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Health Aff (Millwood). 2017 Oct 1;36(10):1729-1738. doi: 10.1377/hlthaff.2017.0625.

Emergency Department Visits For Firearm-Related Injuries In The United States, 2006-14.

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Faiz Gani ( is a postdoctoral research fellow in the Department of Surgery, Johns Hopkins University School of Medicine, in Baltimore, Maryland.
Joseph V. Sakran is an assistant professor in the Department of Surgery, Johns Hopkins University School of Medicine.
Joseph K. Canner is acting codirector of the Johns Hopkins Surgery Center for Outcomes Research, Johns Hopkins University School of Medicine.


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.


Epidemiology; firearm; firearm-related injuries; injury

[Indexed for MEDLINE]

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