A joinpoint analysis examining trends in firearm injuries at six us trauma centers from 2016 to 2022

Kristin Salottolo, R. Joseph Sliter,Gary Marshall, Carlos H. Palacio Lascano, Glenda Quan,David Hamilton, Robert Madayag,Gina Berg,David Bar-Or

Injury Epidemiology(2024)

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摘要
There is an epidemic of firearm injuries in the United States since the mid-2000s. Thus, we sought to examine whether hospitalization from firearm injuries have increased over time, and to examine temporal changes in patient demographics, firearm injury intent, and injury severity. This was a multicenter, retrospective, observational cohort study of patients hospitalized with a traumatic injury to six US level I trauma centers between 1/1/2016 and 6/30/2022. ICD-10-CM cause codes were used to identify and describe firearm injuries. Temporal trends were compared for demographics (age, sex, race, insured status), intent (assault, unintentional, self-harm, legal intervention, and undetermined), and severity (death, ICU admission, severe injury (injury severity score ≥ 16), receipt of blood transfusion, mechanical ventilation, and hospital and ICU LOS (days). Temporal trends were examined over 13 six-month intervals (H1, January–June; H2, July–December) using joinpoint regression and reported as semi-annual percent change (SPC); significance was p < 0.05. Firearm injuries accounted for 2.6
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关键词
Firearm,Racial disparities,Hospitalization,Traumatic injury,Temporal trends
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