Carl F Weems, Bethany H McCurdy, Mikaela D Scozzafava
Toward a Developmental Model of Continuity and Change in PTSD Symptoms following Exposure to Traumatic and Adverse Experiences
Journal of child & adolescent trauma
previous literature shown decreases pediatric trauma covid19 outbreak analyzed beyond peak pandemic study assesses epidemiology pediatric trauma cases highvolume teaching hospital new york city height covid19 pandemic institutional data pediatric trauma orthopedic cases january 1 2018 november 30 2021 extracted following time frames studied 1 april 1june 22 2018 2019 prepandemic 2 april 1june 22 2020 peak pandemic 3 april 1june 22 2021 postpeak pandemic inferential statistics used compare patient trauma characteristics compared prepandemic cohort n 6770 peak pandemic cohort n 828 greater proportion fractures p 001 significantly decreased overall traumas per week rate p 001 fractures per week rate p 001 decreased trauma p 001 fracture rates p 001 persisted postpeak pandemic cohort n 2509 spatial analysis identified zip code clusters throughout new york city higher rates emergency department presentation peak pandemic compared prepandemic areas aligned lowerincome neighborhoods peak pandemic overall trauma fracture volumes decreased types prevalent injuries changed neighborhoods different economic resources variably impacted trends mostly persisted 12 months postpeak pandemic longitudinal analysis helps inform improve longterm critical care public health resource allocation future level iii