (ATPs) at 11 trauma centers was performed. Patients were divided into 3 groups based on injury date historical control (CONTROL3/19/2019-6/30/2019, before SAH (PRE1/1/2020-3/18/2020), and after SAH (POST3/19/2020-6/30/2020). The POST group was compared to both PRE and CONTROL groups in separate analyses. 726 ATPs were identified across the 3 time periods. POST had a similar penetrating trauma rate compared to both PRE (15.8% vs 13.8%, P = .56) and CONTROL (15.8% vs 14.5%, P = .69). POST also had a similar rate of suicide attempts compared to both PRE (1.2% vs 1.5%, P = .83) and CONTROL (1.2% vs 2.1%, P = .43). However, POST had a higher rate of drug positivity compared to CONTROL (28.6% vs 20.6%, P = .032), but was similar in all other comparisons of alcohol and drugs to PRE and POST periods (all P > .05). Hence ATPs were affected differently than adults and children, as they had a similar rate of penetrating trauma, suicide attempts, and alcohol positivity after SAH orders. However, they had increased drug positivity compared to the CONTROL, but not PRE group.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds, Penetrating / Adverse Childhood Experiences / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Child / Humans Language: English Journal: Am Surg Year: 2022 Document Type: Article Affiliation country: 00031348221101475

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds, Penetrating / Adverse Childhood Experiences / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Child / Humans Language: English Journal: Am Surg Year: 2022 Document Type: Article Affiliation country: 00031348221101475