Firearm-Related Pediatric Head Trauma: A Scoping Review
Ron Gadot1,2, Melissa A LoPresti1,2, David N Smith1,2
1Division of Neurosurgery, Texas Children's Hospital, Houston, Texas, USA.
Neurosurgery
|May 10, 2022
Summary
Firearm-related traumatic brain injury (frTBI) in children is understudied. Research shows higher risks in males, youth, minorities, and in homes with firearms, highlighting a need for prevention.
Area of Science:
- Public Health
- Epidemiology
- Neurotrauma
Background:
- Firearm-related injury is a major cause of death and disability in children.
- Pediatric firearm-related traumatic brain injury (frTBI) is an understudied area with significant morbidity and mortality.
- There is a critical need to understand frTBI burden and develop interventions.
Purpose of the Study:
- To assess existing evidence on pediatric frTBI.
- To identify trends and knowledge gaps in frTBI burden and prevention.
- To inform public health and neurosurgical interventions.
Main Methods:
- A scoping review was conducted following PRISMA-ScR guidelines.
- Searched 5 databases (Medline, EMBASE, Web of Science, PsychINFO, Academic Search Complete).
- Included English studies on pediatric frTBI epidemiology, prevention, and policy; excluded general firearm injury studies.
Main Results:
- Six studies met inclusion criteria.
- Limited data exists on the burden of pediatric frTBI.
- Increased frTBI risk observed in males, youth, minorities, and firearm-owning households.
Conclusions:
- Understanding frTBI epidemiology is crucial for developing targeted interventions.
- Further research is needed to evaluate screening, counseling, and policy advocacy effectiveness.
- Neurosurgical engagement in public health and prevention is vital to reduce frTBI.
