{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:25:28Z","timestamp":1781583928955,"version":"3.54.5"},"reference-count":49,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To describe the epidemiology of pediatric injury-related visits to children\u2019s hospital emergency departments (EDs) in the United States during early and later periods of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We conducted a cross-sectional study using the Pediatric Health Information System, an administrative database to identify injury-related ED visits at 41 United States children\u2019s hospitals during the SARS-CoV-2 pandemic period (March 15, 2020 to March 14, 2021) and a 3 year comparator period (March 15\u2013March 14, 2017\u20132020). For these 2 periods, we compared patient characteristics, injury type and severity, primary discharge diagnoses, and disposition, stratified by early (March 15, 2020 to June 30, 2020), middle (July 1, 2020 to October 31, 2020), and late (November 1, 2020 to March 14, 2021) pandemic periods.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Overall, ED injury-related visits decreased by 26.6% during the first year of the SARS-CoV-2 pandemic, with the largest decline observed in minor injuries. ED injury-related visits resulting in serious\u2013critical injuries increased across the pandemic (15.9% early, 4.9% middle, 20.6% late). Injury patterns with the sharpest relative declines included superficial injuries (41.7% early) and sprains\/strains (62.4% early). Mechanisms of injury with the greatest relative increases included (1) firearms (22.9% early; 42.8% middle; 37% late), (2) pedal cyclists (60.4%; 24.9%; 32.2%), (3) other transportation (20.8%; 25.3%; 17.9%), and (4) suffocation\/asphyxiation (21.4%; 20.2%; 28.4%) and injuries because of suicide intent (\u221216.2%, 19.9%, 21.8%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Pediatric injury-related ED visits declined in general. However, there was a relative increase in injuries with the highest severity, which warrants further investigation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2021-054545","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T04:08:00Z","timestamp":1657858080000},"source":"Crossref","is-referenced-by-count":20,"title":["Injury-Related Pediatric Emergency Department Visits in the First Year of COVID-19"],"prefix":"10.1542","volume":"150","author":[{"given":"Jordee M.","family":"Wells","sequence":"first","affiliation":[{"name":"aDepartment of Pediatrics, Division of Emergency Medicine, Nationwide Children\u2019s Hospital, The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Rodean","sequence":"additional","affiliation":[{"name":"bChildren\u2019s Hospital Association, Lenexa, Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Cook","sequence":"additional","affiliation":[{"name":"cDepartment of Pediatrics, School of Medicine, The University of Utah, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion R.","family":"Sills","sequence":"additional","affiliation":[{"name":"dDepartment of Pediatrics, Section of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark I.","family":"Neuman","sequence":"additional","affiliation":[{"name":"eDivision of Emergency Medicine, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron E.","family":"Kornblith","sequence":"additional","affiliation":[{"name":"fDepartments of Emergency Medicine and Pediatrics, University of California San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shobhit","family":"Jain","sequence":"additional","affiliation":[{"name":"gDepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children\u2019s Mercy Hospital, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander W.","family":"Hirsch","sequence":"additional","affiliation":[{"name":"eDivision of Emergency Medicine, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika K.","family":"Goyal","sequence":"additional","affiliation":[{"name":"hDepartment of Pediatrics, Children\u2019s National Hospital, The George Washington University, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Fleegler","sequence":"additional","affiliation":[{"name":"eDivision of Emergency Medicine, Boston Children\u2019s Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy M.","family":"DeLaroche","sequence":"additional","affiliation":[{"name":"iDepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children\u2019s Hospital of Michigan, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul L.","family":"Aronson","sequence":"additional","affiliation":[{"name":"jDepartments of Pediatrics and of Emergency Medicine, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C.","family":"Leonard","sequence":"additional","affiliation":[{"name":"aDepartment of Pediatrics, Division of Emergency Medicine, Nationwide Children\u2019s Hospital, The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2022,9,23]]},"reference":[{"key":"2023110816464748600_B1","unstructured":"World Health Organization\n          . 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