The DOI matches its Crossref record; 28 of the 31 references it cites were found in a registry or an index.
Increased proportion of physical child abuse injuries at a level I pediatric trauma center during the covid-19 pandemic.
Open accessAbstract
Background and objectives The Covid-19 pandemic has forced mass closures of childcare facilities and schools. While these measures are necessary to slow virus transmission, little is known regarding the secondary health consequences of social distancing. The purpose of this study is to assess the proportion of injuries secondary to physical child abuse (PCA) at a level I pediatric trauma center during the Covid-19 pandemic.Methods A retrospective review of patients at our center was conducted to identify injuries caused by PCA in the month following the statewide closure of childcare facilities in Maryland. The proportion of PCA patients treated during the Covid-19 era were compared to the corresponding period in the preceding two years by Fisher's exact test. Demographics, injury profiles, and outcomes were described for each period.Results Eight patients with PCA injuries were treated during the Covid-19 period (13 % of total trauma patients), compared to four in 2019 (4 %, p < 0.05) and three in 2018 (3 %, p < 0.05). The median age of patients in the Covid-19 period was 11.5 months (IQR 6.8-24.5). Most patients were black (75 %) with public health insurance (75 %). All injuries were caused by blunt trauma, resulting in scalp/face contusions (63 %), skull fractures (50 %), intracranial hemorrhage (38 %), and long bone fractures (25 %).Conclusions There was an increase in the proportion of traumatic injuries caused by physical child abuse at our center during the Covid-19 pandemic. Strategies to mitigate this secondary effect of social distancing should be thoughtfully implemented.
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“Therefore, MAP Training may lessen the risk and thus help prevent secondary traumatic stress and associated distress among teachers who may have been exposed to student trauma during the COVID-19 pandemic (i.e., Collin-Vézina et al., 2020; Kovler et al., 2021).”
From Mental and physical training with meditation and aerobic exercise improved mental health and well-being in teachers during the COVID-19 pandemic (2022) · cites this paper as Kovler et al., 2021
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Rajmil, L., Hjern, A., Boran, P., Gunnlaugsson, G., Kraus de Camargo, O., & Raman, S. (2021) · BMJ Paediatrics Open · doi:10.1136/bmjpo-2021-001043 · Cited by 166
COVID-19 and violence against children: A review of early studies
Cappa, C., & Jijón, I. (2021) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2021.105053 · Cited by 156
Prevalence and risk factors of violence against women and children during COVID-19, Germany
Ebert, C. L., & Steinert, J. (2021) · Bulletin of the World Health Organization · doi:10.2471/blt.20.270983 · Cited by 123
Changes in pediatric trauma during COVID-19 stay-at-home epoch at a tertiary pediatric hospital
Sanford, E. L., Zagory, J. A., Blackwell, J.-M., Szmuk, P., Ryan, M. L., & Ambardekar, A. P. (2021) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2021.01.020 · Cited by 113
Penna, A. L., de Aquino, C. M., Pinheiro, M. S. N., do Nascimento, R. L. F., Farías-Antúnez, S., Araújo, D. A. B. S., Mita, C., Machado, M. M. T., & Castro, M. C. (2023) · BMC Public Health · doi:10.1186/s12889-023-15003-4 · Cited by 88
Metadata
- Authors
- Kovler, M. L., Ziegfeld, S., Ryan, L. M., Goldstein, M. A., Gardner, R., Garcia, A. V., & Nasr, I. W.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Kovler, Mark L.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2021-06
- Volume
- 116
- Issue
- Pt 2
- Pages
- 104756
- ISSN
- 0145-2134 (ISSN-L)
- PMC
- PMC7518108
- OpenAlex
- W3089274758
- Cited by
- 195
- References
- 31
- Citations by year
- 2026: 4 · 2025: 15 · 2024: 25 · 2023: 44 · 2022: 68 · 2021: 38
- FWCI
- 36.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- child physical abuse, COVID-19 pandemic, social distancing, blunt trauma, skull fracture, intracranial hemorrhage, long bone fractures, pediatric trauma, racial disparities, public health insurance
- MeSH terms
- Physical Abuse, Physical Distancing, COVID-19, SARS-CoV-2, Child Abuse, Child, Preschool, Female, Craniocerebral Trauma, Humans, Infant, Male, Retrospective Studies, Skull Fractures, Trauma Centers, Pandemics
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