Using multiple imputation by super learning to assign intent to nonfatal firearm injuries

Carpenito, Thomas; Miller, Matthew; Manjourides, Justin; Azrael, Deborah

doi:10.1016/j.ypmed.2022.107183

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…However, as described, at this time we do feel that this is the most reliable data that we have available, especially for serious injuries requiring hospitalization. The national surveillance system that does exist (National Electronic Injury Surveillance System) has been shown to have unstable data estimates of nonfatal injuries, especially regarding undetermined injuries 10,33. Second, minor injury cases that were managed at home, at nontrauma centers, or discharged from the emergency room without admission at trauma centers were not accounted for in this data.…”

Section: Discussionmentioning

confidence: 99%

“…The national surveillance system that does exist (National Electronic Injury Surveillance System) has been shown to have unstable data estimates of nonfatal injuries, especially regarding undetermined injuries. 10 , 33 Second, minor injury cases that were managed at home, at nontrauma centers, or discharged from the emergency room without admission at trauma centers were not accounted for in this data. Given these limitations in missing data, the CR calculations in this study are considered an estimate of true population-level data.…”

Section: Discussionmentioning

confidence: 99%

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Defining the Full Spectrum of Pediatric Firearm Injury and Death in the United States

et al. 2023

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Objective: To characterize the full spectrum of pediatric firearm injury in the United States by describing fatal and nonfatal injury data epidemiology, vulnerable populations, and temporal trends. Background: Firearm injury is the leading cause of death in children and adolescents in the United States. Nonfatal injury is critical to fully define the problem, yet accurate data at the national level are lacking. Methods: A cross-sectional study combining national firearm injury data from the Centers for Disease Control (fatal) and the National Trauma Data Bank (nonfatal) between 2008 and 2019 for ages 0 to 17 years. Data were analyzed using descriptive and χ 2 comparisons and linear regression.Results: Approximately 5000 children and adolescents are injured or killed by firearms each year. Nonfatal injuries are twice as common as fatal injuries. Assault accounts for the majority of injuries and deaths (67%), unintentional 15%, and self-harm 14%. Black youth suffer disproportionally higher injuries overall (crude rate: 49.43/million vs White, non-Hispanic: 15.76/million), but self-harm is highest in White youth. Children <12 years are most affected by nonfatal unintentional injuries, 12 to 14 years by suicide, and 15 to 17 years by assault. Nonfatal unintentional and assault injuries, homicides, and suicides have all increased significantly (P < 0.05). Conclusions: This study adds critical and contemporary data regarding the full spectrum and recent trends of pediatric firearm injury in the United States and identifies vulnerable populations to inform injury prevention intervention and policy. Reliable national surveillance for nonfatal pediatric firearm injury is vital to accurately define and tackle this growing public health crisis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%