Pediatric Firearm Injuries And Fatalities: Do Racial Disparities Exist?
*Joseph Sakran1, *Michael Nance2, Taylor Riall3, *Samer Asmar3, *Mohamad Chehab3, *Bellal Joseph3
1Johns Hopkins Univeristy, Baltimore, MD;2Children's Hospital of Philadelphia, Philadelphia, PA;3University of Arizona, Tucson, AZ
OBJECTIVE(S): Pediatric firearm-related morbidity and mortality are rising in the United-States. There is a paucity of recent data describing racial disparities in pediatric firearm victims. The aim of our study is to evaluate the racial disparities in outcomes among pediatric firearm injury patients.
METHODS: We analyzed the 2017 Pediatric Trauma Quality Improvement Program (PTQIP) including patients aged ≤17y with firearm injuries. We stratified our sample by race: Whites and African Americans. Primary outcomes were length-of-stay (LOS) and in-hospital mortality. Secondary outcomes were mode of transport, injury intent, weapon utilized, and discharge disposition. Multivariable Cox regression was performed.
RESULTS: A total of 119,553 patients were identified, of which 3,727 suffered from firearm injuries (1,228 White and 2,499 African Americans). Mean age was 14±4y, 84% were male, and ISS was 5[1-16]. LOS was not different between the two groups, but mortality was higher in Whites as compared to African Americans (p-value<0.01). Assault was more common in African Americans, while suicide/self-harm and unintentional-injuries were more common in Whites (p-values< 0.01). Table 1. On Cox regression analysis, White race was associated with a higher mortality (HR 1.8[1.3-2.4] p<0.01), after adjusting for age, gender, ISS, body-regions-AIS, trauma center level, vitals, and transfusions.
CONCLUSIONS: Firearms continue to be a source of morbidity and mortality in children. Racial disparities exist between the AA and white population offering opportunities to develop prevention initiatives.
|Length of Stay, median [IQR]||1.6 [0.4-4.6]||1.6 [0.4-4.6]||0.68|
|Intent of Injury, %|
|Type of Weapon Utilized, %|
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