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Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law
INTRODUCTION: This study examined the incidence of gunshot wounds before and after enacting a conceal carry (CC) law in a predominately rural state. METHODS: A retrospective review was conducted of all patients who were admitted with a gunshot injury to a Level I trauma center. Patient data collecte...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of Kansas Medical Center
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053414/ https://www.ncbi.nlm.nih.gov/pubmed/32190185 |
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author | Nicholas, Christina M. Ward, Jeanette G. Helmer, Stephen D. Haan, James M. |
author_facet | Nicholas, Christina M. Ward, Jeanette G. Helmer, Stephen D. Haan, James M. |
author_sort | Nicholas, Christina M. |
collection | PubMed |
description | INTRODUCTION: This study examined the incidence of gunshot wounds before and after enacting a conceal carry (CC) law in a predominately rural state. METHODS: A retrospective review was conducted of all patients who were admitted with a gunshot injury to a Level I trauma center. Patient data collected included demographics, injury details, hospital course, and discharge destination. RESULTS: Among the 238 patients included, 44.6% (n = 107) were admitted during the pre-CC period and 55.4% (n = 131) in the post-CC period. No demographic differences were noted between the two periods except for an increase in uninsured patients from 43.0% vs 61.1% (p = 0.020). Compared to pre-CC patients, post-CC patients experienced a trend toward increased abdominal injury (11.2% vs 20.6%, p = 0.051) and increased vascular injuries (11.2% vs 22.1%, p = 0.026) while lower extremity injuries decreased significantly (38.3% vs 26.0%, p = 0.041). Positive focused assessment with sonography in trauma (FAST) exams (2.2% vs 16.8, p < 0.001), intensive care unit admission (26.2% vs 42.0%, p = 0.011) and need for ventilator support (11.2% vs 22.1%, p = 0.026) all increased during the post-CC period. In-hospital mortality more than doubled (8.4% vs 18.3%, p = 0.028) across the pre- and post-CC time periods. CONCLUSION: Implementation of a CC law was not associated with a decrease in the overall number of penetrating injuries or a decrease in mortality. |
format | Online Article Text |
id | pubmed-7053414 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | University of Kansas Medical Center |
record_format | MEDLINE/PubMed |
spelling | pubmed-70534142020-03-18 Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law Nicholas, Christina M. Ward, Jeanette G. Helmer, Stephen D. Haan, James M. Kans J Med Original Research INTRODUCTION: This study examined the incidence of gunshot wounds before and after enacting a conceal carry (CC) law in a predominately rural state. METHODS: A retrospective review was conducted of all patients who were admitted with a gunshot injury to a Level I trauma center. Patient data collected included demographics, injury details, hospital course, and discharge destination. RESULTS: Among the 238 patients included, 44.6% (n = 107) were admitted during the pre-CC period and 55.4% (n = 131) in the post-CC period. No demographic differences were noted between the two periods except for an increase in uninsured patients from 43.0% vs 61.1% (p = 0.020). Compared to pre-CC patients, post-CC patients experienced a trend toward increased abdominal injury (11.2% vs 20.6%, p = 0.051) and increased vascular injuries (11.2% vs 22.1%, p = 0.026) while lower extremity injuries decreased significantly (38.3% vs 26.0%, p = 0.041). Positive focused assessment with sonography in trauma (FAST) exams (2.2% vs 16.8, p < 0.001), intensive care unit admission (26.2% vs 42.0%, p = 0.011) and need for ventilator support (11.2% vs 22.1%, p = 0.026) all increased during the post-CC period. In-hospital mortality more than doubled (8.4% vs 18.3%, p = 0.028) across the pre- and post-CC time periods. CONCLUSION: Implementation of a CC law was not associated with a decrease in the overall number of penetrating injuries or a decrease in mortality. University of Kansas Medical Center 2020-02-28 /pmc/articles/PMC7053414/ /pubmed/32190185 Text en © 2020 The University of Kansas Medical Center This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Research Nicholas, Christina M. Ward, Jeanette G. Helmer, Stephen D. Haan, James M. Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law |
title | Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law |
title_full | Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law |
title_fullStr | Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law |
title_full_unstemmed | Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law |
title_short | Incidence of Gunshot Wounds: Before and After Implementation of a Shall Issue Conceal Carry Law |
title_sort | incidence of gunshot wounds: before and after implementation of a shall issue conceal carry law |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053414/ https://www.ncbi.nlm.nih.gov/pubmed/32190185 |
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