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Firearm-Related Injuries: A Single Center Experience
Samer Asmar1, Letitia Bible1, Phillip Vartanyan1
1Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of Surgical Research
|May 8, 2021
Summary
Firearm-related injuries (FRI) are increasing in Tucson, Arizona, with more severe cases and higher mortality. Targeted interventions are crucial to address this public health crisis.
Area of Science:
- Public Health
- Trauma Surgery
- Epidemiology
Background:
- Firearm-related injuries (FRI) represent a significant public health concern in the United States.
- Limited city-level data exists for FRI trends in Tucson, Arizona.
- This study focuses on analyzing FRI trends at Southern Arizona's sole Level I trauma center.
Purpose of the Study:
- To examine the trends and characteristics of firearm-related injuries (FRI) in Tucson, Arizona, from 2014 to 2019.
- To identify changes in injury severity, intent, and mortality rates associated with FRI.
- To provide data to inform targeted public health interventions.
Main Methods:
- A retrospective review of the Level I trauma center registry from 2014 to 2019.
- Inclusion criteria: patients evaluated for firearm-related injuries (FRI).
- Analysis included patient demographics, injury characteristics, trends in FRI, and mortality using Cochran-Armitage trend analysis.
Main Results:
- 1012 FRI patients were identified, predominantly young males from lower socioeconomic backgrounds.
- A significant increase in FRI prevalence was observed from 2014 (15%) to 2019 (21%).
- Trends showed a rise in severe injuries (ISS≥25), self-inflicted and unintentional injuries, and mortality, alongside high rates of substance abuse.
Conclusions:
- Firearm-related injury (FRI) prevalence at the trauma center has risen over the study period.
- There is a concerning shift towards more severe injuries and increased mortality.
- Multifaceted interventions are necessary to address the escalating trends in firearm-related injuries.
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