A Geospatial Analysis of Severe Firearm Injuries Compared to Other Injury Mechanisms: Event Characteristics, Location, Timing, and Outcomes

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Craig D NewgardROC Investigators

Abstract

Relatively little is known about the context and location of firearm injury events. Using a prospective cohort of trauma patients, we describe and compare severe firearm injury events to other violent and nonviolent injury mechanisms regarding incident location, proximity to home, time of day, spatial clustering, and outcomes. This was a secondary analysis of a prospective cohort of injured children and adults with hypotension or Glasgow Coma Scale score ≤ 8, injured by one of four primary injury mechanisms (firearm, stabbing, assault, and motor vehicle collision [MVC]) who were transported by emergency medical services to a Level I or II trauma center in 10 regions of the United States and Canada from January 1, 2010, through June 30, 2011. We used descriptive statistics and geospatial analyses to compare the injury groups, distance from home, outcomes, and spatial clustering. There were 2,079 persons available for analysis, including 506 (24.3%) firearm injuries, 297 (14.3%) stabbings, 339 (16.3%) assaults, and 950 (45.7%) MVCs. Firearm injuries resulted in the highest proportion of serious injuries (66.3%), early critical resources (75.3%), and in-hospital mortality (53.5%). Injury events occurring within 1 mile of a patient...Continue Reading

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Citations

Apr 12, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Patrick M Carter, Rebecca M Cunningham
Apr 1, 2019·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Brianna MillsAli Rowhani-Rahbar
Jul 16, 2020·CMAJ Open·Sheharyar RazaDonald A Redelmeier
Oct 16, 2018·Injury Epidemiology·Jacob B AvrahamCharles J DiMaggio
Jan 6, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jody A VogelComilla Sasson

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