非致命的枪支伤害和随后的急诊室利用在非老年成人中
Theodoros Giannouchos1, Hye-Chung Kum2, Hannah Rochford2
1The University of Alabama Birmingham, School of Public Health, Health Policy & Organization, Birmingham, Alabama.
American journal of preventive medicine
|October 17, 2024
概括
没有致命的枪支伤害的个人在接下来的一年中面临着显著更高的急诊室 (ED) 使用率. 这包括重复的枪支伤害,突出了可预防的伤害循环和增加的医疗保健需求.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 枪支伤害在美国是一个日益严重的公共卫生危机,死亡率和发病率很高.
- 现有的研究不足以解决非致命的枪支伤害后的长期急救部门 (ED) 使用模式.
研究的目的:
- 在一年的时间内,调查非致命的枪支伤害与随后的急诊室 (ED) 使用之间的关联.
- 在最初的非致命性枪支伤害的幸存者中,量化重复ED访问的风险,包括随后的枪支伤害的风险.
主要方法:
- 利用了来自格鲁吉亚和纽约 (2017-2018) 的非老年成年人的全付费ED数据.
- 雇员倾向得分匹配和多变量Poisson/负二项式回归来比较ED利用率.
- 分析了非致命枪支伤害患者的社会人口统计学,临床和情境因素.
主要成果:
- 患有非致命枪支伤害的患者不成比例地是年轻人,男性,非西班牙裔黑人,没有保险,来自低收入地区.
- 在受伤后,患者面临住院的风险显著增加 (aRR: 1.42) 和所有原因受伤相关的ED访问 (aRR: 1.47).
- 随后的非致命枪支伤害ER访问的风险增加了惊人的325.45倍,每8名患者中就有1名在一年内再次遭受枪支伤害.
结论:
- 非致命的枪支伤害是急诊室使用率增加的重要驱动因素,并且往往是可以预防的.
- 这些伤害加剧了健康不平等,并导致了可避免的大量医疗负担.
- 针对枪支伤害的干预措施必须考虑重复医疗接触和随后的伤害的高可能性.
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