{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:56:07Z","timestamp":1777938967293,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>The coronavirus outbreak significantly changed the need of healthcare services. We hypothesized that the COVID-19 pandemic decreased the frequency of pediatric fracture operations. We also hypothesized that the frequency of emergency pediatric surgical operations decreased as well, as a result of patient-related reasons, such as neglecting or underestimating the symptoms, to avoid hospital admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Nationwide data were individually collected and analyzed in all five tertiary pediatric surgical\/trauma centers in Finland. Operations related to fractures, appendicitis, and acute scrotum in children aged above 16\u2009years between March 1 and May 31 from 2017 to 2020 were identified. The monthly frequencies of operations and type of traumas were compared between prepandemic 3\u2009years and 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Altogether, 1755 patients were identified in five tertiary hospitals who had an emergency operation during the investigation period. There was a significant decrease (31%, p\u2009=\u20090.03) in trauma operations. It was mostly due to reduction in lower limb trauma operations (32%, p\u2009=\u20090.006). Daycare, school, and organized sports\u2013related injuries decreased significantly during the pandemic. These reductions were observed in March and in April. The frequencies of appendectomies and scrotal explorations remained constant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>According to the postulation, a great decrease in the need of trauma operations was observed during the peak of COVID-19 pandemic. In the future, in case similar public restrictions are ordered, the spared resources could be deployed to other clinical areas. However, the need of pediatric surgical emergencies held stable during the COVID-19 restrictions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496920968014","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T03:53:52Z","timestamp":1603684432000},"page":"254-257","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Reduced Number of Pediatric Orthopedic Trauma Requiring Operative Treatment during COVID-19 Restrictions: A Nationwide Cohort Study"],"prefix":"10.1177","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9114-2204","authenticated-orcid":false,"given":"A.","family":"Raitio","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, University of Turku, Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ahonen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, Helsinki Children\u2019s Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"J\u00e4\u00e4skel\u00e4","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, Oulu University Hospital and PEDEGO Research Unit, University of Oulu, Oulu, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Jalkanen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Kuopio University Hospital, Kuopio, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. T.","family":"Luoto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Haara","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, Helsinki Children\u2019s Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Nietosvaara","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Kuopio University Hospital, Kuopio, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Salonen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Pakkasj\u00e4rvi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, University of Turku, Turku University Hospital, Turku, Finland"},{"name":"Department of Pediatric Surgery and Orthopedics, Helsinki Children\u2019s Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Laaksonen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, Helsinki Children\u2019s Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. J.","family":"Sinikumpu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, Oulu University Hospital and PEDEGO Research Unit, University of Oulu, Oulu, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Syv\u00e4nen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, University of Turku, Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"bibr1-1457496920968014","unstructured":"WHO: WHO Director-General\u2019s opening remarks at the media briefing on COVID-19, https:\/\/www.who.int\/dg\/speeches\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19\u201411-march-2020 (2020, accessed 6 June 2020)."},{"key":"bibr2-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-05979-7"},{"key":"bibr3-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30567-5"},{"key":"bibr4-1457496920968014","unstructured":"Valtioneuvosto: Finnish Government, https:\/\/valtioneuvosto.fi\/en (accessed 14 May 2020)."},{"issue":"6","key":"bibr5-1457496920968014","first-page":"e0231","volume":"140","author":"Devulapalli CS","year":"2020","journal-title":"Tidsskr Nor Laegeforen"},{"issue":"1513","key":"bibr6-1457496920968014","first-page":"81","volume":"133","author":"Christey G","year":"2020","journal-title":"N Z Med J"},{"key":"bibr7-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001600"},{"key":"bibr8-1457496920968014","unstructured":"WHO: Coronavirus Disease (COVID-19) Dashboard, https:\/\/covid19.who.int\/ (accessed 26 June 2020)."},{"key":"bibr9-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.120.006631"},{"key":"bibr10-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30108-5"},{"key":"bibr11-1457496920968014","doi-asserted-by":"publisher","DOI":"10.7326\/M20-1133"},{"key":"bibr12-1457496920968014","unstructured":"THL: Coronavirus COVID-19\u2014Latest Updates\u2014Finnish Institute for Health and Welfare, https:\/\/thl.fi\/en\/web\/infectious-diseases\/what-s-new\/coronavirus-covid-19-latest-updates (2020, accessed 10 June 2020)."},{"key":"bibr13-1457496920968014","doi-asserted-by":"publisher","DOI":"10.3109\/17453671003628780"},{"key":"bibr14-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000595"},{"key":"bibr15-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-018-0478-9"},{"key":"bibr16-1457496920968014","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-013-0061-x"},{"key":"bibr17-1457496920968014","unstructured":"Ilmatieteenlaitos. 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