key: cord-0717657-rv3gsl40
authors: Mungmunpuntipantip, Rujittika; Wiwanitkit, Viroj
title: COVID-19 and delay to care in pediatric trauma
date: 2021-11-23
journal: J Pediatr Orthop B
DOI: 10.1097/bpb.0000000000000921
sha: 5fe78808a4e238f5e3ee1051b0f1a7b38389e7f7
doc_id: 717657
cord_uid: rv3gsl40

nan

We would like to share ideas on 'Multi-day delay to care identified in pediatric trauma cases during COVID-19' [1] . Shaw et al., [1] found an increasing nonaccidental trauma in 2020 compared to the previous year. In fact, the impact of COVID-19 is widely reported. Delay of clinical management is common. Regarding the incidence of trauma, an interrelationship between COVID-19 and incidence nonaccidental trauma is interesting. Locking down might increase relative rate of trauma incidence occurring at home because people have to stay at home during lockdown and accidents will not occur outside. In fact, the lockdown should help decrease accidental injury but it should not increase incidence of nontraumatic case. Finally, the observed incidence is from medical center-based data. The different situations might occur in different settings. The major trauma center might have increased the number of cases during the COVID-19 period when a small center cannot provide sufficient service [2] . Additionally, local lockdown policies can affect the opportunity that the patient has to visit the trauma center. If there is a very strict lockdown, a case with nonsevere non-accidental trauma might have self-care at home.

Multi-day delay to care identified in pediatric trauma cases during COVID-19

Impact of the COVID-19 pandemic on the management of open fractures in a major trauma centre

There are no conflicts of interest.