Cargando…

Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City

The highest rates of fatal and nonfatal injury due to firearms occur in the Southern United States. This study examined the epidemiology of gunshot wound (GSW) injuries and the association of injury severity with mortality. METHODS: This is a retrospective cross-sectional analysis of 2016 to 2019 da...

Descripción completa

Detalles Bibliográficos
Autores principales: Silver, Julia H., Ramos, Tolulope A., Stamm, Michaela A., Gladden, Paul B., Martin, Murphy P., Mulcahey, Mary K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412425/
https://www.ncbi.nlm.nih.gov/pubmed/37561926
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00158
_version_ 1785086900323745792
author Silver, Julia H.
Ramos, Tolulope A.
Stamm, Michaela A.
Gladden, Paul B.
Martin, Murphy P.
Mulcahey, Mary K.
author_facet Silver, Julia H.
Ramos, Tolulope A.
Stamm, Michaela A.
Gladden, Paul B.
Martin, Murphy P.
Mulcahey, Mary K.
author_sort Silver, Julia H.
collection PubMed
description The highest rates of fatal and nonfatal injury due to firearms occur in the Southern United States. This study examined the epidemiology of gunshot wound (GSW) injuries and the association of injury severity with mortality. METHODS: This is a retrospective cross-sectional analysis of 2016 to 2019 data from a mandatory reporting system for all licensed hospitals in Louisiana. Patients aged 18 years and older at the time of hospitalization for GSW were included. Injury severity was measured by the New Injury Severity Score (NISS). Primary outcomes assessed included mortality, length of stay, and total hospital charges. RESULTS: There were 1,709 firearm injuries identified. The patient sample was 83.2% Black and 87.4% male, with a mean age of 34 years. Orthopaedics was the most frequently consulted surgical service. Total hospital visit charges for all GSW-associated care were $262.4 million. The multivariable adjusted odds ratio and 95% confidence interval for mortality associated with a high NISS was 16.32 (8.96, 29.72). CONCLUSION: This study demonstrated the utility of NISS as a predictor of total hospital charges and length of stay, in addition to its well-established role as a predictor of mortality. Epidemiologic trends in GSW pathologies and associated procedures at a major urban trauma center were also reported. LEVEL OF EVIDENCE: Level III, prognostic study
format Online
Article
Text
id pubmed-10412425
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer
record_format MEDLINE/PubMed
spelling pubmed-104124252023-08-11 Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City Silver, Julia H. Ramos, Tolulope A. Stamm, Michaela A. Gladden, Paul B. Martin, Murphy P. Mulcahey, Mary K. J Am Acad Orthop Surg Glob Res Rev Research Article The highest rates of fatal and nonfatal injury due to firearms occur in the Southern United States. This study examined the epidemiology of gunshot wound (GSW) injuries and the association of injury severity with mortality. METHODS: This is a retrospective cross-sectional analysis of 2016 to 2019 data from a mandatory reporting system for all licensed hospitals in Louisiana. Patients aged 18 years and older at the time of hospitalization for GSW were included. Injury severity was measured by the New Injury Severity Score (NISS). Primary outcomes assessed included mortality, length of stay, and total hospital charges. RESULTS: There were 1,709 firearm injuries identified. The patient sample was 83.2% Black and 87.4% male, with a mean age of 34 years. Orthopaedics was the most frequently consulted surgical service. Total hospital visit charges for all GSW-associated care were $262.4 million. The multivariable adjusted odds ratio and 95% confidence interval for mortality associated with a high NISS was 16.32 (8.96, 29.72). CONCLUSION: This study demonstrated the utility of NISS as a predictor of total hospital charges and length of stay, in addition to its well-established role as a predictor of mortality. Epidemiologic trends in GSW pathologies and associated procedures at a major urban trauma center were also reported. LEVEL OF EVIDENCE: Level III, prognostic study Wolters Kluwer 2023-08-08 /pmc/articles/PMC10412425/ /pubmed/37561926 http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00158 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by-nd/4.0/This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0 (CC BY-ND) (https://creativecommons.org/licenses/by-nd/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Silver, Julia H.
Ramos, Tolulope A.
Stamm, Michaela A.
Gladden, Paul B.
Martin, Murphy P.
Mulcahey, Mary K.
Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City
title Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City
title_full Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City
title_fullStr Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City
title_full_unstemmed Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City
title_short Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City
title_sort examining the healthcare and economic burden of gun violence in a major us metropolitan city
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412425/
https://www.ncbi.nlm.nih.gov/pubmed/37561926
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00158
work_keys_str_mv AT silverjuliah examiningthehealthcareandeconomicburdenofgunviolenceinamajorusmetropolitancity
AT ramostolulopea examiningthehealthcareandeconomicburdenofgunviolenceinamajorusmetropolitancity
AT stammmichaelaa examiningthehealthcareandeconomicburdenofgunviolenceinamajorusmetropolitancity
AT gladdenpaulb examiningthehealthcareandeconomicburdenofgunviolenceinamajorusmetropolitancity
AT martinmurphyp examiningthehealthcareandeconomicburdenofgunviolenceinamajorusmetropolitancity
AT mulcaheymaryk examiningthehealthcareandeconomicburdenofgunviolenceinamajorusmetropolitancity