The effects of home confinement on pediatric fractures during the COVID 19 outbreak

Italian Journal of Pediatrics

Jun Li¹  Xing Liu¹  Tao Liu¹  Pan Gou¹  Yinqiang Cao¹  Xiang Li¹  Ming Li¹  Xiaowei Yuan¹ 

[1] Department I of Orthopedic of Children’s Hospital of Chongqing Medical University, No. 136 of Zhong Shan Er Lu, 400014, Chongqing, China;Ministry of Education Key Laboratory of Child Development and Disorders, No. 136 of Zhong Shan Er Lu, 400014, Chongqing, China;National Clinical Research Center for Child Health and Disorders, No. 136 of Zhong Shan Er Lu, 400014, Chongqing, China;China International Science and Technology Cooperation base of Child development and Critical Disorders Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical University, No. 136 of Zhong Shan Er Lu, 400014, Chongqing, China;

关键词: Pediatric fractures;    Epidemiology;    Home confinement;    COVID-19;   

DOI  :  10.1186/s13052-021-01092-7

来源: Springer

【 摘 要 】

ObjectiveTo control the transmission of coronavirus disease 2019 (COVID-19), the Chinese government encouraged people to stay at home. This study aimed to evaluate the effects of home confinement on the occurrence of fractures among children.Study designWe retrospectively reviewed children admitted to Children’s Hospital of Chongqing Medical University, for traumatic injury from January 24 to March 10, 2020, and the same time period in 2017, 2018 and 2019. At the same time, children with fracture were screened out and the date for the past 4 years was compared in terms of etiology, location of fracture, sex and age to evaluate the effects of home confinement on the epidemiology of pediatric fractures during the COVID-19 outbreak.ResultsThere were 6066 fractures in5,346 patients in 2017–2019, and 1034 fractures in 862 patients in 2020; the number of patients in all years reached a peak at the age of 2 to 4 years. The patients were slightly younger in 2020 than in 2017–2019 (t = 9.953, 95% CI: 0.846–1.262), and the proportion of boys in 2017–2019 is higher than in 2020 (X2 = 6.944, P = 0.008). Home confinement and traffic restriction resulted in a reduction in traffic accidents-associated fractures among children (X2 = 16.399, P < 0.001).ConclusionHome confinement lead to the significant reduction in the number of pediatric fractures, especially in male children, but the number of patients under 4 years old was still considerable, and the proportion of younger patients even increased. Therefore, the perspective of children should not be relaxed during home isolation.

【 授权许可】

CC BY