Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study
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 PICU...
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MDPI AG
2022-03-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/3/363 |
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| author | Nora Bruns Lea Y. Willemsen Katharina Holtkamp Oliver Kamp Marcel Dudda Bernd Kowall Andreas Stang Florian Hey Judith Blankenburg Hemmen Sabir Frank Eifinger Hans Fuchs Roland Haase Clemens Andrée Michael Heldmann Jenny Potratz Daniel Kurz Anja Schumann Merle Müller-Knapp Nadine Mand Claus Doerfel Peter Dahlem Tobias Rothoeft Manuel Ohlert Katrin Silkenbäumer Frank Dohle Fithri Indraswari Frank Niemann Peter Jahn Michael Merker Nicole Braun Francisco Brevis Nunez Matthias Engler Konrad Heimann Gerhard K. Wolf Dominik Wulf Saskia Hankel Holger Freymann Nicolas Allgaier Felix Knirsch Martin Dercks Julia Reinhard Marc Hoppenz Ursula Felderhoff-Müser Christian Dohna-Schwake |
| author_facet | Nora Bruns Lea Y. Willemsen Katharina Holtkamp Oliver Kamp Marcel Dudda Bernd Kowall Andreas Stang Florian Hey Judith Blankenburg Hemmen Sabir Frank Eifinger Hans Fuchs Roland Haase Clemens Andrée Michael Heldmann Jenny Potratz Daniel Kurz Anja Schumann Merle Müller-Knapp Nadine Mand Claus Doerfel Peter Dahlem Tobias Rothoeft Manuel Ohlert Katrin Silkenbäumer Frank Dohle Fithri Indraswari Frank Niemann Peter Jahn Michael Merker Nicole Braun Francisco Brevis Nunez Matthias Engler Konrad Heimann Gerhard K. Wolf Dominik Wulf Saskia Hankel Holger Freymann Nicolas Allgaier Felix Knirsch Martin Dercks Julia Reinhard Marc Hoppenz Ursula Felderhoff-Müser Christian Dohna-Schwake |
| author_sort | Nora Bruns |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T19:59:34Z |
| format | Article |
| id | doaj.art-027d9160167347539f8a757baf62b1cc |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T19:59:34Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-027d9160167347539f8a757baf62b1cc2023-11-24T00:47:04ZengMDPI AGChildren2227-90672022-03-019336310.3390/children9030363Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter StudyNora Bruns0Lea Y. Willemsen1Katharina Holtkamp2Oliver Kamp3Marcel Dudda4Bernd Kowall5Andreas Stang6Florian Hey7Judith Blankenburg8Hemmen Sabir9Frank Eifinger10Hans Fuchs11Roland Haase12Clemens Andrée13Michael Heldmann14Jenny Potratz15Daniel Kurz16Anja Schumann17Merle Müller-Knapp18Nadine Mand19Claus Doerfel20Peter Dahlem21Tobias Rothoeft22Manuel Ohlert23Katrin Silkenbäumer24Frank Dohle25Fithri Indraswari26Frank Niemann27Peter Jahn28Michael Merker29Nicole Braun30Francisco Brevis Nunez31Matthias Engler32Konrad Heimann33Gerhard K. Wolf34Dominik Wulf35Saskia Hankel36Holger Freymann37Nicolas Allgaier38Felix Knirsch39Martin Dercks40Julia Reinhard41Marc Hoppenz42Ursula Felderhoff-Müser43Christian Dohna-Schwake44Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyDepartment of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyDepartment of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyInstitute of Medical Informatics, Biometry and Epidemiology, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyInstitute of Medical Informatics, Biometry and Epidemiology, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyPediatric Clinic and Pediatric Polyclinic at the Dr. von Haunersches Children’s Hospital, Interdisciplinary Pediatric Intensive Care Unit—Pediatric Emergency Medicine, LMU Munich, 80337 Munich, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Dresden, University of Technology Dresden, 01307 Dresden, GermanyDepartment of Pediatrics, Neonatology and Pediatric Intensive Care Medicine, University Hospital Bonn, University of Bonn, 53127 Bonn, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Cologne, University of Cologne, 50937 Cologne, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Freiburg, University of Freiburg, 79106 Freiburg, GermanyDepartment of Pediatrics, Neonatology and Pediatric Intensive Care Medicine, University Hospital Halle, University of Halle, 06132 Halle, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Helios Hospital Krefeld, 47805 Krefeld, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Helios University Hospital Wuppertal, 42283 Wuppertal, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital, 48149 Münster, GermanyDepartment of Pediatrics 3, Pediatric Cardiology, Pediatric Intensive Care Medicine, Olgahospital Stuttgart, 70174 Stuttgart, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Schwarzwald-Baar Hospital Villingen-Schwenningen, 78052 Villingen-Schwenningen, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital, University of Rostock, 18057 Rostock, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital, Philipps University of Marburg, 35043 Marburg, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Jena, University of Jena, 07747 Jena, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Hospital Coburg, 96450 Coburg, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Catholic Hospital Bochum, Ruhr-University of Bochum, 44791 Bochum, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Community Hospital Koblenz, 56068 Koblenz, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Protestant Hospital Bethel, University of Bielefeld, 33615 Bielefeld, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, St. Vinzenz Hospital Paderborn, 33098 Paderborn, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Hospital Fulda, 36043 Fulda, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Bergmannsheil and Pediatric Hospital Buer, 45894 Gelsenkirchen, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Hospital Leverkusen GmbH, 51375 Leverkusen, GermanyDepartment for Children and Adolescents, Division for Stem Cell Transplantation, Immunology and Intensive Care Medicine, University Hospital Frankfurt, Goethe University, 60596 Frankfurt am Main, GermanyDepartment of Surgery III, Pediatric Surgery, Ernst von Bergmann Hospital of Potsdam, 14467 Potsdam, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospitals Duisburg, 47055 Duisburg, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospital Offenbach, 63069 Offenbach, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Hospital of Traunstein, Southeast Bavaria Hospitals, 83278 Traunstein, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Düsseldorf, Heinrich Heine University of Düsseldorf, 40225 Düsseldorf, GermanyDepartment of Pediatrics, Pediatric Surgery and Pediatric Intensive Care Medicine, Hospital of Dortmund, 44137 Dortmund, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Florence Nightingale Hospital, 40489 Düsseldorf, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Augsburg, University of Augsburg, 86156 Augsburg, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospital Remscheid, 42859 Remscheid, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Clemenshospital Münster, 48153 Münster, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Hospital Mittelbaden, 76532 Baden-Baden, GermanyDepartment of Pediatrics, Pediatric Intensive Care Medicine, Cologne Hospitals, Children’s Hospital Amsterdamer Str., 50735 Cologne, GermanyDepartment of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyDepartment of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, GermanyChildren’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.https://www.mdpi.com/2227-9067/9/3/363accidenttraumainjurylockdownpediatric intensive careCOVID |
| spellingShingle | Nora Bruns Lea Y. Willemsen Katharina Holtkamp Oliver Kamp Marcel Dudda Bernd Kowall Andreas Stang Florian Hey Judith Blankenburg Hemmen Sabir Frank Eifinger Hans Fuchs Roland Haase Clemens Andrée Michael Heldmann Jenny Potratz Daniel Kurz Anja Schumann Merle Müller-Knapp Nadine Mand Claus Doerfel Peter Dahlem Tobias Rothoeft Manuel Ohlert Katrin Silkenbäumer Frank Dohle Fithri Indraswari Frank Niemann Peter Jahn Michael Merker Nicole Braun Francisco Brevis Nunez Matthias Engler Konrad Heimann Gerhard K. Wolf Dominik Wulf Saskia Hankel Holger Freymann Nicolas Allgaier Felix Knirsch Martin Dercks Julia Reinhard Marc Hoppenz Ursula Felderhoff-Müser Christian Dohna-Schwake Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study Children accident trauma injury lockdown pediatric intensive care COVID |
| title | Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study |
| title_full | Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study |
| title_fullStr | Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study |
| title_full_unstemmed | Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study |
| title_short | Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study |
| title_sort | impact of the first covid lockdown on accident and injury related pediatric intensive care admissions in germany a multicenter study |
| topic | accident trauma injury lockdown pediatric intensive care COVID |
| url | https://www.mdpi.com/2227-9067/9/3/363 |
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