Preinjury and Event-Related Characteristics of Pediatric Firearm Injuries

The American College of Surgeons Firearm Study, United States, March 2021‒February 2022

Bibliographic Data

ID11031015
AuthorsKatherine T Flynn-O’Brien (0000-0001-5450-7278, Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Chethan Sathya (0000-0003-4846-7673, Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Meera Kotagal (0000-0002-3327-381X, Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Samantha Banks (0009-0007-2677-6594, Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Lauren L Agoubi (0000-0003-0727-4365, Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Deborah A Kuhls (Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Avery B Nathens (0000-0003-3785-3800, Cohen Children's Medical Center), Avery Nathens (Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Ashley B Hink (Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...), Ashley Hink (0000-0003-3071-8112, Cohen Children's Medical Center), Frederick P Rivara (0000-0003-1427-0637, Katherine T. Flynn-O’Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children’s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of...)
Year2024
Volume114
Issue10
Pages1097-1109
Publication date2024-10-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307754
PMID39146518
OpenAlexW4401604310
LanguageEN
Citations received1
References cited23

Objectives. To assess differences in contextual factors by intent among pediatric firearm injury patients and determine factors associated with data missingness. Methods. We retrospectively queried the American College of Surgeons Firearm Study database (March 1, 2021–February 28, 2022) for patients aged 18 years or younger. We stratified preinjury, firearm-related, and event-related factors by intent and compared them by using Fisher exact, χ 2 , or 1-way analysis of variance testing. Secondary analysis estimated the adjusted odds of missingness by using generalized linear modeling with binominal logit link. Results. Among 17 395 patients, 2974 (17.1%) were aged 18 years or younger; 1966 (66.1%) were injured by assault, 579 (19.5%) unintentionally, and 76 (2.6%) by self-inflicted means. Most contextual factors differed by intent, including proportion of youths with previous adverse childhood experiences, mental illness, and violent assaults or injury, firearm type and access, perpetrator relationship, and injury location. In adjusted analyses, age, trauma center designation, intent, and admission status were associated with missingness. Conclusions. Contextual factors related to pediatric firearm injury vary by intent. Specific predictors associated with missingness may inform improved future data collection. Public Health Implications. Contextual factors related to pediatric firearm injury can be obtained in a systematic manner nationally to inform targeted interventions. ( Am J Public Health. 2024;114(10):1097–1109. https://doi.org/10.2105/AJPH.2024.307754 )

Environmental health · Family medicine · Injury prevention · Medical emergency · Occupational safety and health · Pathology · Poison control · Suicide prevention · Demography · Emergency Medicine · Gun Ownership and Violence Research · Human Factors and Ergonomics · Medicine · Suicide and Self-Harm Studies · Traumatic Ocular and Foreign Body Injuries