Pediatric firearm injuries in Los Angeles County: Younger children are more likely to be the victims of unintentional firearm injury
| Autor: | Erica N. Barin, Aaron Strumwasser, Cory McLaughlin, Jeffrey S. Upperman, Aaron R. Jensen, Shant Shekherdimian, Helen Arbogast, Wesley E. Barry |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Firearms Epidemiologic study Adolescent Psychological intervention Violence 03 medical and health sciences 0302 clinical medicine Firearm injury 030225 pediatrics Injury prevention Medicine Humans Child Cause of death Retrospective Studies business.industry Public health Age Factors Infant General Medicine Evidence-based medicine Los Angeles Suicide 030220 oncology & carcinogenesis Accidents Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Surgery Female Wounds Gunshot Level iii business |
| Zdroj: | Journal of pediatric surgery. 54(2) |
| ISSN: | 1531-5037 |
| Popis: | Firearm injuries are now the third leading cause of death in children. Understanding the circumstances surrounding pediatric firearm injuries will allow for targeted injury prevention efforts. We hypothesized that younger children are more likely to be victims of unintentional firearm injury.A multicenter, retrospective review of patients18 years old who sustained firearm injuries in Los Angeles County from 2006 to 2015 was performed. Unintentional injuries were defined as accidental firearm discharge without violent intent. Intentional injuries were defined as firearm discharge with intent to injure (including suicide).After review of 304 pediatric firearm injuries, 206 had sufficient narrative to determine intent with 10% of injuries classified as unintentional. Unintentional injuries were more common in younger children, more frequently caused by a firearm from within the home, and more likely to involve friend/family (all p 0.05). Intentional injuries were associated with more injuries and accounted for all deaths in our study cohort.In pediatric firearm injury, younger children are more susceptible to unintentional injuries, but intentional injuries are more common overall. Future interventions need to target both intentional violence in older children and unintentional firearm injury in young children if the frequency is to be reduced.Epidemiologic study.Level III. |
| Databáze: | OpenAIRE |
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