Tellez M G, Mackersie R C, Morabito D, Shagoury C, Heye C
Department of Surgery, University of California San Francisco, San Francisco General Hospital 94110, USA.
Am J Surg. 1995 Dec;170(6):660-3; discussion 664. doi: 10.1016/s0002-9610(99)80037-3.
The purpose of this study was to determine the characteristics of young victims of violence and the risk of rehospitalization due to intentional injury (recidivism) and to estimate the potential cost of these injuries.
Trauma admissions from January 1, 1991 to December 31, 1993, at San Francisco General Hospital of youths < 25 years old who were victims of gunshot wounds (GSWs), assault, and stab wounds were screened. Five hundred and fifty-two charts were reviewed after sampling every other chart. The cost of hospitalization was estimated from the Medicare charge-to-cost ratio.
There were 87 (16%) persons who had a prior injury, of whom 82 (94%) had suffered their injury within the previous 5 years. The predominate mechanism of injury was GSW (242, 44%). There were 38 deaths; 35 (92%) were by firearms. The estimated cost of hospitalization for 552 youths for 3 years was $3,843,545.58.
Intentional injury is a major risk factor and potential predictor for re-injury. Firearms are a major mechanism of intentional injury among youths and a major determinate of death. With the estimated cost of $2,562,363.72 per year for all youths at our hospital, intentional injury is a major health care issue for youths and hospitals.
本研究的目的是确定年轻暴力受害者的特征以及因故意伤害（再入院）导致再次住院的风险，并估算这些伤害的潜在成本。
对1991年1月1日至1993年12月31日期间旧金山总医院收治的25岁以下因枪伤、袭击和刺伤而成为受害者的青少年创伤患者进行筛查。每隔一张图表进行抽样后，共审查了552份病历。根据医疗保险收费与成本比率估算住院费用。
有87人（16%）曾有过受伤经历，其中82人（94%）在过去5年内受过伤。主要的受伤机制是枪伤（242例，44%）。有38人死亡；35人（92%）死于枪支。552名青少年3年的住院费用估计为3,843,545.58美元。
故意伤害是再次受伤的主要风险因素和潜在预测指标。枪支是青少年故意伤害的主要机制，也是死亡的主要决定因素。我院所有青少年每年的估计费用为2,562,363.72美元，故意伤害是青少年和医院面临的一个主要医疗保健问题。
