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Citation
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Kongkaewpaisan N, El Hechi M, El Moheb M, Orlas CP, Ortega G, Mendoza MA, Parks J, Saillant NN, Kaafarani HMA, Mendoza AE. Am. J. Surg. 2020; ePub(ePub): ePub. |
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Affiliation
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Division of Trauma, Emergency Surgery & Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: aemendoza@mgh.harvard.edu. |
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Abstract
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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.
Copyright © 2020 Elsevier Inc. All rights reserved.
Language: en |