Benton Blair, Watson David, Ablah Elizabeth, Lightwine Kelly, Lusk Ronda, Okut Hayrettin, Bui Thuy, Haan James M
Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS.
Department of Population Health, University of Kansas School of Medicine-Wichita, Wichita, KS.
Kans J Med. 2021 Feb 12;14(1):31-37. doi: 10.17161/kjm.vol1413772. eCollection 2021.
Kansas has seen a steady increase in the rate of firearm deaths and injuries. Little is known surrounding the demographic and geospatial factors of these firearm-related traumas. The purpose of this study was to describe the overall incidence of firearm-related traumas, identify high injury locations, and examine any racial/ethnic disparities that may exist.
A retrospective review was conducted of all patients 14 years or older who were admitted with a gunshot wound (GSW) to a Level I trauma center between 2016 and 2017.
Forty-nine percent of patients were Caucasian, 26.5% African American, and 19.6% Hispanic/Latino. Hispanic/Latino patients were the youngest (25.8 ± 8.8 years) and Caucasians were the oldest (34.3 ± 14.1 years, p = 0.002). Compared to Caucasian patients, African American (42.0%) and Hispanic/Latino (54.1%) patients were more likely to be admitted to the intensive care unit (ICU; p = 0.034) and experienced longer ICU lengths of stay (2.5 ± 6.3 and 2.4 ± 4.7 days, p = 0.031, respectively). African American patients (96.0%) experienced more assaults, while Caucasians were more likely to receive gunshot wounds accidentally (26.9%, p = 0.001). More African American (86.0%) and Hispanic/Latino (89.2%) patients were injured with a handgun and Caucasians sustained the highest percentage of shotgun/rifle related injuries (16.1%, p = 0.012). Most GSWs occurred in zip codes 67202, 67203, 67213, 67211, and 67214. Geographical maps indicated that GSWs occur in neighborhoods with low-income and high minority residents and in the downtown and nightclub areas of the city.
Most GSW victims were older Caucasian males. Racial differences were noted and injury locations concentrated in certain locations.
堪萨斯州的枪支伤亡率一直在稳步上升。对于这些与枪支相关创伤的人口统计学和地理空间因素，我们了解甚少。本研究的目的是描述与枪支相关创伤的总体发生率，确定高损伤地点，并检查可能存在的任何种族/民族差异。
对2016年至2017年间因枪伤（GSW）入住一级创伤中心的所有14岁及以上患者进行回顾性研究。
49%的患者为白种人，26.5%为非裔美国人，19.6%为西班牙裔/拉丁裔。西班牙裔/拉丁裔患者最年轻（25.8±8.8岁），白种人最年长（34.3±14.1岁，p = 0.002）。与白种人患者相比，非裔美国人（42.0%）和西班牙裔/拉丁裔（54.1%）患者更有可能入住重症监护病房（ICU；p = 0.034），且在ICU的住院时间更长（分别为2.5±6.3天和2.4±4.7天，p = 0.031）。非裔美国人患者（96.0%）遭受的袭击更多，而白种人意外中枪的可能性更大（26.9%，p = 0.001）。更多的非裔美国人（86.0%）和西班牙裔/拉丁裔（89.2%）患者因手枪受伤，白种人遭受猎枪/步枪相关伤害的比例最高（16.1%，p = 0.012）。大多数枪伤发生在邮编为67202、67203、67213、67211和67214的地区。地理地图显示，枪伤发生在低收入和少数族裔居民较多的社区以及城市的市中心和夜总会区域。
大多数枪伤受害者是年长的白种男性。存在种族差异，且损伤地点集中在某些区域。
