Years of life lost because of gunshot injury to the brain and spinal cord

Years of life lost because of gunshot injury to the brain and spinal cord
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DOI:
10.1097/phm.0b013e31817fb496
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发表时间:
2008-08-01
影响因子:
3
通讯作者:
Lemaire, Jean
Lemaire, Jean
中科院分区:
医学3区
文献类型:
--
作者:
Richmond, Therese S.;Lemaire, Jean

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目的:最近的一项研究(Lemaire)估计,在美国总人口中,枪支死亡导致的预期寿命损失为103.6天:白人男性为150.7天,黑人男性为361.5天。本研究估计了美国与枪支有关的创伤性脑损伤(TBI)和脊髓损伤(SCI)最初存活的个体因过早死亡而导致的预期寿命损失。设计:人际创伤性脑损伤数据来自监测系统,自伤性脑损伤数据来自基于web的伤害统计和报告系统。SCI数据来源于国家数据库。多重减量分析用于计算美国种族和性别中脑部和脊髓枪伤的生命损失天数。结果:平均而言,在美国,不同年龄、性别和种族的人的预期寿命减少了3.1天,因为大脑或脊髓最初受到枪伤的人的寿命较短。黑人男性承受着不成比例的负担,减少9.5天,而白人男性减少4.6天。黑人和白人雌性分别减少1.5天和1.0天。结论:我们将这些发现添加到Lemaire的研究中,导致美国人口枪伤导致的预期寿命损失共计106.7天,其中黑人男性损失371.0天。
Objective: A recent study (Lemaire) estimated the life expectancy loss attributable to gun deaths at 103.6 days for the overall U.S. population: 150.7 days for white males and 361.5 days for black males. This study estimates the life expectancy loss attributable to the premature death of individuals who initially survived gun-related traumatic brain injury (TBI) and spinal cord injury (SCI) in the United States.Design: Interpersonal TBI data were drawn from a surveillance system, and self-inflicted TBI data were obtained from the Web-based Injury Statistics and Reporting System. SCI data were obtained from a national database. Multiple decrement analysis was used to calculate the days of life lost to gunshot wounds to the brain and spinal cord, by race and gender, in the United States.Results: On average, across age, gender, and race, life expectancy in the United States is reduced by 3.1 days because of the shorter lifespan for individuals who survive an initial gunshot wound to the brain or spinal cord. Black males bear a disproportionate burden, losing 9.5 days, whereas white males lose 4.6 days. Black and white females lose 1.5 and 1.0 days, respectively.Conclusions: We add these findings to the Lemaire study, resulting in a total of 106.7 days of life expectancy loss from gunshot wounds for the U.S. population, with 37 1.0 days of life lost for black males.