在美国的创伤中心治疗枪支伤害
Frederick P Rivara1, Ashley B Hink, Deborah A Kuhls
1From the Harborview Medical Center (F.P.R.); Department of Pediatrics (F.P.R.), Department of Epidemiology (F.P.R.), Firearm Injury and Policy Research Program (F.P.R.), University of Washington, Seattle, Washington; Department of Surgery (A.B.H.), Medical University of South Carolina, Charleston, South Carolina; Department of Surgery (D.A.K.), Kirk Kerkorian School of Medicine, University of Nevada Las Vegas, Las Vegas, Nevada; Firearm Injury and Policy Research Program (S.B.), Harborview Injury Prevention and Research Center (L.L.A.), Department of Surgery (L.L.A.), University of Washington, Seattle, Washington; Department of Surgery (S.K.), Northwestern Feinberg School of Medicine; American College of Surgeons (A.W., C.H., B.P.), Chicago, Illinois; and Sunnybrook Health Sciences Center (A.N.), University of Toronto, Toronto, Ontario, Canada.
这项研究分析了创伤中心的枪支伤害,发现大多数患者都是来自困境社区的年轻男性,经常因袭击而受伤. 标准化数据收集对于了解枪支伤害模式至关重要.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 流行病学 流行病学
背景情况:
- 枪支伤害和死亡是一个重要的公共卫生问题.
- 非致命性枪支伤害的详细特征和患者人口统计数据尚未得到充分确定.
- 美国外科医生协会创伤委员会启动了在创伤中心收集枪支伤害的数据.
研究的目的:
- 提供关于收集致命和非致命枪支伤害数据的倡议的概述.
- 突出捕获枪支受伤患者可操作数据的挑战.
- 为了描述向创伤中心提交的枪支伤害患者.
主要方法:
- 从128个创伤中心收集的数据,这些创伤中心在2021年3月至2022年2月期间参加了美国外科医生学院创伤质量改善计划 (ACS TQIP).
- 包括所有年龄段的活着接受枪支伤害的个人.
- 将患者的邮政编码与困难社区指数联系起来.
主要成果:
- 包括17,395名患者;平均年龄为30.2岁,82.5%是男性,主要是黑人和非西班牙裔.
- 伤害最常见的是在家中 (31.2%) 或在街上 (26.6%),其中70.4%是由于袭击.
- 近三分之二的患者居住在非常困难的社区;总体而言,死亡人数为10.3%.
结论:
- 创伤中心的数据对于了解枪支伤害是有价值的.
- 为了提高数据质量,需要对临床实践和文档进行标准化.
- 需要进一步的研究来解决枪支暴力对公共卫生的影响.
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