National Trends in the Cost Burden of Pediatric Gunshot Wounds Across the United States

Sidhu, Sonam; Mandelbaum, Ava; Dobaria, Vishal; Williamson, Catherine; Tran, Zachary; Sullins, Veronica F.; Benharash, Peyman

doi:10.1016/j.jpeds.2021.05.018

Cited by 14 publications

(6 citation statements)

References 32 publications

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“…At present, the United States is the country with the most advanced medical system and equipment in the world, and its first aid system is also the most developed. However, because the control of guns in this country is obviously different from other developed countries, gunshot injuries can occur from time to time ( 15 , 16 ). Moreover, the use of private cars in the United States is also the largest in the world, resulting in a great number of traffic injuries ( 17 , 18 ).…”

Section: Discussionmentioning

confidence: 99%

Current status of research on emergency surgery score in trauma patients: a bibliometric analysis

He,

Chen,

Zuo

et al. 2023

Transl Pediatr

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Background The use of a relevant emergency score can provide an accurate assessment of the patient’s condition and prognosis. However, the status of related studies remains unclear. The current study analyzed the research status of emergency surgery score (ESS) of trauma patients by using bibliometric methods. Methods The Science Citation Index Expanded (SCI-E) database in the Web of Science Core Collection (WOSCC) was searched using keywords “trauma” and “emergency surgery score”. All records from the search results and cited references were exported to Excel, duplicate literature records were removed, information for the same author and organization in different signature forms were merged. The resulting literatures were analyzed by year of publication, citation, discipline, countries and research institutions, journals, authors, and use of keywords. The cooperation among countries, institutions, and authors was also examined. Results A total of 2,175 document were retrieved. The number of published literature and the number of citations per year increased annually. The number of published documents (n=1,029) and research cooperation (centrality score, 0.44) in the United States were significantly ahead of those in other countries. The ten research institutions with the largest number of published documents were all from the United States, with much cooperation between research institutions and authors. There were many publications from China (n=108), but with few cooperations (centrality score, 0.22). The journals with the largest number of published articles were professional in the fields of trauma, emergency, and critical care. Keyword analysis showed that infection and shock were important issues besides surgery in the research related to ESS of trauma patients. Conclusions Research related to ESS of trauma patients has been mainly conducted in the United States, and Chinese researchers should increase their level of cooperation.

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Section: Discussionmentioning

confidence: 99%

Current status of research on emergency surgery score in trauma patients: a bibliometric analysis

He,

Chen,

Zuo

et al. 2023

Transl Pediatr

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“…A publicly available and now commonly utilized source is the Gun Violence Archive. 15 Other national nonfatal data sources come from hospital-level data from emergency departments 4 or trauma centers; 16 , 17 however, every database has its limitations when used in solitude. Hospital-level firearm data propose that nonfatal pediatric firearm injuries are 8 to 15 times more common than fatal injuries; however, as out-of-hospital deaths are not captured, this comparison is misleading as the data are incomplete.…”

Section: Discussionmentioning

confidence: 99%

“…Nonfatal injuries are significantly more common than fatal injuries in children and can still cause severe injury, physical disability, psychological sequelae, and burden health care systems. [4][5][6][7][8] Fatal firearm injury data are well-captured in national surveillance reporting systems such as the CDC's Web-based Injury Statistics and Query Reporting System (WISQARS); however, nonfatal firearm injury estimates are no longer reported due to unstable estimates. 9 Available sources of national nonfatal injury data each have their limitations (Supplemental Digital Content Table 1, http://links.lww.com/ SLA/E462).…”

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confidence: 99%

“…Including nonfatal firearm injury, data are essential to define the full spectrum of pediatric firearm injury to inform prevention and policy more accurately. Nonfatal injuries are significantly more common than fatal injuries in children and can still cause severe injury, physical disability, psychological sequelae, and burden health care systems 4–8…”

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confidence: 99%

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confidence: 99%

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Defining the Full Spectrum of Pediatric Firearm Injury and Death in the United States

et al. 2023

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Objective: To characterize the full spectrum of pediatric firearm injury in the United States by describing fatal and nonfatal injury data epidemiology, vulnerable populations, and temporal trends. Background: Firearm injury is the leading cause of death in children and adolescents in the United States. Nonfatal injury is critical to fully define the problem, yet accurate data at the national level are lacking. Methods: A cross-sectional study combining national firearm injury data from the Centers for Disease Control (fatal) and the National Trauma Data Bank (nonfatal) between 2008 and 2019 for ages 0 to 17 years. Data were analyzed using descriptive and χ 2 comparisons and linear regression.Results: Approximately 5000 children and adolescents are injured or killed by firearms each year. Nonfatal injuries are twice as common as fatal injuries. Assault accounts for the majority of injuries and deaths (67%), unintentional 15%, and self-harm 14%. Black youth suffer disproportionally higher injuries overall (crude rate: 49.43/million vs White, non-Hispanic: 15.76/million), but self-harm is highest in White youth. Children <12 years are most affected by nonfatal unintentional injuries, 12 to 14 years by suicide, and 15 to 17 years by assault. Nonfatal unintentional and assault injuries, homicides, and suicides have all increased significantly (P < 0.05). Conclusions: This study adds critical and contemporary data regarding the full spectrum and recent trends of pediatric firearm injury in the United States and identifies vulnerable populations to inform injury prevention intervention and policy. Reliable national surveillance for nonfatal pediatric firearm injury is vital to accurately define and tackle this growing public health crisis.

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Gunshot Injuries to the Head

Kasper,

Algethami,

Takroni

et al. 2023

Penetrating Trauma

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National Trends in the Cost Burden of Pediatric Gunshot Wounds Across the United States

Cited by 14 publications

References 32 publications

Current status of research on emergency surgery score in trauma patients: a bibliometric analysis

Current status of research on emergency surgery score in trauma patients: a bibliometric analysis

Defining the Full Spectrum of Pediatric Firearm Injury and Death in the United States

Gunshot Injuries to the Head

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