%0 Journal Article
%T No place like home: a national study on firearm-related injuries in the American household
%J American journal of surgery
%D 2020
%A Kongkaewpaisan, Napaporn
%A El Hechi, Majed
%A El Moheb, Mohamad
%A Orlas, Claudia P.
%A Ortega, Gezzer
%A Mendoza, Melissa A.
%A Parks, Jonathan
%A Saillant, Noelle N.
%A Kaafarani, Haytham M. A.
%A Mendoza, April E.
%V ePub
%N ePub
%P ePub-ePub
%X 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 "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. <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>
%G en
%I Elsevier Publishing
%@ 0002-9610
%U http://dx.doi.org/10.1016/j.amjsurg.2020.04.030