在创伤登记数据中存在不准确性,关于儿童枪支伤害的射击意图
Jaclyn Dempsey1, Cary Cain2, Marie Kasbaum2
1University of Texas Medical Branch, 301 Harborside Drive, Galveston, TX 77555, USA.
Journal of pediatric surgery
|October 6, 2024
概括
儿童创伤注册表显示,在编码枪支射击意图方面存在严重的不准确性,特别是在旁观者事件中. 提高数据准确性对于理解和预防枪支伤害至关重要.
科学领域:
- 创伤研究研究创伤研究
- 公共卫生 公共卫生
- 预防伤害的预防.
背景情况:
- 机构创伤记录对研究至关重要,但可能存在数据准确性问题.
- 儿童创伤中心的注册表可能不准确地记录了枪击意图.
研究的目的:
- 为了评估儿童枪支伤害中射击意图编码的准确性.
- 与医院记录相比,识别创伤登记数据中的差异.
主要方法:
- 从2018年到2020年,对儿科枪支伤害 (年龄为0-17岁) 的回顾性审查.
- 将注册表数据 (Ecodes) 与详细的医院记录审查进行比较.
- 将"旁观者"作为一个独特的射击意图类别.
主要成果:
- 攻击类别具有高灵敏度 (88.5%),但低特异性 (67%) 和78%的准确性.
- 偶然类别显示了88%的灵敏度,88%的特异性和88%的准确性.
- 蓄意自伤的准确性高 (99%),但不那么敏感 (79%). 旁观者枪击事件被错误地归类为袭击 (75%) 或意外 (18%).
结论:
- 创伤注册表在编码儿科枪支射击意图时表现出严重的不准确性.
- "旁观者"Ecode的缺失导致对其他意图类别的高估.
- 提高数据收集准确度对于有针对性的枪支伤害预防策略至关重要.
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