TY  - JOUR
A1  - Bruns, Nora
A1  - Willemsen, Lea Y
A1  - Holtkamp, Katharina
A1  - Kamp, Oliver
A1  - Dudda, Marcel
A1  - Kowall, Bernd
A1  - Stang, Andreas
A1  - Hey, Florian
A1  - Blankenburg, Judith
A1  - Sabir, Hemmen
A1  - Eifinger, Frank
A1  - Fuchs, Hans
A1  - Haase, Roland
A1  - Andrée, Clemens
A1  - Heldmann, Michael
A1  - Potratz, Jenny Charlotte
A1  - Kurz, Daniel
A1  - Schumann, Anja
A1  - Müller-Knapp, Merle
A1  - Mand, Nadine
A1  - Doerfel, Claus
A1  - Dahlem, Peter
A1  - Rothoeft, Tobias
A1  - Ohlert, Manuel
A1  - Silkenbäumer, Katrin
A1  - Dohle, Frank
A1  - Indraswari, Fithri
A1  - Niemann, Frank
A1  - Jahn, Peter
A1  - Merker, Michael
A1  - Braun, Nicole
A1  - Nunez, Francisco Brevis
A1  - Engler, Matthias
A1  - Heimann, Konrad
A1  - Wolf, Gerhard K
A1  - Wulf, Dominik
A1  - Hankel, Saskia
A1  - Freymann, Holger
A1  - Allgaier, Nicolas
A1  - Knirsch, Felix
A1  - Dercks, Martin
A1  - Reinhard, Julia
A1  - Hoppenz, Marc
A1  - Felderhoff-Müser, Ursula
A1  - Dohna-Schwake, Christian
T1  - Impact of the first COVID lockdown on accident- and injury-related pediatric intensive care admissions in Germany - A multicenter study
T2  - Children
N2  - 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.
KW  - COVID
KW  - accident
KW  - injury
KW  - lockdown
KW  - pediatric intensive care
KW  - trauma
Y1  - 2022
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/82824
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-828247
SN  - 2227-9067
N1  - Funding Information: The study received funding from the Stiftung Universitätsmedizin Essen. N.B. (Nora Bruns) received funding from the Medical Faculty of the University of Duisburg-Essen (IFORES program) and from the Stiftung Universitätsmedizin Essen.
VL  - 9
IS  - 3, art. 363
SP  - 1
EP  - 13
PB  - MDPI
CY  - Basel
ER  -