德克萨斯州休斯顿市小儿 gunshot 伤分析：社会视角。注：这里原文中的“gunshot”表述有误，正确的可能是“gunshot wound”即枪伤。完整准确译文为：德克萨斯州休斯顿市小儿枪伤分析：社会视角。

Analysis of pediatric gunshot wounds in Houston, Texas: A social perspective.

作者信息

Brewer Joe W, Cox Charles S, Fletcher Stephen A, Shah Manish N, Sandberg Michelle, Sandberg David I

机构信息

Division of Pediatric Neurosurgery, Departments of Pediatric Surgery and Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston and Mischer Neuroscience Institute, Houston, Texas, USA.

Department of Pediatric Surgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, Texas, USA.

出版信息

J Pediatr Surg. 2019 Apr;54(4):783-791. doi: 10.1016/j.jpedsurg.2018.10.061. Epub 2018 Nov 7.

DOI:10.1016/j.jpedsurg.2018.10.061

PMID:30502006

Abstract

BACKGROUND

This study sought to determine the role of social factors in pediatric gunshot wounds (GSW).

METHODS

We identified medical records of victims aged 0-15 years who presented to our Level 1 pediatric trauma center from 2001 to 2016.

RESULTS

Three hundred fifty-eight children were treated between 2001 and 2016. Patients ranged from 2.5 months to 15 years old (mean = 10.8 years). Two hundred ninety-two patients (81.6%) were male, and 66 (18.4%) were female. The most common anatomic injury location was the head, face, neck, and/or spine (n = 168; 36.2%). 38.3% of injuries (n = 137) were caused by handguns, 25.1% (n = 90) by BB guns, and 12.6% (n = 45) by shotguns/rifles. 45.5% of incidents (n = 163) were intentional; 17 of these (4.7%) were suicide attempts. 48.9% of incidents (n = 175) were accidental. The majority (n = 229) of incidents (64.0%) occurred in a family residence. An adult supervised the victim in only 26.3% of cases (N = 94). Criminal charges were filed in 36 cases (10.1%). Fifteen victims (4.2%) were placed in CPS custody. 12.0% of charts (N = 43) mentioned gun safety education being provided to the family.

CONCLUSION

Analysis of social factors associated with pediatric GSW suggests that many of these injuries could have been prevented with safe firearm storage, increased community education efforts, and other safety measures.

LEVELS OF EVIDENCE

Level III- Retrospective Comparative Study.

摘要

背景

本研究旨在确定社会因素在儿童枪伤（GSW）中的作用。

方法

我们识别了2001年至2016年期间到我们一级儿科创伤中心就诊的0至15岁受害者的病历。

结果

2001年至2016年期间共治疗了358名儿童。患者年龄从2.5个月至15岁不等（平均=10.8岁）。292名患者（81.6%）为男性，66名（18.4%）为女性。最常见的解剖损伤部位是头部、面部、颈部和/或脊柱（n=168；36.2%）。38.3%的损伤（n=137）由手枪造成，25.1%（n=90）由气枪造成，12.6%（n=45）由霰弹枪/步枪造成。45.5%的事件（n=163）是故意的；其中17起（4.7%）是自杀未遂。48.9%的事件（n=175）是意外。大多数事件（n=229，64.0%）发生在家庭住所。只有26.3%的病例（N=94）有成人对受害者进行监管。36起案件（10.1%）提起了刑事指控。15名受害者（4.2%）被儿童保护服务机构收容。12.0%的病历（N=43）提到向家庭提供了枪支安全教育。