Trends in Adolescent Firearm-Related Injury: A Time Series Analysis.
acute care surgery
trauma
trauma acute care
Journal
The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
pmc-release:
01
08
2024
medline:
8
8
2023
pubmed:
15
3
2023
entrez:
14
3
2023
Statut:
ppublish
Résumé
Firearm-related injury (FRI) became the leading cause of death among children/adolescents in 2019. This study sought to determine changes over time in the population of adolescents affected by FRI in Atlanta, Georgia, such that high risk cohorts could be identified. City-wide retrospective cohort review. Adolescent victims (age 11-21 years of age) of FRI, defined by ICD9/10 codes, in Atlanta, Georgia. Descriptive, multivariate and time series analysis. There were 1,453 adolescent FRI victims in this time period, predominantly Black (86%) and male (86.6%). Unintentional injury was higher among ages 11-14 years (43.1%) compared to 15-17 years (10.2%) and 18-21 years (9.3%) (P < .01). FRI affecting females increased at a rate of 8.1 injuries/year (P < .01), and unintentional injuries increased at by 7.6/year (P < .01). Mortality declined from 16% in 2016 to 7.7% in 2021. Our data provides evidence for firearm policy reform. Interventions should target prevention of intentional injury among AQ4 females and seek to reverse the trend in unintentional injuries.
Sections du résumé
BACKGROUND
BACKGROUND
Firearm-related injury (FRI) became the leading cause of death among children/adolescents in 2019.
PURPOSE
OBJECTIVE
This study sought to determine changes over time in the population of adolescents affected by FRI in Atlanta, Georgia, such that high risk cohorts could be identified.
RESEARCH DESIGN
METHODS
City-wide retrospective cohort review.
STUDY SAMPLE
METHODS
Adolescent victims (age 11-21 years of age) of FRI, defined by ICD9/10 codes, in Atlanta, Georgia.
DATA ANALYSIS
METHODS
Descriptive, multivariate and time series analysis.
RESULTS
RESULTS
There were 1,453 adolescent FRI victims in this time period, predominantly Black (86%) and male (86.6%). Unintentional injury was higher among ages 11-14 years (43.1%) compared to 15-17 years (10.2%) and 18-21 years (9.3%) (P < .01). FRI affecting females increased at a rate of 8.1 injuries/year (P < .01), and unintentional injuries increased at by 7.6/year (P < .01). Mortality declined from 16% in 2016 to 7.7% in 2021.
CONCLUSION
CONCLUSIONS
Our data provides evidence for firearm policy reform. Interventions should target prevention of intentional injury among AQ4 females and seek to reverse the trend in unintentional injuries.
Identifiants
pubmed: 36916309
doi: 10.1177/00031348231157905
pmc: PMC10696842
mid: NIHMS1946273
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3429-3432Subventions
Organisme : NIGMS NIH HHS
ID : T32 GM095442
Pays : United States
Références
J Surg Res. 2020 Jan;245:529-536
pubmed: 31470333
Violence Gend. 2021 Sep 1;8(3):140-147
pubmed: 34466626
JAMA Netw Open. 2022 Jun 1;5(6):e2215557
pubmed: 35666501
Pediatrics. 2022 Oct 08;:
pubmed: 36207778