The impact of the COVID-19 pandemic on pediatric firearm injuries in Colorado

Stevens, John; Pickett, Kaci; Kaar, Jill L.; Nolan, Margo M.; Reppucci, Marina L.; Corkum, Kristine S.; Hills–Dunlap, Jonathan L.; Haasz, Maya; Acker, Shannon N.

doi:10.1016/j.jpedsurg.2022.10.043

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…14 Even though ISS was increased in our study, we did not identify a significant difference in mortality, which is consistent with previous pediatric trauma studies. 6,14,15 Despite differences between prior studies in how severe injury was defined, our study was consistent with the overall finding that ISS of pediatric patients treated during the pandemic was higher compared with the prepandemic patients.…”

Section: Discussionsupporting

confidence: 87%

“…A Colorado study specifically looking at gun-related traumas in pediatrics found an increase from an average of 5.18 per 100 trauma encounters in 2018 and 2019 to 8.61 per 100 trauma encounters in 2020. 15 On the contrary, Yeates et al 17 found no difference in pediatric gun–related traumas between 2019 and 2020. Gun violence remains a significant issue in the United States.…”

Section: Discussionmentioning

confidence: 98%

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Pediatric Trauma During the COVID-19 Pandemic: A 3-year Retrospective Analysis

Scally,

Sheets,

Dubina

et al. 2023

Clin Pediatr (Phila)

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The Coronavirus 2019 (COVID-19) pandemic has significantly impacted the volume and types of trauma patients encountered. We performed a retrospective analysis of pediatric trauma patients <17 years old presenting within a large US health care system from 2019 to 2021. Demographics, trauma volume, injury severity, mechanism of injury, and outcomes were compared. A total of 16 966 patients, from 88 hospitals over 18 states, were included in our analysis. Pediatric traumas decreased from 2019 to 2020 and 2021. The injury severity scores (ISSs) increased from 2019 to 2020 and 2019 to 2021. Compared with 2019, more gun-related traumas occurred in both 2020 and 2021, whereas motor vehicle collisions decreased. There were additional changes in bicycle, assault, auto versus pedestrian (AVP), playground, and sports injuries. The COVID-19 pandemic has impacted the volume, injury severity, and mechanism of injury of the pediatric trauma population.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 98%

Pediatric Trauma During the COVID-19 Pandemic: A 3-year Retrospective Analysis

Scally,

Sheets,

Dubina

et al. 2023

Clin Pediatr (Phila)

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“…The data from 1993 through 2020 was downloaded from the ICPSR website; however, due to changes in injury patterns associated with the COVID pandemic, those data from the year 2020 were excluded [ 27 , 28 , 29 , 30 , 31 , 32 ], including firearm injuries [ 33 , 34 , 35 ]. The data includes age, sex, race, type of firearm, the perpetrator of the injury (e.g., self, stranger, etc.…”

Section: Methodsmentioning

confidence: 99%

Fractures in Children Due to Firearm Activity

Loder

Luster

2023

Children

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The purpose of this study was to investigate fracture patterns due to pediatric firearm injuries. The data used was from the US Firearm Injury Surveillance Study 1993–2019. Over these 27 years, there were 19,033 children with fractures due to firearm activity with an average age of 12.2 years; 85.2% were boys and the firearm was a powder type in 64.7%. The finger was the most common fracture location, while the tibia/fibula was the most common location for those admitted to the hospital. Children ≤ 5 years of age sustained more skull/face fractures; most spine fractures occurred in the 11–15-year age group. The injury was self-inflicted in 65.2% of the non-powder and 30.6% of the powder group. The injury intent was an assault in 50.0% of the powder and 3.7% of the non-powder firearm group. Powder firearms accounted for the majority of the fractures in the ≤5 and 11–15 year-olds, non-powder firearms accounted for the majority of the fractures in the 6–10 year-olds. Injuries occurring at home decreased with increasing age; there was an increase in hospital admissions over time. In conclusion, our findings support the need for safe storage of firearms in the home away from children. This data will be helpful to assess any changes in prevalence or demographics with future firearm legislation or other prevention programs. The increasing acuity of firearm-associated injuries seen in this study is detrimental to the child, impacts familial wellbeing, and results in significant financial costs to society.

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“…As children were confined to their homes during the COVID-19 pandemic, the characteristics of unintentional injuries in children may have been different from those before the pandemic, which challenged the prevention of unintentional injury among children under these new circumstances. Some studies in other countries have reported that the COVID-19 has increased the proportion of unintentional injuries such as child poisoning, firearm injuries (4)(5)(6). However, there are few studies focusing on unintentional injuries of children under the pandemic in China.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of unintentional childhood injury during COVID-19: a single-center comparative study

Tan¹,

Wang²,

Xu³

et al. 2023

Transl Pediatr

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Background: There are many articles related to child injuries during the coronavirus disease of 2019 in other countries, but only few studies in this field in China. This study analyzes the clinical characteristics of unintentional childhood injury during the pandemic, to provide reference for the prevention of unintentional childhood injury in the context of pandemic.Methods: A comparative study was performed on the medical data of 2,497 children with unintentional injury who were hospitalized at Chengdu Women's and Children'

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The impact of the COVID-19 pandemic on pediatric firearm injuries in Colorado

Cited by 7 publications

References 23 publications

Pediatric Trauma During the COVID-19 Pandemic: A 3-year Retrospective Analysis

Pediatric Trauma During the COVID-19 Pandemic: A 3-year Retrospective Analysis

Fractures in Children Due to Firearm Activity

Characteristics of unintentional childhood injury during COVID-19: a single-center comparative study

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