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Citation |
Ruhi-Williams P, Yeates EO, Grigorian A, Schellenberg M, Owattanapanich N, Barmparas G, Margulies D, Juillard C, Garber K, Cryer H, Tillou A, Burruss S, Penaloza-Villalobos L, Lin A, Figueras RA, Coimbra R, Brenner M, Costantini T, Santorelli J, Curry T, Wintz D, Biffl WL, Schaffer KB, Duncan TK, Barbaro C, Diaz G, Johnson A, Chinn J, Naaseh A, Leung A, Grabar C, Nahmias J. Am. Surg. 2022; 88(10): 2429-2435. |
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Copyright |
(Copyright © 2022, Southeastern Surgical Congress) |
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DOI |
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PMID |
35583103 |
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PMCID |
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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 (CONTROL:3/19/2019-6/30/2019, before SAH (PRE:1/1/2020-3/18/2020), and after SAH (POST:3/19/2020-6/30/2020). 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. Language: en |
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Keywords |
Humans; adolescent; Child; Adult; Adolescent; COVID-19; trauma; Retrospective Studies; pandemic; Trauma Centers; Pandemics; *COVID-19/epidemiology; *Adverse Childhood Experiences; *Wounds, Penetrating |