Children (Mar 2022)
Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany—A Multicenter Study
- 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
Affiliations
- Nora Bruns
- Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Lea Y. Willemsen
- Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Katharina Holtkamp
- Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Oliver Kamp
- Department of Trauma, Hand and Reconstructive Surgery, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Marcel Dudda
- Department of Trauma, Hand and Reconstructive Surgery, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Bernd Kowall
- Institute of Medical Informatics, Biometry and Epidemiology, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Andreas Stang
- Institute of Medical Informatics, Biometry and Epidemiology, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Florian Hey
- Pediatric Clinic and Pediatric Polyclinic at the Dr. von Haunersches Children’s Hospital, Interdisciplinary Pediatric Intensive Care Unit—Pediatric Emergency Medicine, LMU Munich, 80337 Munich, Germany
- Judith Blankenburg
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Dresden, University of Technology Dresden, 01307 Dresden, Germany
- Hemmen Sabir
- Department of Pediatrics, Neonatology and Pediatric Intensive Care Medicine, University Hospital Bonn, University of Bonn, 53127 Bonn, Germany
- Frank Eifinger
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Cologne, University of Cologne, 50937 Cologne, Germany
- Hans Fuchs
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Freiburg, University of Freiburg, 79106 Freiburg, Germany
- Roland Haase
- Department of Pediatrics, Neonatology and Pediatric Intensive Care Medicine, University Hospital Halle, University of Halle, 06132 Halle, Germany
- Clemens Andrée
- Department of Pediatrics, Pediatric Intensive Care Medicine, Helios Hospital Krefeld, 47805 Krefeld, Germany
- Michael Heldmann
- Department of Pediatrics, Pediatric Intensive Care Medicine, Helios University Hospital Wuppertal, 42283 Wuppertal, Germany
- Jenny Potratz
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital, 48149 Münster, Germany
- Daniel Kurz
- Department of Pediatrics 3, Pediatric Cardiology, Pediatric Intensive Care Medicine, Olgahospital Stuttgart, 70174 Stuttgart, Germany
- Anja Schumann
- Department of Pediatrics, Pediatric Intensive Care Medicine, Schwarzwald-Baar Hospital Villingen-Schwenningen, 78052 Villingen-Schwenningen, Germany
- Merle Müller-Knapp
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital, University of Rostock, 18057 Rostock, Germany
- Nadine Mand
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital, Philipps University of Marburg, 35043 Marburg, Germany
- Claus Doerfel
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Jena, University of Jena, 07747 Jena, Germany
- Peter Dahlem
- Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital Coburg, 96450 Coburg, Germany
- Tobias Rothoeft
- Department of Pediatrics, Pediatric Intensive Care Medicine, Catholic Hospital Bochum, Ruhr-University of Bochum, 44791 Bochum, Germany
- Manuel Ohlert
- Department of Pediatrics, Pediatric Intensive Care Medicine, Community Hospital Koblenz, 56068 Koblenz, Germany
- Katrin Silkenbäumer
- Department of Pediatrics, Pediatric Intensive Care Medicine, Protestant Hospital Bethel, University of Bielefeld, 33615 Bielefeld, Germany
- Frank Dohle
- Department of Pediatrics, Pediatric Intensive Care Medicine, St. Vinzenz Hospital Paderborn, 33098 Paderborn, Germany
- Fithri Indraswari
- Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital Fulda, 36043 Fulda, Germany
- Frank Niemann
- Department of Pediatrics, Pediatric Intensive Care Medicine, Bergmannsheil and Pediatric Hospital Buer, 45894 Gelsenkirchen, Germany
- Peter Jahn
- Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital Leverkusen GmbH, 51375 Leverkusen, Germany
- Michael Merker
- Department for Children and Adolescents, Division for Stem Cell Transplantation, Immunology and Intensive Care Medicine, University Hospital Frankfurt, Goethe University, 60596 Frankfurt am Main, Germany
- Nicole Braun
- Department of Surgery III, Pediatric Surgery, Ernst von Bergmann Hospital of Potsdam, 14467 Potsdam, Germany
- Francisco Brevis Nunez
- Department of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospitals Duisburg, 47055 Duisburg, Germany
- Matthias Engler
- Department of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospital Offenbach, 63069 Offenbach, Germany
- Konrad Heimann
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany
- Gerhard K. Wolf
- Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital of Traunstein, Southeast Bavaria Hospitals, 83278 Traunstein, Germany
- Dominik Wulf
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Düsseldorf, Heinrich Heine University of Düsseldorf, 40225 Düsseldorf, Germany
- Saskia Hankel
- Department of Pediatrics, Pediatric Surgery and Pediatric Intensive Care Medicine, Hospital of Dortmund, 44137 Dortmund, Germany
- Holger Freymann
- Department of Pediatrics, Pediatric Intensive Care Medicine, Florence Nightingale Hospital, 40489 Düsseldorf, Germany
- Nicolas Allgaier
- Department of Pediatrics, Pediatric Intensive Care Medicine, University Hospital Augsburg, University of Augsburg, 86156 Augsburg, Germany
- Felix Knirsch
- Department of Pediatrics, Pediatric Intensive Care Medicine, Sana Hospital Remscheid, 42859 Remscheid, Germany
- Martin Dercks
- Department of Pediatrics, Pediatric Intensive Care Medicine, Clemenshospital Münster, 48153 Münster, Germany
- Julia Reinhard
- Department of Pediatrics, Pediatric Intensive Care Medicine, Hospital Mittelbaden, 76532 Baden-Baden, Germany
- Marc Hoppenz
- Department of Pediatrics, Pediatric Intensive Care Medicine, Cologne Hospitals, Children’s Hospital Amsterdamer Str., 50735 Cologne, Germany
- Ursula Felderhoff-Müser
- Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- Christian Dohna-Schwake
- Department of Pediatrics I, Pediatric Intensive Care Medicine, University Medicine Essen, University of Duisburg-Essen, 45147 Essen, Germany
- DOI
- https://doi.org/10.3390/children9030363
- Journal volume & issue
-
Vol. 9,
no. 3
p. 363
Abstract
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.
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