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2018年至2023年期间美国按月份、日期和时间划分的枪支伤害急诊就诊模式。

Patterns of U.S. Firearm Injury Emergency Department Visits by Month, Day, and Time During 2018 to 2023.

作者信息

Rowh Adam, Zwald Marissa, Sumner Steven, George Nisha, Sheppard Michael, Holland Kristin

机构信息

Epidemic Intelligence Service and National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia (A.R.).

National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia (M.Z., S.S., N.G., K.H.).

出版信息

Ann Intern Med. 2025 May;178(5):663-670. doi: 10.7326/ANNALS-24-02874. Epub 2025 Apr 15.

DOI:10.7326/ANNALS-24-02874
PMID:40228300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12088878/
Abstract

BACKGROUND

Monitoring temporal trends in firearm injury-related emergency department (ED) visits is challenging because traditional surveillance systems lack detailed temporal information.

OBJECTIVE

To describe temporal patterns of ED visits for firearm injury using data from the Centers for Disease Control and Prevention's (CDC) Firearm Injury Surveillance Through Emergency Rooms (FASTER) program.

DESIGN

Cross-sectional analysis of firearm injury-related ED visits.

SETTING

9 states (Florida, Georgia, New Mexico, North Carolina, Oregon, Utah, Virginia, Washington, and West Virginia) and the District of Columbia from 1 January 2018 to 31 August 2023.

PATIENTS

ED visits for firearm injury ( = 93 022) from CDC's FASTER program.

MEASUREMENTS

ED visits for firearm injury per 100 000 ED visits, analyzed by time of day (in 30-minute intervals), day of the week, day of the year, and holidays.

RESULTS

From January 2018 through August 2023, there were 93 022 firearm injury ED visits (73.9 per 100 000 ED visits), or approximately 1 firearm injury every 30 minutes overall. Rates of firearm injury ED visits were highest between 2:30 and 3:00 a.m. and lowest between 10:00 and 10:30 a.m. Nighttime peaks and daily rates were highest on Friday and Saturday. Monthly rates were highest in July and lowest in February; daily rates were disproportionately high on most holidays, especially Independence Day and New Year's Eve.

LIMITATIONS

Data are limited to 9 states and the District of Columbia and are not nationally representative. The analysis of ED visits for firearm injury does not distinguish injury intent and is based on arrival time rather than actual injury time.

CONCLUSION

Distinct temporal patterns in firearm injury ED visits highlight resource allocation considerations for prevention and response efforts.

PRIMARY FUNDING SOURCE

Centers for Disease Control and Prevention.

摘要

背景

监测与枪支伤害相关的急诊科就诊的时间趋势具有挑战性,因为传统监测系统缺乏详细的时间信息。

目的

利用疾病控制与预防中心(CDC)的急诊室枪支伤害监测(FASTER)项目的数据,描述枪支伤害急诊科就诊的时间模式。

设计

对与枪支伤害相关的急诊科就诊进行横断面分析。

地点

2018年1月1日至2023年8月31日期间的9个州(佛罗里达州、佐治亚州、新墨西哥州、北卡罗来纳州、俄勒冈州、犹他州、弗吉尼亚州、华盛顿州和西弗吉尼亚州)以及哥伦比亚特区。

患者

来自CDC的FASTER项目的枪支伤害急诊科就诊患者(n = 93022)。

测量指标

每100000次急诊科就诊中枪支伤害的就诊次数,按一天中的时间(以30分钟为间隔)、一周中的日期、一年中的日期和节假日进行分析。

结果

2018年1月至2023年8月,共有93022次枪支伤害急诊科就诊(每100000次急诊科就诊中有73.9次),总体上大约每30分钟有1次枪支伤害。枪支伤害急诊科就诊率在凌晨2:30至3:00之间最高,在上午10:00至10:30之间最低。夜间高峰和每日就诊率在周五和周六最高。每月就诊率在7月最高,2月最低;在大多数节假日,每日就诊率异常高,尤其是独立日和新年前夜。

局限性

数据仅限于9个州和哥伦比亚特区,不具有全国代表性。对枪支伤害急诊科就诊的分析未区分伤害意图,且基于到达时间而非实际受伤时间。

结论

枪支伤害急诊科就诊的明显时间模式突出了预防和应对工作中资源分配的考虑因素。

主要资金来源

疾病控制与预防中心。

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