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

Perisa Ruhi-Williams¹, Eric O Yeates¹, Areg Grigorian^{1

2}, Morgan Schellenberg², Natthida Owattanapanich², Galinos Barmparas³, Daniel Margulies³, Catherine Juillard⁴, Kent Garber⁴, Henry Cryer⁴, Areti Tillou⁴, Sigrid Burruss⁵, Liz Penaloza-Villalobos⁵, Ann Lin⁵, Ryan Arthur Figueras⁵, Raul Coimbra^{5

6}, Megan Brenner⁷, Todd Costantini⁸, Jarrett Santorelli⁸, Terry Curry⁸, Diane Wintz⁹, Walter L Biffl¹⁰, Kathryn B Schaffer¹⁰, Thomas K Duncan¹¹, Casey Barbaro¹¹, Graal Diaz¹¹, Arianne Johnson¹², Justine Chinn¹, Ariana Naaseh¹, Amanda Leung¹, Christina Grabar¹, Jeffry Nahmias¹

Affiliations

¹ Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
² Department of Surgery, 23336University of Southern California (USC), Los Angeles, CA, USA.
³ Department of Surgery, 22494Cedars-Sinai Medical Center, Los Angeles, CA, USA.
⁴ Department of Surgery, 8783University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
⁵ Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
⁶ 472028Riverside University Health System Medical CenterUniversity, Moreno Valley, CA, USA.
⁷ University of California, Riverside/Riverside University Health System Department of Surgery, Moreno Valley, CA, USA.
⁸ Department of Surgery, 8784University of California, San Diego (UCSD), San Diego, CA, USA.
⁹ Department of Surgery, 21380Sharp Memorial Hospital, San Diego, CA, USA.
¹⁰ Trauma Department, 24146Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
¹¹ Department of Surgery, 25352Ventura County Medical Center, Ventura, CA, USA.
¹² Cottage Health Research Institute, 22854Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.

PMID: 35583103
PMCID: PMC9127450
DOI: 10.1177/00031348221101475

Multicenter Study

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

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

. 2022 Oct;88(10):2429-2435.

doi: 10.1177/00031348221101475. Epub 2022 May 18.

Authors

Affiliations

¹ Department of Surgery, 21769University of California, Irvine (UCI), Orange, CA, USA.
² Department of Surgery, 23336University of Southern California (USC), Los Angeles, CA, USA.
³ Department of Surgery, 22494Cedars-Sinai Medical Center, Los Angeles, CA, USA.
⁴ Department of Surgery, 8783University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
⁵ Department of Surgery, 4608Loma Linda University, Loma Linda, CA, USA.
⁶ 472028Riverside University Health System Medical CenterUniversity, Moreno Valley, CA, USA.
⁷ University of California, Riverside/Riverside University Health System Department of Surgery, Moreno Valley, CA, USA.
⁸ Department of Surgery, 8784University of California, San Diego (UCSD), San Diego, CA, USA.
⁹ Department of Surgery, 21380Sharp Memorial Hospital, San Diego, CA, USA.
¹⁰ Trauma Department, 24146Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
¹¹ Department of Surgery, 25352Ventura County Medical Center, Ventura, CA, USA.
¹² Cottage Health Research Institute, 22854Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.

PMID: 35583103
PMCID: PMC9127450
DOI: 10.1177/00031348221101475

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.

References

1. WHO COVID-19 Dashboard . 2021, Accessed 12/31/21. https://covid19.who.int/https://covid19.who.int/
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Adolescent Trauma During the COVID Pandemic: Just Like Adults, Children, or Someone Else?

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical