The global impact of COVID-19 outbreak on the pediatric trauma volume and its causes – a systematic review

Bartłomiej Pala, Natalia Pasikowska, Tomasz Pala, Tomasz Klepinowski, Leszek Sagan


Introduction: An outbreak of the COVID-19 disease in 2020 and resulting social restrictions forced many medical facilities to modify admission protocols and increased the use of health services. The stay-at-home orders also contributed to a change in the volume of the emergency admissions as well as their causes.

Materials and methods: The available electronic databases were searched for papers concerning pediatric trauma admissions, referrals, and visits during the coronavirus outbreak and in the previous year. The quality of included papers was assessed via National Institutes of Health National Heart, Lung, and Blood Institute (NIH NHLBI) Study Quality Assessment Toolbox.

Results: The overall workload in pediatric emergency medical care during the COVID-19 outbreak declined by 40.13% (95% CI 18.7–61.6) compared to the previous year. A massive decline in the pediatric trauma admissions was observed during the coronavirus outbreak. The sport-related accidents were supplanted mainly by those that occurred at home. The child abuse injuries arising during the outbreak seemed to remain undetected.


COVID-19 pandemic; pediatric trauma volume; child maltreatment; child abuse injuries; SARS-CoV2

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Copyright (c) 2022 Bartłomiej Pala

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