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Geographic Distribution of Violent Injuries in Pediatric Patients in Cleveland
Mona L. Delva1, Abby Gross1, Meredith Bradley1, Rebecca Kelly1, Monica Larson1, Rachael Clark1, *Tito J. Thomas1, Edward Barksdale, Jr.2
1Case Western Reserve University School of Medicine, Cleveland, OH; 2University Hospitals, Cleveland, OH

Background Intentional and non-accidental violent injuries are a significant cause of morbidity and mortality in Cleveland, Ohio. The purpose of this study is to identify geographical patterns in risk factors for violent pediatric injuries for targeted intervention strategies. Methods This retrospective review identified pediatric patients aged 0 to 16 years old using our institution’s pediatric trauma registry. Records between Jan-2016 and Dec-2018 were queried for GSWs, assaults, and maltreatment/neglect using ICD-10 codes. Ward information was determined using the Cleveland ‘Find My Ward’ tool and Google Maps. Geography demographics were determined from 2010 Census data. Results 666 records were reviewed, with average age at first encounter being 12.9 + 2.66 years old. Bodily assault was the most common mechanism of injury (68%) across all patients, followed by GSW (14.13%), assault with a weapon (8.36%), and maltreatment/neglect (5.62%). 436 patients (66%) lived within Cleveland, with more than 60% of these living in wards 9, 5, 7, 10, and 6. Census data showed these residents were most likely minority, older, and living under the poverty line. Conclusions Our study revealed that the majority of pediatric patients were between 7 and 18 years old, commonly presenting after bodily assault. Patients most likely resided in eastern wards and faced greater adverse socioeconomic factors. Our results will go on to support further work in unifying targeted violence intervention/prevention strategies.


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