查看文章

BACKGROUND

Pediatric firearm injury is a leading cause of death for US children. We sought to further characterize children who die from these injuries using a validated national database.

METHODS

The National Trauma Data Bank 2010 to 2016 was queried for patients aged 0 to 19 years old. International Classification of Diseases external cause of injury codes were used to classify patients by intent. Differences between groups were analyzed using χ 2 or Mann-Whitney U tests. Patterns over time were analyzed using nonparametric tests for trend. Multivariable logistic regression was used to investigate associations between the above factors and mortality.

RESULTS

There were a total of 45,288 children with firearm injuries, 12.0%(n= 5,412) of whom died. Those who died were younger and more often white than survivors. Mortality was associated with increased injury severity, shock on presentation, and …