Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
Edward Via College of Osteopathic Medicine, Auburn, AL, USA.
Am Surg. 2024 Aug;90(8):2083-2085. doi: 10.1177/00031348241241633. Epub 2024 Mar 29.
Firearm injuries are a major public health concern with much focus on injuries due to violent crimes in urban areas. Less focus has been on self-inflicted injuries and rural settings. This study included 201 patients, of which 124 (61.7%) were accidental and 77 (38.3%) were intentional self-inflicted gunshot wounds (GSWs) sustained over 6 years at a rural level 1 trauma center. Injury severity scores ( < .001), hospital days ( < .001), and mortality ( < .001) were significantly higher among intentional self-inflicted GSWs. Injuries to the head were the most common injury among patients with intentional self-inflicted GSWs ( < .001).Accidental and intentional self-inflicted GSWs make up a large portion of firearm injuries seen at our rural level 1 trauma center, and defining these injuries can facilitate the need for targeted gun safety and injury prevention efforts.
枪支伤害是一个主要的公共卫生关注点，其中许多关注点都集中在城市地区因暴力犯罪导致的伤害上。而对自我伤害和农村地区的关注较少。本研究包括 201 名患者，其中 124 名（61.7%）是意外事故，77 名（38.3%）是在农村一级创伤中心 6 年内发生的故意自我造成的枪击伤（GSW）。损伤严重程度评分（<0.001）、住院天数（<0.001）和死亡率（<0.001）在故意自我造成的 GSW 中显著更高。头部受伤是故意自我造成的 GSW 患者中最常见的损伤（<0.001）。在我们的农村一级创伤中心，意外和故意自我造成的 GSW 占枪支伤害的很大一部分，对这些伤害进行定义可以促进有针对性的枪支安全和伤害预防工作的开展。
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