No place like home: A national study on firearm-related injuries in the American household.
Domestic
Firearm
Household
Injury
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
01
04
2020
revised:
11
04
2020
accepted:
16
04
2020
pubmed:
16
5
2020
medline:
15
1
2021
entrez:
16
5
2020
Statut:
ppublish
Résumé
We aimed to examine the prevalence of, and describe factors associated with, firearm-related injuries in American households. Using the 2010-2016 ACS-TQIP database, all ICD-9/10 external causes of injury for firearm-related injuries were queried with the place of occurrence designated as "home". Causes of injury were identified as assault, intentional self-injury, and unintentional injury. Univariate then multivariable regression analyses were performed to identify factors associated with each injury type. 12,657 firearm-related injuries in households were identified. Of those, 49.9% were victims of assault, 35.7% were intentional self-injury, and 14.4% were unintentional. Mortality was highest among self-inflicted injuries (52.4%), followed by assault (12.9%), and unintentional injuries (5.9%). On multivariable analysis, age <45 years, African-American race, and drug use were independently associated with an injury secondary to assault. Age >65 years, White race, psychiatric illness, and alcohol use disorder were independently associated with intentional self-injury. White and American-Indian race were independently associated with unintentional injuries. Assault is the most common cause of home-related firearm injury requiring hospitalization, while intentional self-injury is the most lethal.
Sections du résumé
BACKGROUND
We aimed to examine the prevalence of, and describe factors associated with, firearm-related injuries in American households.
METHODS
Using the 2010-2016 ACS-TQIP database, all ICD-9/10 external causes of injury for firearm-related injuries were queried with the place of occurrence designated as "home". Causes of injury were identified as assault, intentional self-injury, and unintentional injury. Univariate then multivariable regression analyses were performed to identify factors associated with each injury type.
RESULTS
12,657 firearm-related injuries in households were identified. Of those, 49.9% were victims of assault, 35.7% were intentional self-injury, and 14.4% were unintentional. Mortality was highest among self-inflicted injuries (52.4%), followed by assault (12.9%), and unintentional injuries (5.9%). On multivariable analysis, age <45 years, African-American race, and drug use were independently associated with an injury secondary to assault. Age >65 years, White race, psychiatric illness, and alcohol use disorder were independently associated with intentional self-injury. White and American-Indian race were independently associated with unintentional injuries.
CONCLUSIONS
Assault is the most common cause of home-related firearm injury requiring hospitalization, while intentional self-injury is the most lethal.
Identifiants
pubmed: 32409008
pii: S0002-9610(20)30227-0
doi: 10.1016/j.amjsurg.2020.04.030
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1599-1604Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.