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Arch Pediatr Adolesc Med. 2001 Dec;155(12):1364-8.

Incidence and circumstances of nonfatal firearm-related injuries among children and adolescents.

Author information

1
Division of Pediatric Emergency Medicine, Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614, USA. epowell@northwestern.edu

Abstract

OBJECTIVE:

To describe the incidence and circumstances of nonfatal firearm-related injuries among children and adolescents treated in US emergency departments.

DESIGN:

Data were obtained from the Firearm Injury Surveillance Study, 1993-1997; data were collected through medical record review at hospitals participating in the National Electronic Injury Surveillance System.

SETTING:

The hospitals participating in National Electronic Injury Surveillance System are a stratified probability sample of all US hospitals.

MAIN OUTCOME MEASURES:

Numbers and population rates for nonfatal firearm-related injuries among children and adolescents younger than 20 years old.

RESULTS:

An estimated 115,131 (95% confidence interval, 76,769-153,493) children and adolescents were treated for a nonfatal gunshot wound during the study period. The estimated annual rates of injury (per 100,000) were 2.0 (children 0-4 years old), 2.2 (children 5-9 years old), 15.4 (children 10-14 years old), and 106.5 (adolescents 15-19 years old). The ratios of nonfatal to fatal firearm-related injuries were 4.0 (children 0-4 years old), 4.4 (children 5-9 years old), 5.0 (children 10-14 years old), and 4.4 (adolescents 15-19 years old). An additional estimated 103,814 children (95% confidence interval, 69,223-138,405) were shot with a nonpowder firearm (BB or pellet gun). Boys 5 to 9 and 10 to 14 years old had the highest rates of injury related to nonpowder firearms, an estimated 36.2 and 99.8 per 100,000, respectively. Fifty-six percent of those 15 to 19 years old were assault victims. An estimated 48% of children and adolescents with powder firearm-related gunshot wounds and an estimated 4% with nonpowder firearm injuries were admitted to the hospital.

CONCLUSIONS:

Nonfatal injuries related to powder firearms and nonpowder firearms (BB or pellet guns) are an important source of injury among US children and adolescents. Ongoing surveillance of nonfatal firearm-related injury among children and adolescents is needed.

PMID:
11732957
DOI:
10.1001/archpedi.155.12.1364
[Indexed for MEDLINE]

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