Gunshot Injuries in Children Served by Emergency Services
To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms. This was a population-based, retrospective cohort study (January 1, 2006-December 31, 2008) including all injured children age ≤ 19 years with a 9...
Gespeichert in:
| Veröffentlicht in: | Pediatrics (Evanston) 2013-11, Vol.132 (5), p.862-870 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 870 |
|---|---|
| container_issue | 5 |
| container_start_page | 862 |
| container_title | Pediatrics (Evanston) |
| container_volume | 132 |
| creator | NEWGARD, Craig D KUPPERMANN, Nathan BARTON, Erik D WINTEMUTE, Garen HOLMES, James F HAUKOOS, Jason S WETZEL, Brian HSIA, Renee Y EWEN WANG, N BULGER, Eileen M STAUDENMAYER, Kristan MANN, N. Clay |
| description | To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms.
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.
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).
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. |
| doi_str_mv | 10.1542/peds.2013-1350 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3813400</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A355181812</galeid><sourcerecordid>A355181812</sourcerecordid><originalsourceid>FETCH-LOGICAL-c519t-feebb93b6df6b08ffc641fe48caddfeecd05e0eecb726c53c044e0d993d089c23</originalsourceid><addsrcrecordid>eNqNkc1r3DAQxUVpaTZprz0WQyn04u3oy5YvhbCkaSCQQ9uzkKXxrhavvJXskP3vK3c36cep6DCg-c2D9x4hbygsqRTs4x5dWjKgvKRcwjOyoNCoUrBaPicLAE5LASDPyHlKWwAQsmYvyRkTlNVC0QVprqeQNsNY3ITtFD2mwoditfG9ixiKrxjv0RXtobjaYVxjsIdff95iekVedKZP-Po0L8j3z1ffVl_K27vrm9XlbWklbcayQ2zbhreV66oWVNfZStAOhbLGuby0DiRCnm3NKiu5BSEQXNNwB6qxjF-QT0fd_dTu0FkMYzS93ke_M_GgB-P135vgN3o93GuuKM_ms8CHk0AcfkyYRr3zyWLfm4DDlDQVlZAgueT_gYqGVVUtaEbf_YNuhymGnESmZM68qWuVqfJIrU2P2gc7hBEfRjv0Pa5R56BWd_qSS0lVfrPZ5ZG3cUgpYvfkk4KeC9dz4XouXM-F54O3f6bzhD82nIH3J8Aka_oummB9-s3VqlJM1Pwn0PazUw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1450059778</pqid></control><display><type>article</type><title>Gunshot Injuries in Children Served by Emergency Services</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>NEWGARD, Craig D ; KUPPERMANN, Nathan ; BARTON, Erik D ; WINTEMUTE, Garen ; HOLMES, James F ; HAUKOOS, Jason S ; WETZEL, Brian ; HSIA, Renee Y ; EWEN WANG, N ; BULGER, Eileen M ; STAUDENMAYER, Kristan ; MANN, N. Clay</creator><creatorcontrib>NEWGARD, Craig D ; KUPPERMANN, Nathan ; BARTON, Erik D ; WINTEMUTE, Garen ; HOLMES, James F ; HAUKOOS, Jason S ; WETZEL, Brian ; HSIA, Renee Y ; EWEN WANG, N ; BULGER, Eileen M ; STAUDENMAYER, Kristan ; MANN, N. Clay ; WESTRN Investigators</creatorcontrib><description>To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms.
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.
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).
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.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2013-1350</identifier><identifier>PMID: 24127481</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Adolescent ; Adolescents ; Biological and medical sciences ; Care and treatment ; Child ; Child, Preschool ; Children ; Children & youth ; Cohort Studies ; Comparative studies ; Control ; Emergency Medical Services - trends ; Female ; Firearm accidents & safety ; General aspects ; Gunshot wounds ; Humans ; Infant ; Infant, Newborn ; Injuries ; Injury Severity Score ; Male ; Medical sciences ; Miscellaneous ; Mortality ; Pediatrics ; Population Surveillance - methods ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; Safety and security measures ; Wounds, Gunshot - diagnosis ; Wounds, Gunshot - epidemiology ; Wounds, Gunshot - pathology ; Wounds, Gunshot - therapy ; Young Adult</subject><ispartof>Pediatrics (Evanston), 2013-11, Vol.132 (5), p.862-870</ispartof><rights>2014 INIST-CNRS</rights><rights>Copyright American Academy of Pediatrics Nov 2013</rights><rights>Copyright © 2013 by the American Academy of Pediatrics 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c519t-feebb93b6df6b08ffc641fe48caddfeecd05e0eecb726c53c044e0d993d089c23</citedby><cites>FETCH-LOGICAL-c519t-feebb93b6df6b08ffc641fe48caddfeecd05e0eecb726c53c044e0d993d089c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27868247$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24127481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NEWGARD, Craig D</creatorcontrib><creatorcontrib>KUPPERMANN, Nathan</creatorcontrib><creatorcontrib>BARTON, Erik D</creatorcontrib><creatorcontrib>WINTEMUTE, Garen</creatorcontrib><creatorcontrib>HOLMES, James F</creatorcontrib><creatorcontrib>HAUKOOS, Jason S</creatorcontrib><creatorcontrib>WETZEL, Brian</creatorcontrib><creatorcontrib>HSIA, Renee Y</creatorcontrib><creatorcontrib>EWEN WANG, N</creatorcontrib><creatorcontrib>BULGER, Eileen M</creatorcontrib><creatorcontrib>STAUDENMAYER, Kristan</creatorcontrib><creatorcontrib>MANN, N. Clay</creatorcontrib><creatorcontrib>WESTRN Investigators</creatorcontrib><title>Gunshot Injuries in Children Served by Emergency Services</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms.
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.
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).
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.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cohort Studies</subject><subject>Comparative studies</subject><subject>Control</subject><subject>Emergency Medical Services - trends</subject><subject>Female</subject><subject>Firearm accidents & safety</subject><subject>General aspects</subject><subject>Gunshot wounds</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Injuries</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Mortality</subject><subject>Pediatrics</subject><subject>Population Surveillance - methods</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Safety and security measures</subject><subject>Wounds, Gunshot - diagnosis</subject><subject>Wounds, Gunshot - epidemiology</subject><subject>Wounds, Gunshot - pathology</subject><subject>Wounds, Gunshot - therapy</subject><subject>Young Adult</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1r3DAQxUVpaTZprz0WQyn04u3oy5YvhbCkaSCQQ9uzkKXxrhavvJXskP3vK3c36cep6DCg-c2D9x4hbygsqRTs4x5dWjKgvKRcwjOyoNCoUrBaPicLAE5LASDPyHlKWwAQsmYvyRkTlNVC0QVprqeQNsNY3ITtFD2mwoditfG9ixiKrxjv0RXtobjaYVxjsIdff95iekVedKZP-Po0L8j3z1ffVl_K27vrm9XlbWklbcayQ2zbhreV66oWVNfZStAOhbLGuby0DiRCnm3NKiu5BSEQXNNwB6qxjF-QT0fd_dTu0FkMYzS93ke_M_GgB-P135vgN3o93GuuKM_ms8CHk0AcfkyYRr3zyWLfm4DDlDQVlZAgueT_gYqGVVUtaEbf_YNuhymGnESmZM68qWuVqfJIrU2P2gc7hBEfRjv0Pa5R56BWd_qSS0lVfrPZ5ZG3cUgpYvfkk4KeC9dz4XouXM-F54O3f6bzhD82nIH3J8Aka_oummB9-s3VqlJM1Pwn0PazUw</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>NEWGARD, Craig D</creator><creator>KUPPERMANN, Nathan</creator><creator>BARTON, Erik D</creator><creator>WINTEMUTE, Garen</creator><creator>HOLMES, James F</creator><creator>HAUKOOS, Jason S</creator><creator>WETZEL, Brian</creator><creator>HSIA, Renee Y</creator><creator>EWEN WANG, N</creator><creator>BULGER, Eileen M</creator><creator>STAUDENMAYER, Kristan</creator><creator>MANN, N. Clay</creator><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Gunshot Injuries in Children Served by Emergency Services</title><author>NEWGARD, Craig D ; KUPPERMANN, Nathan ; BARTON, Erik D ; WINTEMUTE, Garen ; HOLMES, James F ; HAUKOOS, Jason S ; WETZEL, Brian ; HSIA, Renee Y ; EWEN WANG, N ; BULGER, Eileen M ; STAUDENMAYER, Kristan ; MANN, N. Clay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-feebb93b6df6b08ffc641fe48caddfeecd05e0eecb726c53c044e0d993d089c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cohort Studies</topic><topic>Comparative studies</topic><topic>Control</topic><topic>Emergency Medical Services - trends</topic><topic>Female</topic><topic>Firearm accidents & safety</topic><topic>General aspects</topic><topic>Gunshot wounds</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Injuries</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Mortality</topic><topic>Pediatrics</topic><topic>Population Surveillance - methods</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Safety and security measures</topic><topic>Wounds, Gunshot - diagnosis</topic><topic>Wounds, Gunshot - epidemiology</topic><topic>Wounds, Gunshot - pathology</topic><topic>Wounds, Gunshot - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NEWGARD, Craig D</creatorcontrib><creatorcontrib>KUPPERMANN, Nathan</creatorcontrib><creatorcontrib>BARTON, Erik D</creatorcontrib><creatorcontrib>WINTEMUTE, Garen</creatorcontrib><creatorcontrib>HOLMES, James F</creatorcontrib><creatorcontrib>HAUKOOS, Jason S</creatorcontrib><creatorcontrib>WETZEL, Brian</creatorcontrib><creatorcontrib>HSIA, Renee Y</creatorcontrib><creatorcontrib>EWEN WANG, N</creatorcontrib><creatorcontrib>BULGER, Eileen M</creatorcontrib><creatorcontrib>STAUDENMAYER, Kristan</creatorcontrib><creatorcontrib>MANN, N. Clay</creatorcontrib><creatorcontrib>WESTRN Investigators</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NEWGARD, Craig D</au><au>KUPPERMANN, Nathan</au><au>BARTON, Erik D</au><au>WINTEMUTE, Garen</au><au>HOLMES, James F</au><au>HAUKOOS, Jason S</au><au>WETZEL, Brian</au><au>HSIA, Renee Y</au><au>EWEN WANG, N</au><au>BULGER, Eileen M</au><au>STAUDENMAYER, Kristan</au><au>MANN, N. Clay</au><aucorp>WESTRN Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gunshot Injuries in Children Served by Emergency Services</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>132</volume><issue>5</issue><spage>862</spage><epage>870</epage><pages>862-870</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms.
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.
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).
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.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>24127481</pmid><doi>10.1542/peds.2013-1350</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2013-11, Vol.132 (5), p.862-870 |
| issn | 0031-4005 1098-4275 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3813400 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adolescents Biological and medical sciences Care and treatment Child Child, Preschool Children Children & youth Cohort Studies Comparative studies Control Emergency Medical Services - trends Female Firearm accidents & safety General aspects Gunshot wounds Humans Infant Infant, Newborn Injuries Injury Severity Score Male Medical sciences Miscellaneous Mortality Pediatrics Population Surveillance - methods Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Safety and security measures Wounds, Gunshot - diagnosis Wounds, Gunshot - epidemiology Wounds, Gunshot - pathology Wounds, Gunshot - therapy Young Adult |
| title | Gunshot Injuries in Children Served by Emergency Services |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T02%3A19%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Gunshot%20Injuries%20in%20Children%20Served%20by%20Emergency%20Services&rft.jtitle=Pediatrics%20(Evanston)&rft.au=NEWGARD,%20Craig%20D&rft.aucorp=WESTRN%20Investigators&rft.date=2013-11-01&rft.volume=132&rft.issue=5&rft.spage=862&rft.epage=870&rft.pages=862-870&rft.issn=0031-4005&rft.eissn=1098-4275&rft.coden=PEDIAU&rft_id=info:doi/10.1542/peds.2013-1350&rft_dat=%3Cgale_pubme%3EA355181812%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1450059778&rft_id=info:pmid/24127481&rft_galeid=A355181812&rfr_iscdi=true |