Loder Randall T, Luster Taylor
Department of Orthopaedic Surgery, Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Division of Student Affairs, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Children (Basel). 2023 Mar 30;10(4):651. doi: 10.3390/children10040651.
The purpose of this study was to investigate fracture patterns due to pediatric firearm injuries. The data used was from the US Firearm Injury Surveillance Study 1993-2019. Over these 27 years, there were 19,033 children with fractures due to firearm activity with an average age of 12.2 years; 85.2% were boys and the firearm was a powder type in 64.7%. The finger was the most common fracture location, while the tibia/fibula was the most common location for those admitted to the hospital. Children ≤ 5 years of age sustained more skull/face fractures; most spine fractures occurred in the 11-15-year age group. The injury was self-inflicted in 65.2% of the non-powder and 30.6% of the powder group. The injury intent was an assault in 50.0% of the powder and 3.7% of the non-powder firearm group. Powder firearms accounted for the majority of the fractures in the ≤5 and 11-15 year-olds, non-powder firearms accounted for the majority of the fractures in the 6-10 year-olds. Injuries occurring at home decreased with increasing age; there was an increase in hospital admissions over time. In conclusion, our findings support the need for safe storage of firearms in the home away from children. This data will be helpful to assess any changes in prevalence or demographics with future firearm legislation or other prevention programs. The increasing acuity of firearm-associated injuries seen in this study is detrimental to the child, impacts familial wellbeing, and results in significant financial costs to society.
本研究的目的是调查儿童枪支伤害导致的骨折模式。所使用的数据来自1993 - 2019年美国枪支伤害监测研究。在这27年中，有19033名儿童因枪支活动导致骨折，平均年龄为12.2岁；85.2%为男孩，64.7%的枪支为火药型。手指是最常见的骨折部位，而胫腓骨是住院儿童中最常见的骨折部位。≤5岁的儿童颅骨/面部骨折较多；大多数脊柱骨折发生在11 - 15岁年龄组。在非火药组中，65.2%的伤害是自我造成的，在火药组中这一比例为30.6%。在火药枪支组中，50.0%的伤害意图是攻击，在非火药枪支组中这一比例为3.7%。火药枪支导致的骨折在≤5岁和11 - 15岁儿童中占多数，非火药枪支导致的骨折在6 - 10岁儿童中占多数。在家中发生的伤害随着年龄增长而减少；随着时间推移，住院人数有所增加。总之，我们的研究结果支持在家中远离儿童安全存放枪支的必要性。这些数据将有助于评估未来枪支立法或其他预防计划对患病率或人口统计学的任何变化。本研究中所见的与枪支相关伤害的严重程度增加对儿童有害，影响家庭福祉，并给社会带来巨大经济成本。
