Journal
PEDIATRICS
Volume 132, Issue 5, Pages 862-870Publisher
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2013-1350
Keywords
trauma; children; health services; violence
Categories
Funding
- Robert Wood Johnson Foundation Physician Faculty Scholars Program
- California Wellness Foundation [2010-067]
- Oregon Clinical and Translational Research Institute [UL1 RR024140]
- University of California Davis Clinical and Translational Science Center [UL1 RR024146]
- Stanford Center for Clinical and Translational Education and Research [1UL1 RR025744]
- University of Utah Center for Clinical and Translational Science [UL1-RR025764, C06-RR11234]
- University of California San Francisco Clinical and Translational Science Institute [UL1 RR024131]
- National Center for Research Resources, a component of the National Institutes of Health (NIH)
- NIH Roadmap for Medical Research
- National Institutes of Health (NIH)
Ask authors/readers for more resources
OBJECTIVE: To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms. METHODS: This was a population-based, retrospective cohort study (January 1, 2006-December 31, 2008) including all injured children age <= 19 years with a 9-1-1 response from 47 emergency medical services agencies transporting to 93 hospitals in 5 regions of the western United States. Outcomes included population-adjusted incidence, injury severity score >= 16, major surgery, blood transfusion, mortality, and average per-patient acute care costs. RESULTS: A total of 49 983 injured children had a 9-1-1 emergency medical services response, including 505 (1.0%) with gunshot injuries (83.2% age 15-19 years, 84.5% male). The population-adjusted annual incidence of gunshot injuries was 7.5 cases/100 000 children, which varied 16-fold between regions. Compared with children who had other mechanisms of injury, those injured by gunshot had the highest proportion of serious injuries (23%, 95% confidence interval [CI] 17.6-28.4), major surgery (32%, 95% CI 26.1-38.5), in-hospital mortality (8.0%, 95% CI 4.7-11.4), and costs ($28 510 per patient, 95% CI 22 193-34 827). CONCLUSIONS: Despite being less common than other injury mechanisms, gunshot injuries cause a disproportionate burden of adverse outcomes in children, particularly among older adolescent males. Public health, injury prevention, and health policy solutions are needed to reduce gunshot injuries in children.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available