Temporal Trends In Pediatric Firearm Injuries Using The National Trauma Data Bank
Elizabeth Alore, Huirong Zhu, Mario Vera, *Bindi Naik-Mathuria
Baylor College of Medicine, Houston, TX
To define temporal trends in firearm injury and intent by U.S. region. We hypothesized that prevalence of firearm injuries would be increasing over time. Methods:
The National Trauma Data Bank was queried from 2007-2015 for firearm injuries in children <18 years. Intent and U.S. regions were analyzed. Population was calculated based on census data. Findings:
Of 29,795 pediatric firearm injuries, 10,953 (37%) occurred in the South, 7,244 (24%) in the Midwest, 6,403 (21%) in the West, 3,407 (11%) in the Northeast, and 1,788 (6%) unreported. Males represented 86% of injuries and did not vary by region (p=0.05). Black youth incurred 59% of injuries, followed by white (19%), Hispanic (17%) and Asian/other (5%). 73% occurred in 15-17 year-olds. Assault represented the majority of injuries in 0-4 year-olds (49%), 12-14 year-olds (59%) and 15-17 year-olds (80%); accidental injury represented the majority in 5-11 year-olds (46%;p<0.001). The Northeast had lowest rates of assault (24.9 per 1,000,000), suicide (1.1/1,000,000), and accidental (3.7/1,000,000) injuries. The South had highest rates of suicide (2.7/1,000,000;p<0.001) and accidental (9.8/1,000,000;p<0.001) injuries. The Midwest had highest assault rate (36.5/1,000,000;p<0.001). There is a significant trend in increasing suicide (p=0.01) and accidental (p=0.02) injuries over time (Figure 1). Conclusions (implications for practice):
The majority of pediatric firearm injuries are due to assaults among teenagers. Despite increased national attention on firearm injury prevention, rates of accidental injuries and suicides are increasing.
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