Featured Research

from universities, journals, and other organizations

Gunshot injuries in children are more severe, deadly, costly than any other injury

Date:
October 15, 2013
Source:
Oregon Health & Science University
Summary:
A research team reveals that childhood gunshot injuries, while uncommon, are more severe, require more major surgery, have greater mortality and higher per-patient costs than any other mechanism for childhood injury -- particularly among adolescent males.

Gunshot injuries are a leading cause of death and injury in children and adolescents in the United States; they rank second only to motor vehicle crashes as a cause of death for children ages 15 to 19

Related Articles


A research team led by Oregon Health & Science University (OHSU) and the University of California, Davis, reveals that childhood gunshot injuries, while uncommon, are more severe, require more major surgery, have greater mortality and higher per-patient costs than any other mechanism for childhood injury -- particularly among adolescent males. The study is published online in the journal Pediatrics.

"There has been little science and lots of misinformation cited on the topic of gunshot injuries in children," said Craig Newgard, M.D., M.P.H., principal investigator for the study, director of the Center for Policy and Research in Emergency Medicine at OHSU. "This study was intended to add some objective data to the conversation."

Previous studies on gunshot injuries in children have focused almost exclusively on mortality. This study is one of few to include the much broader number of children affected by gunshot injuries and served by 911 emergency services, both in-hospital and out-of-of hospital measures of injury severity, and children with gunshot injuries treated outside major trauma centers.

To conduct this research, Newgard and his OHSU colleagues, in addition to investigators from UC Davis and other centers in the western United States, reviewed data from nearly 50,000 injured children aged 19 and younger for whom 9-1-1 emergency medical services (EMS) were activated over a three-year period in five western regions: Portland, Ore.; Vancouver, Wash.; King County, Wash.; Sacramento, Calif.; Santa Clara Calif.; and Denver, Colo.

The research team looked at the number of injuries, severity of injury, type of hospital interventions, patient deaths and costs-per-patient in children with gunshot injuries compared with children whose injuries resulted from other mechanisms, including stabbing, being hit by a motor vehicle, struck by blunt object, falls, motor vehicle crashes and others.

They found that compared with children who had other mechanisms of injury, children injured by gunshot had the highest proportion of serious injuries (23 percent), major surgery (32 percent), in-hospital deaths (8 percent) and per-patient costs ($28K per patient).

"While children with gunshot wounds made up only 1 percent of the sample, they accounted for more than 20 percent of deaths following injury and a disproportionate share of hospital costs," said Nathan Kuppermann, M.D., M.P.H., professor and chair of emergency medicine at the UC Davis Medical Center and co-author of the study. "The collaboration among the five regions in the Western Emergency Services Translational Research Network enabled us to amass a large enough sample size to assess the physical and financial impact of gunshot injuries in children so that more effective injury prevention efforts can be developed."

The investigators concluded that public health, injury prevention, and health policy solutions are needed to reduce gunshot injuries in children and their major health consequences. The researchers state that curbing these preventable events will require broad-based interdisciplinary efforts, including rigorous research, partnerships with national organizations, and evidence-based legislation.

"Over the first decade of the 21st century, firearms ranked second only to motor vehicles as a cause of death for children and teenagers -- Americans ages 1 to 19 -- considered as a group," said Garen Wintemute, M.D., M.P.H., the study's senior author and director of the Violence Prevention Research Program at the University of California, Davis. "We hope the findings of this study will help point the way toward effective prevention measures."


Story Source:

The above story is based on materials provided by Oregon Health & Science University. Note: Materials may be edited for content and length.


Journal Reference:

  1. C. D. Newgard, N. Kuppermann, J. F. Holmes, J. S. Haukoos, B. Wetzel, R. Y. Hsia, N. E. Wang, E. M. Bulger, K. Staudenmayer, N. C. Mann, E. D. Barton, G. Wintemute. Gunshot Injuries in Children Served by Emergency Services. PEDIATRICS, 2013; DOI: 10.1542/peds.2013-1350

Cite This Page:

Oregon Health & Science University. "Gunshot injuries in children are more severe, deadly, costly than any other injury." ScienceDaily. ScienceDaily, 15 October 2013. <www.sciencedaily.com/releases/2013/10/131015094510.htm>.
Oregon Health & Science University. (2013, October 15). Gunshot injuries in children are more severe, deadly, costly than any other injury. ScienceDaily. Retrieved December 20, 2014 from www.sciencedaily.com/releases/2013/10/131015094510.htm
Oregon Health & Science University. "Gunshot injuries in children are more severe, deadly, costly than any other injury." ScienceDaily. www.sciencedaily.com/releases/2013/10/131015094510.htm (accessed December 20, 2014).

Share This


More From ScienceDaily



More Science & Society News

Saturday, December 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

After Sony Hack, What's Next?

After Sony Hack, What's Next?

Reuters - US Online Video (Dec. 19, 2014) The hacking attack on Sony Pictures has U.S. government officials weighing their response to the cyber-attack. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Spokesman: 'NORAD Ready to Track Santa'

Spokesman: 'NORAD Ready to Track Santa'

AP (Dec. 19, 2014) Pentagon spokesman Rear Adm. John Kirby said that NORAD is ready to track Santa Claus as he delivers gifts next week. Speaking tongue-in-cheek, he said if Santa drops anything off his sleigh, "we've got destroyers out there to pick them up." (Dec. 19) Video provided by AP
Powered by NewsLook.com
Navy Unveils Robot Fish

Navy Unveils Robot Fish

Reuters - Light News Video Online (Dec. 18, 2014) The U.S. Navy unveils an underwater device that mimics the movement of a fish. Tara Cleary reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Science & Society

Business & Industry

Education & Learning

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins