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Multicenter Study
. 2022 Oct;88(10):2429-2435.
doi: 10.1177/00031348221101475. Epub 2022 May 18.

Adolescent Trauma During the COVID Pandemic: Just Like Adults, Children, or Someone Else?

Perisa Ruhi-Williams  1 , Eric O Yeates  1 , Areg Grigorian  1   2 , Morgan Schellenberg  2 , Natthida Owattanapanich  2 , Galinos Barmparas  3 , Daniel Margulies  3 , Catherine Juillard  4 , Kent Garber  4 , Henry Cryer  4 , Areti Tillou  4 , Sigrid Burruss  5 , Liz Penaloza-Villalobos  5 , Ann Lin  5 , Ryan Arthur Figueras  5 , Raul Coimbra  5   6 , Megan Brenner  7 , Todd Costantini  8 , Jarrett Santorelli  8 , Terry Curry  8 , Diane Wintz  9 , Walter L Biffl  10 , Kathryn B Schaffer  10 , Thomas K Duncan  11 , Casey Barbaro  11 , Graal Diaz  11 , Arianne Johnson  12 , Justine Chinn  1 , Ariana Naaseh  1 , Amanda Leung  1 , Christina Grabar  1 , Jeffry Nahmias  1
Affiliations
Multicenter Study

Adolescent Trauma During the COVID Pandemic: Just Like Adults, Children, or Someone Else?

Perisa Ruhi-Williams et al. Am Surg. 2022 Oct.

Abstract

COVID-19 stay-at-home (SAH) orders were impactful on adolescence, when social interactions affect development. This has the potential to change adolescent trauma. A post-hoc multicenter retrospective analysis of adolescent (13-17 years-old) trauma patients (ATPs) at 11 trauma centers was performed. Patients were divided into 3 groups based on injury date: historical control (CONTROL:3/19/2019-6/30/2019, before SAH (PRE:1/1/2020-3/18/2020), and after SAH (POST:3/19/2020-6/30/2020). The POST group was compared to both PRE and CONTROL groups in separate analyses. 726 ATPs were identified across the 3 time periods. POST had a similar penetrating trauma rate compared to both PRE (15.8% vs 13.8%, P = .56) and CONTROL (15.8% vs 14.5%, P = .69). POST also had a similar rate of suicide attempts compared to both PRE (1.2% vs 1.5%, P = .83) and CONTROL (1.2% vs 2.1%, P = .43). However, POST had a higher rate of drug positivity compared to CONTROL (28.6% vs 20.6%, P = .032), but was similar in all other comparisons of alcohol and drugs to PRE and POST periods (all P > .05). Hence ATPs were affected differently than adults and children, as they had a similar rate of penetrating trauma, suicide attempts, and alcohol positivity after SAH orders. However, they had increased drug positivity compared to the CONTROL, but not PRE group.

Keywords: COVID-19; adolescent; pandemic; trauma.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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