Emergency Department Visits For Firearm-Related Injuries In The United States, 2006-14
Emergency Department Visits For Firearm-Related Injuries In The United States, 2006-14
复制标题
DOI：
10.1377/hlthaff.2017.0625
复制
发表时间：
2017-10-01
期刊：
影响因子：
9.7
通讯作者：
Canner, Joseph K.
中科院分区：
文献类型：
--
作者：
Gani, Faiz;Sakran, Joseph V.;Canner, Joseph K.
枪支相关死亡是美国受伤相关死亡的第三大原因。然而，有关枪支相关伤害的当代流行病学趋势和危险因素的数据有限。利用全国急诊科样本的数据，我们报告了流行病学趋势，并量化了因枪支相关伤害而前往急诊科 (ED) 就诊的相关临床和财务负担。我们确定了 150,930 名患者（代表全国加权总数为 704,916 名患者），他们在 2006-14 年期间因枪支相关伤害而活着到急诊室就诊。此类损伤在男性患者中的发生率约为女性患者的九倍，且在 20 至 24 岁的男性中最为常见。在到急诊室就诊的活着的患者中，37.2% 的患者住进了住院治疗，而 8.3% 的患者在急诊室就诊或住院期间死亡。每人急诊和住院费用平均分别为 5,254 美元和 95,887 美元，导致急诊和住院费用的年度财务负担约为 28 亿美元。尽管未来的研究有必要更好地了解与枪支相关的伤害，但政策制定者可能会考虑对枪支购买进行普遍的背景调查，并限制有暴力史或先前定罪的人获得枪支，以减少与这些伤害相关的临床和经济负担。
Firearm-related deaths are the third leading cause of injury-related deaths in the United States. Yet limited data exist on contemporary epidemiological trends and risk factors for firearm-related injuries. Using data from the Nationwide Emergency Department Sample, we report epidemiological trends and quantify the clinical and financial burden associated with emergency department (ED) visits for firearm-related injuries. We identified 150,930 patients-representing a weighted total of 704,916 patients nationally-who presented alive to the ED in the period 2006-14 with firearm-related injuries. Such injuries were approximately nine times more common among male than female patients and highest among males ages 20-24. Of the patients who presented alive to the ED, 37.2 percent were admitted to inpatient care, while 8.3 percent died during their ED visit or inpatient admission. The mean per person ED and inpatient charges were $5,254 and $95,887, respectively, resulting in an annual financial burden of approximately $2.8 billion in ED and inpatient charges. Although future research is warranted to better understand firearm-related injuries, policy makers might consider implementing universal background checks for firearm purchases and limiting access to firearms for people with a history of violence or previous convictions to reduce the clinical and financial burden associated with these injuries.