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- W4379619207 abstract "We read with interest Kannikeswaran et al.’s study of the impact of the COVID-19 pandemic on pediatric emergency visits for traumatic injuries and burns [[1]Kannikeswaran N. Ehrman R.R. Vitale L. et al.Comparison of trauma and burn evaluations in a pediatric emergency department during pre, early and late COVID-19 pandemic.J Pediatr Surg. 2023; https://doi.org/10.1016/j.jpedsurg.2023.03.008Abstract Full Text Full Text PDF PubMed Scopus (0) Google Scholar]. The authors found that the risk and severity of injuries increased among children ≤16 years during the pandemic. Falls and burns, especially hot liquid and contact burns, were the most common. The authors hypothesized that the increased risk of trauma and burns was due to school closures, decreased parental supervision, and riskier behavior caused by boredom at home. Child abuse was assessed but was not a major contributor to injuries in their study. In our analysis of pediatric injuries in Quebec, Canada, injury hospitalizations in children under 5 years also increased during the pandemic, but maltreatment-related hospitalizations decreased [[2]Côté-Corriveau G. Luu T.M. Lewin A. et al.Hospitalization for child maltreatment and other types of injury during the COVID-19 pandemic.Child Abuse Negl. 2023; 140106186Crossref PubMed Scopus (1) Google Scholar]. Because a significant part of the increase in hospitalizations was for falls and mechanical force injuries involving another person, it was suspected that some injuries thought to be accidental were actually cases of maltreatment. Maltreatment may have been harder to detect during the pandemic due to a reduced ability to thoroughly investigate suspicious injuries. Maltreatment accounts for 10–20% of pediatric burns [[3]Bennett C.V. Hollén L. Wilkins D. et al.The impact of a clinical prediction tool (BuRN-Tool) for child maltreatment on social care outcomes for children attending hospital with a burn or scald injury.Burns. 2023; 49: 941-950Crossref PubMed Scopus (1) Google Scholar]. Burns are particularly concerning in younger children, as they often result from maltreatment [[4]Hollen L. Bennett V. Nuttall D. et al.Evaluation of the efficacy and impact of a clinical prediction tool to identify maltreatment associated with children's burns.BMJ Paediatr Open. 2021; 5e000796Crossref PubMed Scopus (4) Google Scholar]. The increase in pediatric burn visits in Kannikeswaran et al.’s study may partly be due to undetected maltreatment, especially in younger children. An age-stratified analysis could complement their findings and shed light on the possibility that maltreatment contributed to injuries in their study." @default.
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- W4379619207 date "2023-06-01" @default.
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- W4379619207 title "Maltreatment and Pediatric Injuries During the COVID-19 Pandemic" @default.
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- W4379619207 doi "https://doi.org/10.1016/j.jpedsurg.2023.05.027" @default.
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