Jacobson Claire L, Choudhury Rehan, Broad Allison, Maw Anna M, Wolf Chelsea, Adams Brian, Drabkin Anne
University of Colorado Anschutz Medical Campus, Aurora, USA.
Denver Health Medical Center, Denver, USA.
Sci Rep. 2025 Jan 29;15(1):3718. doi: 10.1038/s41598-024-83650-7.
Patients that survive firearm injuries frequently require follow-up care. This study aims to explore demographic characteristics of patients presenting to the emergency department for post-firearm injury care and to understand the reasons for their return visits. This was a retrospective chart review of all emergency department and readmission patient encounters for post-firearm injury care during the study period, January 1, 2019 to December 31, 2022, at an urban safety net hospital. Seventy-four patients with 84 corresponding emergency department encounters were included in the analysis. Key findings were that patients from racial and ethnic minorities, patients insured by Medicaid, and patients experiencing homelessness were overrepresented in the study cohort. Additionally, many repeat emergency department visits were potentially avoidable, stemming primarily from insufficient pain control, wound checks, postoperative complications, and infections. The authors proposed potential interventions to improve post-firearm injury care, including the provision of wound care kits and the optimization of the discharge medication pick-up process.
在枪伤中幸存的患者通常需要后续护理。本研究旨在探讨因枪伤后护理而前往急诊科就诊的患者的人口统计学特征，并了解他们再次就诊的原因。这是一项对2019年1月1日至2022年12月31日研究期间在一家城市安全网医院因枪伤后护理而进行的所有急诊科和再入院患者病历的回顾性研究。分析纳入了74例患者的84次相应急诊科就诊记录。主要发现是，种族和少数民族患者、医疗补助保险患者以及无家可归患者在研究队列中的占比过高。此外，许多急诊科的重复就诊可能是可以避免的，主要原因是疼痛控制不足、伤口检查、术后并发症和感染。作者提出了改善枪伤后护理的潜在干预措施，包括提供伤口护理包和优化出院药物领取流程。
