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dc.creatorMalige, Ajith
dc.creatorDeemer, Alexa
dc.creatorSobel, Andrew D.
dc.identifier.citationMalige, Ajith MD; Deemer, Alexa BS; Sobel, Andrew D. MD. The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study. JAAOS: Global Research and Reviews 6(2):e22.00012, February 2022. | DOI: 10.5435/JAAOSGlobal-D-22-00012
dc.description.abstractIntroduction: Stay-at-home orders and other social distancing restrictions had a profound effect on the lives of children during the pandemic. This study characterizes pediatric orthopaedic injuries and in-hospital outcomes during the COVID-19 pandemic and compares them with pre-COVID patterns. Methods: A retrospective review of pediatric patients presenting to hospitals with Pennsylvania Trauma Systems Foundation designations was performed. All patients younger than 18 years who presented with orthopaedic injuries were included. Patient demographics, injuries, hospital stays, and mortality were compared between the COVID and pre-COVID cohorts. Results: Overall, 1112 patients were included. During the pandemic, more injuries occurred at home (44.7% versus 54.9%, P = 0.01) and fewer at sporting areas, parks, and pools (7.8% versus 1.6%, P < 0.01) as well as at schools (3.4% versus 0.5%, P = 0.03). Injuries caused by child abuse were more prevalent during the pandemic (5.6% versus 11.0%, P < 0.01). Finally, the COVID cohort had a longer mean hospital length of stay (3.1 versus 2.4 days, P = 0.01), higher mean number of ICU days (1.0 versus 0.7 days, P = 0.02), and higher mortality rate (3.8% versus 1.3%, P = 0.02). Discussion: Pediatric patients sustained injuries in differing patterns during the pandemic, but these led to worse hospital outcomes, including higher mortality rates.
dc.format.extent11 pages
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartJournal of the AAOS: Global Research and Reviews, Vol. 6, No. 2
dc.relation.isreferencedbyLippincott, Williams & Wilkins
dc.rightsAttribution CC BY
dc.titleThe Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study
dc.type.genreJournal article
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact
dc.description.schoolcollegeLewis Katz School of Medicine
dc.temple.creatorDeemer, Alexa

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