@article{ref1,
title="No place like home: a national study on firearm-related injuries in the American household",
journal="American journal of surgery",
year="2020",
author="Kongkaewpaisan, Napaporn and El Hechi, Majed and El Moheb, Mohamad and Orlas, Claudia P. and Ortega, Gezzer and Mendoza, Melissa A. and Parks, Jonathan and Saillant, Noelle N. and Kaafarani, Haytham M. A. and Mendoza, April E.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: We aimed to examine the prevalence of, and describe factors associated with, firearm-related injuries in American households. <br><br>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 &quot;home&quot;. 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. <br><br>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. <br><br>CONCLUSIONS: Assault is the most common cause of home-related firearm injury requiring hospitalization, while intentional self-injury is the most lethal.<br><br>Copyright © 2020 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2020.04.030",
url="http://dx.doi.org/10.1016/j.amjsurg.2020.04.030"
}