老年人中与枪支有关的伤害模式:单一机构分析分析
Courtney H Meyer1, Rachel Holstein2, Catherine McGeoch2
1Grady Health System, Atlanta, GA, US; Emory University School of Medicine, Atlanta, GA, US; Rollins School of Public Health, Emory University, Atlanta, GA, US.
Injury
|February 11, 2024
概括
与枪支有关的暴力 (FRV) 的老年受害者面临着更高的死亡率和独特的挑战,包括明显的自我伤害率. 公共卫生工作必须在FRV预防和政策考虑方面解决老年人的特定需求.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 老年病的医生 老年病的医生
背景情况:
- 与枪支相关的暴力 (FRV) 是一个关键的公共卫生问题,影响所有年龄组.
- 老年人是枪支相关伤害 (FRI) 统计数据中的一个脆弱的人群.
- 健康的社会决定因素 (SDOH) 可能会影响老年人受伤模式和结果.
研究的目的:
- 调查与枪支有关的伤害 (FRI) 的老年受害者的伤害模式和结果.
- 检查健康的社会决定因素对老年FRI受害者的影响.
- 将老年FRI受害者与他们的非老年同行进行比较.
主要方法:
- 一级创伤中心创伤注册 (2016-2021) 的回顾性审查.
- 包括18岁及以上的患有FRI的患者,按照ICD 9/10代码定义.
- 将老年人 (65岁以上) 与非老年人 (18-64岁) FRI受害者进行比较,分析受困社区指数 (DCI) 和保险状况影响的死亡率,停留时间,并发症和出院倾向.
主要成果:
- 老年FRI受害者主要是黑人男性,超过75%的政府保险.
- 较高比例的老年FRI病例是自我造成的 (33%),而非老年人 (4%).
- 老年FRI受害者的死亡率明显高 (25%),高于非老年受害者 (15%),超过50%生活在困难社区.
结论:
- 在FRV的背景下,老年人是脆弱人群,面临着独特的公共卫生挑战.
- 伤害预防策略必须包括老年人,特别关注自我指导的暴力.
- 医疗保健政策应应对老年人FRV的潜在财务负担,考虑到他们的保险状况和退休需求.
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