{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:57:17Z","timestamp":1784591837622,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T00:00:00Z","timestamp":1637020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Impact of social distancing on pediatric injuries is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively compared injury visits to a pediatric emergency department by individuals \u226421\u00a0years during \u201cStay at Home\u201d (SHO) period to the same period in 2019 (non-SHO). Demographics, types, and outcomes of injuries were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although, there was a 35.6% reduction in trauma-related emergency department visits during SHO period (1226 vs 1904), the proportion of injury visits increased (15.5% vs 8.1%, P &lt; .001) and mean age was lower (5.8\u00a0yrs \u00b14.5 vs 8.4\u00a0yrs \u00b1 5.2, P &lt; .001). There were significant increases in visits related to child physical abuse (CPA), firearms, and dog bites. Further, significant increases in trauma alerts ( P &lt; .01), injury severity ( P &lt; .01), critical care admissions ( P &lt; .001), and deaths ( P &lt; .01) occurred during the SHO period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although overall trauma-related visits decreased during SHO, the proportion of these visits and their severity increased. Trauma visits related to child physical abuse, dog bites, and firearms increased. Further studies are required to assess the long-term impact of pandemic on pediatric trauma epidemiology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211047497","type":"journal-article","created":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T23:05:41Z","timestamp":1637103941000},"page":"4262-4270","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Trauma Visits to a Pediatric Emergency Department During the COVID-19 Quarantine and \u201cStay at Home\u201d Period"],"prefix":"10.1177","volume":"89","author":[{"given":"Usha","family":"Sethuraman","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children\u2019s Hospital of Michigan, Detroit, MI, USA"},{"name":"Department of Pediatrics, Central Michigan University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirupama","family":"Kannikeswaran","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children\u2019s Hospital of Michigan, Detroit, MI, USA"},{"name":"Department of Pediatrics, Central Michigan University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Singer","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children\u2019s Hospital of Michigan, Detroit, MI, USA"},{"name":"Department of Pediatrics, Central Michigan University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn B","family":"Krouse","sequence":"additional","affiliation":[{"name":"Children's Hospital of Michigan, Trauma Program, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Cloutier","sequence":"additional","affiliation":[{"name":"Children's Hospital of Michigan, Trauma Program, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Farooqi","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children\u2019s Hospital of Michigan, Detroit, MI, USA"},{"name":"Department of Pediatrics, Central Michigan University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Donoghue","sequence":"additional","affiliation":[{"name":"Children's Hospital of Michigan, Trauma Program, MI, USA"},{"name":"Wayne State University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curt","family":"Stankovic","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children\u2019s Hospital of Michigan, Detroit, MI, USA"},{"name":"Department of Pediatrics, Central Michigan University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"key":"bibr1-00031348211047497","doi-asserted-by":"publisher","DOI":"10.1097\/01.FCH.0000347986.44810.59"},{"key":"bibr2-00031348211047497","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.04.014"},{"key":"bibr3-00031348211047497","volume-title":"Administration on Children and Families, Administration on Children Youth and Families, Children\u2019s Bureau","author":"U.S. Department of Health &amp; 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