National Trends and Cost Burden of Surgically Treated Gunshot Wounds in the US

Dobaria, Vishal; Aguayo, Esteban; Sanaiha, Yas; Tran, Zachary; Hadaya, Joseph; Sareh, Sohail; Cho, Nam Yong; Benharash, Peyman

doi:10.1016/j.jamcollsurg.2020.06.022

Cited by 21 publications

(9 citation statements)

References 33 publications

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“…9 Operations were stratified as neurologic, facial, neck, ophthalmologic, thoracic, cardiac, gastrointestinal, genitourinary, vascular, and orthopedic/plastic. 10 Injury location was classified as head/neck, face, chest, abdomen/pelvis, and extremity based upon the Injury Severity Score body region designations. 11 The presence of OUD, which encompasses dependence and abuse of prescription opiates and injected heroin, was ascertained based on previously reported ICD-9/10 codes (Supplemental Table S1).…”

Section: Participantsmentioning

confidence: 99%

Impact of opioid use disorder on resource utilization and readmissions after operative trauma

Tran

Madrigal

Pan

et al. 2022

Surgery

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Background: Although patients with opioid use disorder have been shown to be more susceptible to traumatic injury, the impact of opioid use disorder after trauma-related admission remains poorly characterized. The present nationally representative study evaluated the association of opioid use disorder on clinical outcomes after traumatic injury warranting operative intervention. Methods: The 2010 to 2018 Nationwide Readmissions Database was used to identify adult trauma victims who underwent major operative procedures. Injury severity was quantified using International Classification of Diseases Trauma Mortality Prediction Model. Entropy balancing was used to adjust for intergroup differences. Multivariable regression models were developed to assess the association of opioid use disorder on in-hospital mortality, perioperative complications, resource utilization, and readmissions. Results: Of an estimated 5,089,003 hospitalizations, 54,097 (1.06%) had a diagnosis of opioid use disorder with increasing prevalence during the study period. Compared with others, opioid use disorder had a lower proportion of extremity injuries and falls but greater predicted mortality measured by Trauma Mortality Prediction Model. After adjustment, opioid use disorder was associated with decreased odds of in-hospital mortality (adjusted odds ratio: 0.61; 95% confidence interval, 0.53e0.70) but had greater likelihood of pneumonia, infectious complications, and acute kidney injury. Additionally, opioid use disorder was associated with longer hospitalization duration as well as greater index costs and risk of readmission within 30 days (adjusted odds ratio: 1.36; 95% confidence interval, 1.25e1.49). Conclusion: Opioid use disorder in operative trauma has significantly increased in prevalence and is associated with decreased in-hospital index mortality but greater resource utilization and readmission.

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Section: Participantsmentioning

confidence: 99%

Impact of opioid use disorder on resource utilization and readmissions after operative trauma

Tran

Madrigal

Pan

et al. 2022

Surgery

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“…However, penetrating trauma has become a highly relevant issue also in Europe in recent years [ 4 , 5 ]. Firearm injuries do not only affect the livelihood of those injured but also cause major impact in terms of financial burden on healthcare systems and society [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of firearm injuries in Sweden

Nyberger

Caragounis

Djerf

et al. 2021

Eur J Trauma Emerg Surg

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Background Gun violence is a global health problem. Population-based research on firearm-related injuries has been relatively limited considering the burden of disease. The aim of this study was to analyze nationwide epidemiological trends of firearm injuries. Methods This is a retrospective nationwide epidemiological study including all patients with firearm injuries from the Swedish Trauma Registry (SweTrau) during the period 2011 and 2019. Registry data were merged with data from the Swedish National Council for Crime Prevention and the Swedish Police Authority. Results There were 1010 patients admitted with firearm injuries, 96.6% men and 3.4% women, median age 26.0 years [IQR 22.0–36.3]. The overall number of firearm injuries increased on a yearly basis (P < 0.001). The most common anatomical injury location was lower extremity (29.7%) followed by upper extremity (13.8%), abdomen (13.8%), and chest (12.5%). The head was the most severely injured body region with a median abbreviated injury scale (AIS) of 5 [IQR 3.2–5]. Vascular injuries were mainly located to the lower extremity (42%; 74/175). Majority of patients (51.3%) had more than one anatomic injury location. The median hospital length of stay was 3 days [IQR 2–8]. 154 patients (15.2%) died within 24 h of admission. The 30-day and 90-day mortality was 16.7% (169/1010) and 17.5% (177/1010), respectively. There was an association between 24-h mortality and emergency department systolic blood pressure < 90 mmHg [OR 30.3, 95% CI 16.1–56.9] as well as the following injuries with AIS ≥ 3; head [OR 11.8, 95% CI 7.5–18.5], chest [OR 2.3, 95% CI 1.3–4.1], and upper extremity [OR 3.6, CI 1.3–10.1]. Conclusions This nationwide study shows an annual increase of firearm-related injuries and fatalities. Firearm injuries affect people of all ages but more frequently young males in major cities. One in six patients succumbed from their injuries within 30 days with most deaths occurring within 24 h of hospital admission. Given the impact of firearm-related injuries on society additional research on a national level is critical.

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“…Each year more than 250.000 people die from firearm injuries, the majority associated with homicide [2]. In addition to destructive damage, these weapons causes serious health damage, including bed sentences, disability, and death, which impose a heavy burden on the health sector and society and lead to many adverse consequences in the social system [3]. Injuries from firearms are a major problem even in modern and advanced countries like the USA [4,5].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of death due to Firearm (Gunshot) injuries in Forensic Cases, in Kabul city, Afghanistan

Nijrabi

Ahmadi²,

Salih³

2022

TSSJ

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Introduction: firearms (rifles, pistols, grenades, mines, and suicide bombers) cause gunshot injuries. In addition to destructive damage, the use of these weapons causes severe health damage, including bed sentences, disability, and death, which impose a heavy burden on the health sector and society with many adverse consequences for the social system. Objective: to assess the prevalence of deaths due to firearm injuries in the cases brought to the Kabul Forensic Medicine Center. Methods and Materials: This is a descriptive cross-sectional study. We have collected the data in a census manner from March 21, 2019, to March 19, 2020. We have retrieved the demographic information from the database of Kabul Forensic Medicine Center and analyzed it using SPSS version 26. Results: we went through the files and reviewed the demographic information of 1538 dead bodies which were brought to the Kabul Forensic Medicine Center, from March 21, 2019, to March 19, 2020, of which 466 (30.29%) were due to firearm injuries. Among those victims, 428 cases (91, 84%), were men, and 28 cases (8.16%) were female. The youngest age of the victims was 18 years and the oldest age of the victims was 40 years. The most common site of injury was the head (34.97%), and the most common cause of death was the destruction of brain tissue and severe internal and external bleeding (34.97%). The distance of gunshot was distant in most of the cases (52.78%). In most of the cases (69.74%), the type of wound canal originated with the exit wound. Conclusion: the death prevalence due to firearm injuries was 30.29%. Male, in the second, third, and fourth decades of life were victims in the majority of cases. In terms of anatomical location, the causes of death in most cases were firearm injuries to the head, destruction of brain tissues, and severe internal and external bleeding.

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National Trends and Cost Burden of Surgically Treated Gunshot Wounds in the US

Cited by 21 publications

References 33 publications

Impact of opioid use disorder on resource utilization and readmissions after operative trauma

Impact of opioid use disorder on resource utilization and readmissions after operative trauma

Epidemiology of firearm injuries in Sweden

Prevalence of death due to Firearm (Gunshot) injuries in Forensic Cases, in Kabul city, Afghanistan

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