Your browser doesn't support javascript.
The COVID-19 Pandemic: Effects on Pediatric Fracture Patterns in the Emergency Department and Subspecialty Follow-up Care.
Lapsa, Julianne; Bukola Badaki, Oluwakemi; Xu, Amy; Eaton, Cyd; Lee, R Jay; Ryan, Leticia.
  • Lapsa J; Division of Pediatric Emergency Medicine, Johns Hopkins University.
  • Bukola Badaki O; Division of Pediatric Emergency Medicine, Johns Hopkins University.
  • Xu A; Johns Hopkins University School of Medicine.
  • Eaton C; Biostatistics, Epidemiology, and Data Management, Johns Hopkins University.
  • Lee RJ; Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, MD.
  • Ryan L; Division of Pediatric Emergency Medicine, Johns Hopkins University.
J Pediatr Orthop ; 42(10): 582-588, 2022.
Article in English | MEDLINE | ID: covidwho-2082850
ABSTRACT

PURPOSE:

The COVID-19 pandemic affected pediatric fracture injury patterns and volume. There is a paucity of research evaluating this trend throughout the pandemic and also follow-up to orthopaedic subspecialty care after emergency fracture management.

METHODS:

This retrospective cohort study reviewed patients 2 to 18 years of age presenting for fracture care to an urban pediatric emergency department. We assessed patient demographics, clinical care, and follow-up to surgical subspecialist. Time periods investigated included March 30 to September 4, 2020 (pandemic), March 30 to September 4, 2019, and March 30 to September 4, 2018 (prepandemic). Subanalysis within the pandemic was during the "stay-at-home order" verses the phased re-opening of the state. Descriptive statistical analysis, Pearson's χ 2 or Fisher exact tests, and Mann-Whitney U tests were performed.

RESULTS:

In this population, fractures overall declined by 40% (n=211) during the pandemic compared with 2019 (n=349) and 28% compared with 2018 (n=292). Lower extremity fractures accounted for a greater percentage of injuries during the pandemic compared with prepandemic. Time to surgical subspecialty follow-up was shortest during the 2020 pandemic peak at 9 days and was significantly longer during phased reopening (phase 1 18 d, P =0.001; phase 2 14 d, P =0.005). These patterns were also consistent for days to repeat imaging.

CONCLUSIONS:

We found differences in fracture prevalence, mechanisms, and follow-up care during the pandemic. Time to subspecialty follow-up care was longer during pandemic phased reopening despite overall fewer fractures. Plans to absorb postponed visits and efficiently engage redeployed staff may be necessary to address difficulties in follow-up orthopaedic management during public health crises. LEVEL OF EVIDENCE Level II.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Fractures, Bone / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Child / Humans Language: English Journal: J Pediatr Orthop Year: 2022 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Fractures, Bone / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Child / Humans Language: English Journal: J Pediatr Orthop Year: 2022 Document Type: Article