scholarly journals Epidemiology of Pediatric Bite/Sting Injuries. One-Year Study of a Pediatric Emergency Department in Israel

2006 ◽  
Vol 6 ◽  
pp. 653-660 ◽  
Author(s):  
Michal Hemmo-Lotem ◽  
Yoav Barnea ◽  
Claudia Jinich-Aronowitz ◽  
Liri Endy-Findling ◽  
David Leshem ◽  
...  
Keyword(s):  
Emergency Department ◽  
Head And Neck ◽  
Incidence Rate ◽  
Clinical Data ◽  
Pediatric Trauma ◽  
Age Distribution ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
The Face ◽  
One Year

Animal bite/sting injuries are a known source of morbidity with a significantly higher incidence among children who are most often bitten in the face, head, and neck. The objective of this study was to provide a better understanding of bite/sting injuries treated at the pediatric emergency department in order to guide preventive efforts.The sociodemographic, epidemiological, and clinical data on all bite/sting injuries treated in one representative pediatric emergency department in Israel over a 1-year period were retrieved and analyzed. Two hundred of the 9,309 pediatric trauma cases treated in the emergency department were bite/sting injuries (2.1%). Non-Jewish patients were under-represented in this subgroup. The majority of patients were males (61.5%). Age distribution from 0–12 years was fairly even, except for an unexplained peak at 8 years. Dogs inflicted 56%, cats 11%, and hornets 9.5% of the injuries. Limbs were affected in 64% and the head and neck in 27%. Specialists, mostly plastic surgeons, were consulted in 42 cases (21%). The incidence rate for hospitalization (7%) was similar to that seen in other types of injuries. Children with scorpion or hornet stings and young age were more likely to be hospitalized. Preventive and educational aspects are discussed.

scholarly journals An Analysis of Anaphylaxis Cases at a Single Pediatric Emergency Department in Over One Year

2017 ◽  
Vol 139 (2) ◽  
pp. AB223
Author(s):  
Christopher D. Wright ◽  
Mindy Longjohn ◽  
Phillip L. Lieberman ◽  
Jay A. Lieberman
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
One Year

Trauma Visits to a Pediatric Emergency Department During the COVID-19 Quarantine and “Stay at Home” Period

2021 ◽  
pp. 000313482110474
Author(s):  
Usha Sethuraman ◽  
Nirupama Kannikeswaran ◽  
Adam Singer ◽  
Carolyn B Krouse ◽  
Dawn Cloutier ◽  
...  
Keyword(s):  
Emergency Department ◽  
Physical Abuse ◽  
Injury Severity ◽  
Pediatric Trauma ◽  
Pediatric Emergency ◽  
Child Physical Abuse ◽  
Emergency Department Visits ◽  
Pediatric Emergency Department ◽  
Dog Bites ◽  
At Home

Background Impact of social distancing on pediatric injuries is unknown. Methods We retrospectively compared injury visits to a pediatric emergency department by individuals ≤21 years during “Stay at Home” (SHO) period to the same period in 2019 (non-SHO). Demographics, types, and outcomes of injuries were noted. Results 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 < .001) and mean age was lower (5.8 yrs ±4.5 vs 8.4 yrs ± 5.2, P < .001). There were significant increases in visits related to child physical abuse (CPA), firearms, and dog bites. Further, significant increases in trauma alerts ( P < .01), injury severity ( P < .01), critical care admissions ( P < .001), and deaths ( P < .01) occurred during the SHO period. Conclusions 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.

scholarly journals Social restrictions due to COVID-19 and the incidence of intoxicated patients in pediatric emergency department

2021 ◽  
Author(s):  
Ilari Kuitunen
Keyword(s):  
Emergency Department ◽  
Incidence Rate ◽  
Hospital Discharge ◽  
Confidence Intervals ◽  
Pediatric Emergency ◽  
Drug Consumption ◽  
Pediatric Emergency Department ◽  
Hospital Discharge Register ◽  
Heavy Alcohol ◽  
Monthly Incidence

Abstract Background Social restrictions set due to COVID-19 decreased pediatric emergency department (ED). The aim is to report epidemiology of intoxicated patients in pediatric ED during the first and second waves of COVID-19. Methods Data for this retrospective hospital discharge register study was gathered from January 2017 to December 2020. Patients aged <18 and intoxicated were included. Incidences are reported per 10,000 children and compared by incidence rate rations (IRRs) with 95% confidence intervals (CIs). Results Incidence of ED visit for intoxicated patient was 65 per 10,000 in 2020 and 54 per 10,000 in 2017–2019 (IRR 1.20 CI 0.87–1.68). Incidence was lower during the lockdown compared to reference years (IRR 0.50 CI 0.17–1.44). Peak monthly incidence (12 per 10000) was recorded after lockdown in July 2020 (IRR 2.45 CI 1.01-5.92). Discussion Based on these results, the lockdown and social restrictions did not decrease heavy alcohol or drug consumption among adolescents in Finland.

scholarly journals COVID-19 related reduction in pediatric emergency healthcare utilization – a concerning trend

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christian Dopfer ◽  
Martin Wetzke ◽  
Anna Zychlinsky Scharff ◽  
Frank Mueller ◽  
Frank Dressler ◽  
...  
Keyword(s):  
Emergency Department ◽  
Healthcare Utilization ◽  
Pediatric Emergency ◽  
Emergency Department Visits ◽  
Adolescent Medicine ◽  
Medical Attention ◽  
Pediatric Emergency Department ◽  
Patient Morbidity ◽  
One Year ◽  
The Impact

Abstract Background The COVID-19 pandemic has disrupted healthcare systems worldwide. In addition to the direct impact of the virus on patient morbidity and mortality, the effect of lockdown strategies on health and healthcare utilization have become apparent. Little is known on the effect of the pandemic on pediatric and adolescent medicine. We examined the impact of the pandemic on pediatric emergency healthcare utilization. Methods We conducted a monocentric, retrospective analysis of n = 5,424 pediatric emergency department visits between January 1st and April 19th of 2019 and 2020, and compared healthcare utilization during the pandemic in 2020 to the same period in 2019. Results In the four weeks after lockdown in Germany began, we observed a massive drop of 63.8% in pediatric emergency healthcare utilization (mean daily visits 26.8 ± SEM 1.5 in 2019 vs. 9.7 ± SEM 1 in 2020, p < 0.005). This drop in cases occurred for both communicable and non-communicable diseases. A larger proportion of patients under one year old (daily mean of 16.6% ±SEM 1.4 in 2019 vs. 23.1% ±SEM 1.7 in 2020, p < 0.01) and of cases requiring hospitalisation (mean of 13.9% ±SEM 1.6 in 2019 vs. 26.6% ±SEM 3.3 in 2020, p < 0.001) occurred during the pandemic. During the analysed time periods, few intensive care admissions and no fatalities occurred. Conclusions Our data illustrate a significant decrease in pediatric emergency department visits during the COVID-19 pandemic. Public outreach is needed to encourage parents and guardians to seek medical attention for pediatric emergencies in spite of the pandemic.

scholarly journals One‐year changes in the pediatric emergency department caused by prolonged COVID‐19 pandemic

2021 ◽  
Author(s):  
Woori Bae ◽  
Arum Choi ◽  
Kyunghoon Kim ◽  
Hyun Mi Kang ◽  
Sae Yun Kim ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
One Year
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