Trends in pediatric firearm-related injuries over the past 10 years at an urban pediatric hospital

Veenstra, Michelle; Patel, Vaishali R.; Donoghue, Lydia; Langenburg, Scott E.

doi:10.1016/j.jpedsurg.2015.03.042

Cited by 33 publications

(19 citation statements)

References 22 publications

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“…Evolution to death is uncommon, especially in the case of exclusively musculoskeletal injuries, considering that all six patients who died had associated injuries. The present study presented an incidence of ∼ 4.5% of deaths, which is slightly higher than those of other studies, 15 18 but, as already mentioned, is inferior to the study by Senger et al (9.3%). 12…”

Section: Discussioncontrasting

confidence: 82%

Lesões musculoesqueléticas por armas de fogo em crianças e adolescentes brasileiros

Beraldo

Forlin

2019

Rev Bras Ortop

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Objective To evaluate and describe musculoskeletal injuries by firearms in children and adolescents attended in a major trauma center. Methods This was a retrospective study that evaluated the medical records of < 18 years old patients who were victims of injuries by firearms and who presented to the emergency department of our hospital, from January 2014 to December 2016. A total of 51 patients were excluded for not showing musculoskeletal injures or for other reasons, while 126 were included. The collected data were: gender; age; way of admission; body site hit; fractures; complications and sequelae; associated injures; hospitalization time; surgeries; deaths. Results Out of 126 patients included, 107 were male (84.9%) and 19 were female (15.1%). The mean age was 15 years and 5 months old (range: 2y + 8 months to 17y + 11 months years old). A total of 70 patients were hospitalized (55.6%), with a mean hospital stay of 9.6 days, and 21 patients were hospitalized in the intensive care unit (ICU) for a mean of 14.7 days. A total of 37 patients needed orthopedic surgery (29.4%). There were 6 deaths (4.8%). The thigh was the most hit region, in 43 injuries (24.7%). Six patients had spinal cord sequelae, and eight patients had peripheral nerves injuries. A total of 58 patients (46%) had 71 fractures, and the femur was the most hit (15.5%). A total of 52 (41.3%) patients presented with associated injuries. In the 71 fractures, the treatment was conservative in 45 (63.4%), surgical in 23 (32.4%). Three injuries resulted in death (4.2%). Conclusion Adolescents and males are at-risk groups for firearms injuries, and the lesions are mainly on the lower limbs. Less than half of the patients had fractures, but many had complex lesions with potential for severe sequelae.

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Section: Discussioncontrasting

confidence: 82%

Lesões musculoesqueléticas por armas de fogo em crianças e adolescentes brasileiros

Beraldo

Forlin

2019

Rev Bras Ortop

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“…To achieve this aim, we estimated a multinomial logistic regression model with firearm injury group as the dependent variable. We included the following factors as independent variables, based on the available data in PHIS and prior literature: sex, age (categorized by age in years as follows: 0–6, 7–12, and 13–21), race, insurance status (coded as private, public, or other), median household income of patient's zip code (based on 2010 U.S. Census), urban/rural classification (based on patient's zip code), and calendar year. Given that our data were taken from several hospitals, the assumption of independent observations may not hold.…”

Section: Methodsmentioning

confidence: 99%

“…Several epidemiologic studies on pediatric firearm injuries have identified violence as the most common mechanism and found males and blacks at highest risk . Other studies found that pediatric patients treated in the ED for firearm‐related injuries have been shown to suffer high levels of morbidity and that most injuries occurred during the summer . A study of all pediatric injuries in Massachusetts showed firearm‐related injuries had the highest mortality rate of any injury mechanism …”

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confidence: 99%

Predictors and Outcomes of Pediatric Firearm Injuries Treated in the Emergency Department: Differences by Mechanism of Intent

Monuteaux

Mannix

Fleegler

et al. 2016

Academic Emergency Medicine

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Objective: Firearm injuries among children are a major clinical and public health concern and one of the leading causes of pediatric fatalities. Our objective was to investigate differences in predictors and clinical outcomes between self-inflicted, violent, and unintentional pediatric firearm injuries for patients who present to pediatric emergency departments (EDs). Methods:We conducted a retrospective study of patients 0 to 21 years old treated in 37 pediatric academic EDs from 2004 to 2014. Patients were classified into the injury intent categories of self-inflicted, violent, and unintentional firearm injury using the International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) diagnoses and external causes of injury codes. Multivariable multinomial regression models compared groups.Results: We identified 9,628 firearm injuries from 2004 to 2014: 109 (1%) self-inflicted, 2,394 (25%) violent, and 7,125 (74%) unintentional. Male sex, increasing age, nonwhite race, public insurance, residing in an urban zip code, and lower zip code-level median household income were all independently associated with violent firearm injuries, relative to self-inflicted and unintentional injuries. Self-inflicted injuries were at the highest risk for hospital admission, death, intensive care unit services, surgical services, and increased length of stay, followed by violent injuries with intermediate risk and unintentional injuries at the lowest risk Conclusions: Self-inflicted, violent, and unintentional firearm injuries in children had distinct demographic risk factors and clinical and utilization outcomes. Targeted prevention and intervention efforts should be developed to reduce the incidence and severity of these injuries.ACADEMIC EMERGENCY MEDICINE 2016;23:790-795

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“…6 Recent data are inconclusive but suggest that suicide rates are rising. [7][8][9] Because specific gun violence prevention strategies tend to be more beneficial to certain age groups more than others, [10][11][12] it is plausible that the temporal patterns in firearm injuries may vary between pediatric and adult victims as well as across intents of injury. Therefore, although it is important to evaluate the trends in the numbers of gun violence victims in the general population, it is beneficial to characterize the pediatric component of these injuries to assess the relative patterns of gun violence in this age group and better understand the pediatric burden of gun violence in the country.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are several cross-sectional studies of the prevalence of pediatric firearm injuries in select geographic regions and at specific periods, there are sparse data on the recent national trends in pediatric firearm injuries, particularly in relation to adult victims. 9,13 In addition, variations in firearm injury trends by race/ethnicity of the victims have not been fully explored. Therefore, the objective of this study was to use a nationwide database to evaluate the proportion of all firearm injuries and mortality that occur in the pediatric age group, as well as to measure the trends over time.…”

Section: Introductionmentioning

confidence: 99%

Trends in Firearm Injuries Among Children and Teenagers in the United States

Olufajo

Zeineddin

Nonez

et al. 2020

Journal of Surgical Research

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Trends in pediatric firearm-related injuries over the past 10 years at an urban pediatric hospital

Cited by 33 publications

References 22 publications

Lesões musculoesqueléticas por armas de fogo em crianças e adolescentes brasileiros

Lesões musculoesqueléticas por armas de fogo em crianças e adolescentes brasileiros

Predictors and Outcomes of Pediatric Firearm Injuries Treated in the Emergency Department: Differences by Mechanism of Intent

Trends in Firearm Injuries Among Children and Teenagers in the United States

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