{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:57:18Z","timestamp":1784591838595,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The COVID\u201019 pandemic drastically altered human behaviour and socialisation and may have created an environment that could lead to increased incidence of domestic abuse and non\u2010accidental trauma, or child physical abuse (CPA). Initial reports about the effect of the COVID\u201019 pandemic on the rates of CPA have been mixed. The purpose of this study is to describe the effects of COVID\u201019 on rates of CPA in a large metropolitan paediatric hospital and level I paediatric trauma centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified and compared all CPA admissions under 18\u2009years from May 2019 to February 2020 and considered that to be the pre\u2010COVID time frame. The ensuing 12\u2010month period of March 2020 to February 2021 was considered to be the intra\u2010COVID time frame.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 49 (0.32%) unique CPA patients pre\u2010COVID and 83 (0.85%) unique CPA patients intra\u2010COVID (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) with lower total admissions for any reason during the intra\u2010COVID time frame. Monthly CPA cases were increased (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.03) during the intra\u2010COVID time period (mean 6.9, 95% confidence interval: 5.8\u201312.7) compared to the pre\u2010COVID time period (mean 4.9, 95% confidence interval: 3.3\u20138.2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the COVID\u201019 pandemic, there were decreased overall hospital admissions in the period of mandated shutdowns and isolation. However, we saw an increased rate of CPA admissions compared to the time period prior to the pandemic. Knowledge of such data, trends and circumstances will help keep health\u2010care providers alert and vigilant in identifying children at risk for maltreatment, and may impact child abuse protocols and guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16468","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T07:36:07Z","timestamp":1689579367000},"page":"1129-1134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Child traumatic physical abuse rates and comparisons during the <scp>COVID<\/scp>\u201019 pandemic: Retrospective paediatric single institution review in Texas"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3411-2452","authenticated-orcid":false,"given":"Ekene U","family":"Ezeokoli","sequence":"first","affiliation":[{"name":"Division of Pediatric Orthopedic Surgery Texas Children's Hospital  Houston Texas United States"},{"name":"Department of Orthopedic Surgery Baylor College of Medicine  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1453-8314","authenticated-orcid":false,"given":"Lon Kai","family":"Pang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Baylor College of Medicine  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel G","family":"Loyd","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Baylor College of Medicine  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7700-8009","authenticated-orcid":false,"given":"Neritan","family":"Borici","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopedic Surgery Texas Children's Hospital  Houston Texas United States"},{"name":"Department of Orthopedic Surgery Baylor College of Medicine  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8295-4152","authenticated-orcid":false,"given":"Angela","family":"Bachim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Public Health Pediatrics Baylor College of Medicine, Texas Children's Hospital  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam M","family":"Vogel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery Texas Children's Hospital and Baylor College of Medicine  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5384-7123","authenticated-orcid":false,"given":"Scott B","family":"Rosenfeld","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopedic Surgery Texas Children's Hospital  Houston Texas United States"},{"name":"Department of Orthopedic Surgery Baylor College of Medicine  Houston Texas United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2020.104756"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2021.105299"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319872"},{"key":"e_1_2_7_5_1","first-page":"1","article-title":"COVID\u201019: The impact on pediatric emergency care","volume":"17","author":"Walker DM","year":"2020","journal-title":"Pediatr. 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