{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T10:29:23Z","timestamp":1750933763037,"version":"3.40.5"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Investigation"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>Reported coronavirus disease 2019 (COVID\u201019) pandemic effects on pediatric trauma have been variable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We investigated the characteristics of pediatric trauma including alcohol use during the pandemic at our urban trauma center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The trauma database of our adult level 1 trauma center was queried for all pediatric (age \u2264 18 years) patients presenting between March 1, 2020, and October 30, 2020. Data from 2017 to 2019 served as a control. Variables analyzed included demographics, mechanisms, injury severity, hospitalization characteristics, and positive blood alcohol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pandemic pediatric trauma volumes increased by 67.5% (330\/year <jats:italic>vs<\/jats:italic>. 197\/year). Pandemic patients were younger (median age 13 <jats:italic>vs<\/jats:italic>. 14 years, <jats:italic>P<\/jats:italic> = 0.011), but similar in gender, ethnicity, severity, hospital length of stay, mortality, and rates of penetrating injury. Falls doubled (79\/year <jats:italic>vs<\/jats:italic>. 34\/year) and shifted away from high falls &gt;6\u202fmeters (0% <jats:italic>vs<\/jats:italic>. 7.9%) to moderate falls 1\u20136\u202fmeters (58.2% <jats:italic>vs<\/jats:italic>. 51.5%) (<jats:italic>P<\/jats:italic> = 0.028). Transportation injury rates were similar however mechanisms shifted from motor vehicle crashes (\u221213.5%) towards recreational vehicles including motorcycles (+2.1%), all\u2010terrain vehicles (+8.6%), and bicycles (+3.8%) (<jats:italic>P<\/jats:italic> = 0.018). Pediatric\u2010positive blood alcohol was significantly higher (11.2% <jats:italic>vs<\/jats:italic>. 5.1%, <jats:italic>P<\/jats:italic> &lt; 0.001), especially for ages 14\u201318 years (21.7% <jats:italic>vs<\/jats:italic>. 9.5%, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Pediatric trauma volumes during the COVID\u201019 pandemic increased. Pandemic patients had more recreational vehicle injuries and higher rates of positive blood alcohol. This suggests an increased need for alcohol assessment and targeted interventions in the pediatric population during pandemics or periods of school closures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ped4.12388","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T17:35:42Z","timestamp":1687973742000},"page":"225-232","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Kids gone wild \u2013 Alcohol use and patient characteristics in pediatric trauma during the coronavirus disease 2019 pandemic"],"prefix":"10.1002","volume":"7","author":[{"given":"Neesha S","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Acute Care Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett H","family":"Waibel","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Acute Care Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bennett J","family":"Berning","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Acute Care Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"WT Hillman","family":"Terzian","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Acute Care Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charity H","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Acute Care Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela M","family":"Hanna","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of General and Thoracic Pediatric Sugery Children's Hospital and Medical Center  Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9566-0009","authenticated-orcid":false,"given":"Mark E","family":"Hamill","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Acute Care Surgery University of Nebraska Medical Center Omaha Nebraska 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