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Pediatric firearm injuries in Los Angeles County: Younger children are more likely to be the victims of unintentional firearm injury.

Abstract：

BACKGROUND:Firearm injuries are now the third leading cause of death in children. Understanding the circumstances surrounding pediatric firearm injuries will allow for targeted injury prevention efforts. We hypothesized that younger children are more likely to be victims of unintentional firearm injury. METHODS:A multicenter, retrospective review of patients <18 years old who sustained firearm injuries in Los Angeles County from 2006 to 2015 was performed. Unintentional injuries were defined as accidental firearm discharge without violent intent. Intentional injuries were defined as firearm discharge with intent to injure (including suicide). RESULTS:After review of 304 pediatric firearm injuries, 206 had sufficient narrative to determine intent with 10% of injuries classified as unintentional. Unintentional injuries were more common in younger children, more frequently caused by a firearm from within the home, and more likely to involve friend/family (all p < 0.05). Intentional injuries were associated with more injuries and accounted for all deaths in our study cohort. CONCLUSIONS:In pediatric firearm injury, younger children are more susceptible to unintentional injuries, but intentional injuries are more common overall. Future interventions need to target both intentional violence in older children and unintentional firearm injury in young children if the frequency is to be reduced. TYPE OF STUDY:Epidemiologic study. LEVEL OF EVIDENCE:Level III.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Barry WE,Barin E,McLaughlin CM,Strumwasser A,Shekherdimian S,Arbogast H,Upperman JS,Jensen AR

doi

10.1016/j.jpedsurg.2018.10.050

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

350-353

issue

2

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(18)30680-8

journal_volume

54

pub_type

杂志文章,多中心研究

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