Epidemiology and incidence of paediatric orthopaedic trauma workload during the COVID-19 pandemic: A multicenter cohort study of 3171 patients

Morten Kjerri Rasmussen; Peter Larsen; Jan Duedal Rolfing; Bertram Lahn Kirkegaard; Rikke Thorninger; Rasmus Elsoe

doi:10.5312/wjo.v13.i1.70

Epidemiology and incidence of paediatric orthopaedic trauma workload during the COVID-19 pandemic: A multicenter cohort study of 3171 patients

Morten Kjerri Rasmussen
, Peter Larsen
, Jan Duedal Rolfing
, Bertram Lahn Kirkegaard
, Rikke Thorninger
, Rasmus Elsoe^*

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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Abstract

BACKGROUND Coronavirus disease 2019 (COVID-19) has a major influence on all parts of society. AIM To examine the consequences of the national lockdown and political initiatives during the first surge of the COVID-19 pandemic expressed by changes in incidences of musculoskeletal paediatric injuries. METHODS Study design was a retrospective multicenter cohort study. A ‘pandemic' cohort was established from 16 March 2020 to 21 April 2020, where all institutions including day care and schools were closed. A ‘pre-pandemic' cohort was established from the same period in 2019 for comparison. Included were all patients admitted at the emergency departments with paediatric musculoskeletal injuries (aged 0-15 years) identified by a relevant musculoskeletal ICD-10 diagnosis (DSxxx), concussions (DZ033D), or burns (DT2xx). RESULTS The ‘pre-pandemic' cohort consisted of 2101 patients, and the ‘pandemic' cohort consisted of 1070 patients, indicating a decrease of paediatric musculoskeletal injuries of 51%. The incidence of paediatric injury in the ‘pre-pandemic' cohort was 10460/100000/year. In the ‘pandemic' cohort, the incidence was 5344/100000/year. CONCLUSION A resource re-allocation to help serve the COVID-19 patients might be possible without reducing the level of care for injury-related paediatric patients.

Original language	English
Journal	World journal of orthopedics
Volume	13
Issue	1
Pages (from-to)	70-77
Number of pages	8
ISSN	2218-5836
DOIs	https://doi.org/10.5312/wjo.v13.i1.70
Publication status	Published - Jan 2022

Keywords

COVID-19
Paediatric emergency
Paediatric fracture
Paediatric trauma
SARS-CoV-2

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title = "Epidemiology and incidence of paediatric orthopaedic trauma workload during the COVID-19 pandemic: A multicenter cohort study of 3171 patients",

abstract = "BACKGROUND Coronavirus disease 2019 (COVID-19) has a major influence on all parts of society. AIM To examine the consequences of the national lockdown and political initiatives during the first surge of the COVID-19 pandemic expressed by changes in incidences of musculoskeletal paediatric injuries. METHODS Study design was a retrospective multicenter cohort study. A {\textquoteleft}pandemic' cohort was established from 16 March 2020 to 21 April 2020, where all institutions including day care and schools were closed. A {\textquoteleft}pre-pandemic' cohort was established from the same period in 2019 for comparison. Included were all patients admitted at the emergency departments with paediatric musculoskeletal injuries (aged 0-15 years) identified by a relevant musculoskeletal ICD-10 diagnosis (DSxxx), concussions (DZ033D), or burns (DT2xx). RESULTS The {\textquoteleft}pre-pandemic' cohort consisted of 2101 patients, and the {\textquoteleft}pandemic' cohort consisted of 1070 patients, indicating a decrease of paediatric musculoskeletal injuries of 51\%. The incidence of paediatric injury in the {\textquoteleft}pre-pandemic' cohort was 10460/100000/year. In the {\textquoteleft}pandemic' cohort, the incidence was 5344/100000/year. CONCLUSION A resource re-allocation to help serve the COVID-19 patients might be possible without reducing the level of care for injury-related paediatric patients.",

keywords = "COVID-19, Paediatric emergency, Paediatric fracture, Paediatric trauma, SARS-CoV-2",

author = "Rasmussen, \{Morten Kjerri\} and Peter Larsen and Rolfing, \{Jan Duedal\} and Kirkegaard, \{Bertram Lahn\} and Rikke Thorninger and Rasmus Elsoe",

year = "2022",

month = jan,

doi = "10.5312/wjo.v13.i1.70",

language = "English",

volume = "13",

pages = "70--77",

journal = "World journal of orthopedics",

issn = "2218-5836",

publisher = "di xue qian yuan bian ji bu",

number = "1",

}

Epidemiology and incidence of paediatric orthopaedic trauma workload during the COVID-19 pandemic: A multicenter cohort study of 3171 patients. / Rasmussen, Morten Kjerri; Larsen, Peter; Rolfing, Jan Duedal et al.
In: World journal of orthopedics, Vol. 13, No. 1, 01.2022, p. 70-77.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Epidemiology and incidence of paediatric orthopaedic trauma workload during the COVID-19 pandemic

T2 - A multicenter cohort study of 3171 patients

AU - Rasmussen, Morten Kjerri

AU - Larsen, Peter

AU - Rolfing, Jan Duedal

AU - Kirkegaard, Bertram Lahn

AU - Thorninger, Rikke

AU - Elsoe, Rasmus

PY - 2022/1

Y1 - 2022/1

N2 - BACKGROUND Coronavirus disease 2019 (COVID-19) has a major influence on all parts of society. AIM To examine the consequences of the national lockdown and political initiatives during the first surge of the COVID-19 pandemic expressed by changes in incidences of musculoskeletal paediatric injuries. METHODS Study design was a retrospective multicenter cohort study. A ‘pandemic' cohort was established from 16 March 2020 to 21 April 2020, where all institutions including day care and schools were closed. A ‘pre-pandemic' cohort was established from the same period in 2019 for comparison. Included were all patients admitted at the emergency departments with paediatric musculoskeletal injuries (aged 0-15 years) identified by a relevant musculoskeletal ICD-10 diagnosis (DSxxx), concussions (DZ033D), or burns (DT2xx). RESULTS The ‘pre-pandemic' cohort consisted of 2101 patients, and the ‘pandemic' cohort consisted of 1070 patients, indicating a decrease of paediatric musculoskeletal injuries of 51%. The incidence of paediatric injury in the ‘pre-pandemic' cohort was 10460/100000/year. In the ‘pandemic' cohort, the incidence was 5344/100000/year. CONCLUSION A resource re-allocation to help serve the COVID-19 patients might be possible without reducing the level of care for injury-related paediatric patients.

AB - BACKGROUND Coronavirus disease 2019 (COVID-19) has a major influence on all parts of society. AIM To examine the consequences of the national lockdown and political initiatives during the first surge of the COVID-19 pandemic expressed by changes in incidences of musculoskeletal paediatric injuries. METHODS Study design was a retrospective multicenter cohort study. A ‘pandemic' cohort was established from 16 March 2020 to 21 April 2020, where all institutions including day care and schools were closed. A ‘pre-pandemic' cohort was established from the same period in 2019 for comparison. Included were all patients admitted at the emergency departments with paediatric musculoskeletal injuries (aged 0-15 years) identified by a relevant musculoskeletal ICD-10 diagnosis (DSxxx), concussions (DZ033D), or burns (DT2xx). RESULTS The ‘pre-pandemic' cohort consisted of 2101 patients, and the ‘pandemic' cohort consisted of 1070 patients, indicating a decrease of paediatric musculoskeletal injuries of 51%. The incidence of paediatric injury in the ‘pre-pandemic' cohort was 10460/100000/year. In the ‘pandemic' cohort, the incidence was 5344/100000/year. CONCLUSION A resource re-allocation to help serve the COVID-19 patients might be possible without reducing the level of care for injury-related paediatric patients.

KW - COVID-19

KW - Paediatric emergency

KW - Paediatric fracture

KW - Paediatric trauma

KW - SARS-CoV-2

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DO - 10.5312/wjo.v13.i1.70

M3 - Journal article

C2 - 35096537

AN - SCOPUS:85123233704

SN - 2218-5836

VL - 13

SP - 70

EP - 77

JO - World journal of orthopedics

JF - World journal of orthopedics

IS - 1

ER -

Epidemiology and incidence of paediatric orthopaedic trauma workload during the COVID-19 pandemic: A multicenter cohort study of 3171 patients

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