Department of Surgery, Westchester Medical Center, Section of Trauma and Acute Care Surgery, New York Medical College, 100 Woods Rd, Valhalla, NY, 10595, USA.
Department of Surgery, Banner Health Tucson, University of Arizona, Tucson, USA.
World J Surg. 2021 May;45(5):1323-1329. doi: 10.1007/s00268-020-05938-9. Epub 2021 Jan 22.
To analyze and report on the changes in epidemiology traumatic causes of death in the USA.
Data were extracted from the annual National Vital Statistics Reports (2008-2017) from Center for Disease Control and analyzed for trends during the time period given. Generalized additive model was applied to evaluate the significance of trend using R software.
Firearm deaths (39,790) and firearm death rate (12.2/100,000) in 2017 were the highest reported, and this increasing trend was significant (p < 0.001) the last ten years. Deaths from motor vehicle crash (MVC) and firearm homicides did not change significantly during the same time period. Firearm deaths were lower than MVC deaths by 21% (8,197/39,790) in 2008, but after 10 years, the difference was only 1% (458/40,231). Years of life lost from firearms is now higher than MVC. Suicides by firearm in 2017 were the highest reported at 23,854/39,773 (60%). In 2017, suicides by firearm victims were predominantly white 20,328/23,562 (85%), men 20,362/23,562 (86%), and the largest group was between the ages of 55-64.
Death from firearms in the USA is increasing and endemic. They were the highest ever reported in 2017 by the CDC. While deaths from MVC used to be the main cause of traumatic death in the USA, deaths from firearms now almost equal it. Calculated years of life lost from firearms is now more than from MVC. Most firearm deaths are not from homicides but are from suicides, and they are predominantly in white older males of the baby boomer generation (born 1946-1964).
分析并报告美国创伤性死因的流行病学变化。
数据取自疾病控制中心的年度国家生命统计报告（2008-2017 年），并在给定时间段内分析趋势。使用 R 软件的广义加性模型评估趋势的显著性。
2017 年枪支致死（39790 例）和枪支死亡率（12.2/10 万）最高，过去十年呈显著上升趋势（p<0.001）。同期，机动车事故（MVC）和枪支杀人案死亡率没有明显变化。2008 年，枪支致死人数比 MVC 死亡人数低 21%（8197/39790），但 10 年后，这一差距仅为 1%（458/40231）。现在，枪支致死导致的生命损失年数高于 MVC。2017 年枪支自杀报告数最高，为 23562 例。2017 年，枪支自杀受害者主要为白人 20328 例（85%），男性 20362 例（86%），最大群体为 55-64 岁。
美国因枪支导致的死亡呈上升趋势且普遍存在。2017 年，疾病控制中心报告的枪支致死数创历史新高。虽然 MVC 致死曾经是美国创伤性死亡的主要原因，但现在枪支致死几乎与之相当。从生命损失年数来看，枪支致死现在多于 MVC。大多数枪支死亡不是他杀，而是自杀，主要发生在白人老年男性的婴儿潮一代（1946-1964 年出生）。
