枪支相关伤害：单中心经验。

Firearm-Related Injuries: A Single Center Experience.

机构信息

Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.

出版信息

J Surg Res. 2021 Sep;265:289-296. doi: 10.1016/j.jss.2021.03.058. Epub 2021 May 5.

DOI:10.1016/j.jss.2021.03.058

PMID:33964639

Abstract

INTRODUCTION

Firearm-related injuries (FRI) are an important public health crisis in the US. There is relatively less city level data examining the injury-related trends in Tucson, Arizona. Our study aims to examine FRI, in Southern Arizona's only Level I trauma center.

METHODS

We conducted a (2014-2019) review of our Level-I trauma center registry. We selected all patients who were evaluated for a FRI. We collected patient and center related variables. Our outcomes were the trends of FRI, injury-related characteristics, and mortality. Cochran-Armitage trend analysis was performed.

RESULTS

A total of 1012 FRI patients were identified. The majority of patients were teenagers (32%) and young adults (30%), and 88% were male. Greater than 80% of patients belonged to the low/low-middle socioeconomic class, and 18.5% completed college. The most common firearm utilized was the handgun (45%). The prevalence of FRI increased significantly (2014:15%; 2019:21%; P< 0.01). The most common injury intention was assault (75%). The median ISS was 17(9-25) with most injuries sustained to the extremities (23%). Also, 25% required emergent operative intervention. There is a significant rise in the number of severely injured patients (ISS≥25) (2014:12.1%, 2019:20%; P< 0.01), self-inflicted injuries (2014:10%, 2019:17%; P < 0.01), unintentional injuries (2014:6%, 2019:12%; P< 0.01), and mortality (2014:11%; 2019:19%; P< 0.01). A high prevalence of substance abuse was noted (73% alcohol, 64% drugs).

CONCLUSIONS

The prevalence of FRI at our center has been rising over the past decade with a shift towards more severe injuries and higher mortality rates. Addressing these alarming changes requires targeted interventions on multiple frontiers.

摘要

简介

枪支相关伤害（FRI）是美国的一个重要公共卫生危机。在亚利桑那州图森市，相对较少有城市层面的数据来研究与伤害相关的趋势。我们的研究旨在检查亚利桑那州南部唯一的一级创伤中心的 FRI。

方法

我们对我们的一级创伤中心登记处进行了（2014-2019 年）回顾。我们选择了所有接受 FRI 评估的患者。我们收集了患者和中心相关变量。我们的结果是 FRI、与伤害相关的特征和死亡率的趋势。进行 Cochran-Armitage 趋势分析。

结果

共确定了 1012 例 FRI 患者。大多数患者是青少年（32%）和年轻人（30%），88%是男性。超过 80%的患者属于低/中低社会经济阶层，18.5%的患者完成了大学学业。最常用的枪支是手枪（45%）。FRI 的患病率显著增加（2014 年：15%；2019 年：21%；P<0.01）。最常见的伤害意图是攻击（75%）。中位数 ISS 为 17（9-25），大多数伤害发生在四肢（23%）。此外，25%的患者需要紧急手术干预。严重受伤患者（ISS≥25）的数量显著增加（2014 年：12.1%，2019 年：20%；P<0.01）、自残（2014 年：10%，2019 年：17%；P < 0.01）、意外受伤（2014 年：6%，2019 年：12%；P<0.01）和死亡率（2014 年：11%；2019 年：19%；P<0.01）。注意到滥用物质的高患病率（73%酒精，64%药物）。