Sinauer N, Annest J L, Mercy J A
National Center for Injury Prevention and Control, National Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA.
JAMA. 1996 Jun 12;275(22):1740-3.
To describe the magnitude and characteristics of unintentional, nonfatal firearm-related injuries treated in US hospital emergency departments.
Data were obtained from medical records for all firearm-related injury cases identified using the National Electronic Injury Surveillance System (NEISS) from June 1, 1992, through May 31, 1994. We report on cases classified as unintentional gunshot wounds.
NEISS comprises 91 hospitals that are a stratified probability sample of all hospitals in the United States and its territories that have at least 6 beds and provide 24-hour emergency service.
Number of and population rates for unintentional, nonfatal firearm-related injuries.
An estimated 34 485 (95% confidence interval [CI], 25 225-43 745) persons (6.7 per 100 000 population; 95% CI, 4.9-8.5) were treated for unintentional, nonfatal firearm-related injuries in US emergency departments during the 2-year study period. The majority of patients were male (87%) and aged 15 to 34 years (61%); 38% required hospitalization. Injuries were most often to an extremity (73%), were self-inflicted (70%), involved a handgun (57%), and resulted during common gun-related activities.
Further development of effective interventions are needed to reduce the risk of injury from unintentional discharge of a firearm during routine gun-handling practices by those who own and use firearms. These injuries often occur during common gun-related activities such as gun cleaning, loading/unloading, hunting, target shooting, and showing, handling, or carrying. Studies are needed to evaluate the efficacy of existing gun safety training courses and assess the potential role of various gun safety devices (eg, trigger locks and loading indicators) in future prevention strategies.
描述在美国医院急诊科接受治疗的非故意、非致命性枪支相关伤害的规模和特征。
数据来自1992年6月1日至1994年5月31日期间使用国家电子伤害监测系统（NEISS）识别出的所有枪支相关伤害病例的医疗记录。我们报告分类为非故意枪伤的病例。
NEISS由91家医院组成，这些医院是美国及其领土上所有拥有至少6张床位并提供24小时急诊服务的医院的分层概率样本。
非故意、非致命性枪支相关伤害的数量和人群发生率。
在为期2年的研究期间，估计有34485人（95%置信区间[CI]，25225 - 43745）（每10万人中有6.7人；95%CI，4.9 - 8.5）因非故意、非致命性枪支相关伤害在美国急诊科接受治疗。大多数患者为男性（87%），年龄在15至34岁之间（61%）；38%的患者需要住院治疗。伤害最常发生在四肢（73%），是自我造成的（70%），涉及手枪（57%），并且发生在常见的与枪支相关的活动中。
需要进一步开发有效的干预措施，以降低枪支拥有者和使用者在日常枪支操作过程中非故意开枪造成伤害的风险。这些伤害通常发生在常见的与枪支相关的活动中，如擦拭枪支、装卸子弹、打猎、打靶以及展示、处理或携带枪支。需要开展研究以评估现有枪支安全培训课程的效果，并评估各种枪支安全装置（如扳机锁和装弹指示器）在未来预防策略中的潜在作用。
