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Factors Associated With Recurrent Pediatric Firearm Injury : A 10-Year Retrospective Cohort Analysis.

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Children with firearm injuries face a high risk of reinjury, with 14% experiencing a second injury within five years. Male children and those treated at adult hospitals are at greater risk. Interventions are crucial to reduce recurrent firearm injuries and address associated inequities.

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Area of Science:

  • Public Health
  • Trauma Surgery
  • Pediatric Medicine

Background:

  • Firearm injuries are a leading cause of death for children in the U.S.
  • Understanding recurrent firearm injury is critical for prevention strategies.

Purpose of the Study:

  • To identify factors associated with recurrent firearm injury in children presenting with an initial nonfatal firearm injury.
  • To analyze demographic and clinical data to predict reinjury risk.

Main Methods:

  • Observational cohort study involving pediatric patients (0-17 years) with firearm injuries.
  • Data collected from four trauma hospitals in St. Louis from 2010-2019.
  • Analysis included descriptive statistics and time-to-event analyses for cumulative incidence of reinjury.

Main Results:

  • 1340 children presented with an index firearm injury.
  • The 5-year risk of firearm reinjury was 14%.
  • Male children and those treated at adult trauma centers had an increased risk of reinjury.

Conclusions:

  • Children with initial firearm injuries are at significant risk for recurrent injuries.
  • Targeted interventions are needed to mitigate reinjury risks and address disparities in this vulnerable population.