TY  - JOUR
PY  - 2023//
TI  - Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study
JO  - Trauma surgery and acute care open
A1  - Zwemer, Catherine
A1  - Kartiko, Susan
A1  - Forssten, Maximilian Peter
A1  - Zebley, James A.
A1  - Hughes, Joy Dowden
A1  - Sarani, Babak
A1  - Mohseni, Shahin
SP  - e001181
EP  - e001181
VL  - 8
IS  - 1
N2  - BACKGROUND: Existing study findings on firearms-related injury patterns are largely skewed towards males, who comprise the majority of this injury population. Given the paucity of existing data for females with these injuries, we aimed to elucidate the demographics, injury patterns, and outcomes of firearms-related injury in females compared with males in the USA. <br><br>MATERIALS AND METHODS: A 7-year (2013-2019) retrospective review of the National Trauma Database was conducted to identify all adult patients who suffered firearms-related injuries. Patients who were males were matched (1:1, caliper 0.2) to patients who were females by demographics, comorbidities, injury patterns and severity, and payment method, to compare differences in mortality and several other post-injury outcomes. <br><br>RESULTS: There were 196 696 patients admitted after firearms-related injury during the study period. Of these patients, 23 379 (11.9%) were females, 23 378 of whom were successfully matched to a male counterpart. After matching, females had a lower rate of in-hospital mortality (18.6% vs. 20.0%, p<0.001), deep vein thrombosis (1.2% vs. 1.5%, p=0.014), and had a lower incidence of drug or alcohol withdrawal syndrome (0.2% vs. 0.5%, p<0.001) compared with males. <br><br>CONCLUSION: Female victims of firearms-related injuries experience lower rates of mortality and complications compared with males. Further studies are needed to elucidate the cause of these differences. LEVEL OF EVIDENCE: Level III.<p />  <p>Language: en</p>
LA  - en
SN  - 2397-5776
UR  - http://dx.doi.org/10.1136/tsaco-2023-001181
ID  - ref1
ER  -