Pediatric upper extremity firearm injuries:an analysis of demographic factors and recurring mechanisms of injury  

作　　者：D.Spencer Nichols Mitsy Audate Caroline King David Kerekes Harvey Chim Ellen Satteson 

机构地区：[1]University of Florida College of Medicine.Gainesville,FL.USA [2]Department of Surgery,Division of Plastic and Reconstructive Surgery.University of Florida College of Medicine,100138,Gainesville,FL 32610,USA

出　　处：《World Journal of Pediatrics》2021年第5期527-535,共9页世界儿科杂志（英文版）

摘　　要：Background Little is known regarding risk factors specific to pedialric upper extremity firearm injuries.The purpose of this study is to evaluate pediatric patients treated for these injuries to identify at-risk populations and recurring mechanisms of injury.Methods A 20-year retrospective review was conducted.Patients 17 years of age and younger,with upper extremity injuries related to a firearm,were included.Analysis involved Fisher's exact and Chi-square tests.Results One hundred and eighty patients were included.The mean age was 12.04±4.3 years.Most included patients were male(85%).Interestingly,females were more frequently victims of assault(P=0.03),and males were more frequently injured due to accidental discharge(P<0.001).The most affected race/ethnicity was White-not Hispanic or Latino(48%).The hand was the most frequent location injured(31%)and was more likely to be accidental than proximal injuries(P=0.003).Air rifes were the most common firearm type used(56%).Pistols were implicated in 47(26%)cases,rifles in 17(9%),and.shotguns in 10(6%).Ninety-nine(55%)patients had procedures in the operating room.The most frequent procedure was foreign body removal(55%).Conclusions Risk factors such as male sex,W hite-not Hispanic or Latino race/ethnicity,and adolescent age were attributed to increased risk for injury.Male sex was associated with increased risk of injury by accidental discharge and female sex with intentional assault.Air rifles were the most common firearm type overall,although female sex was associated with increased risk for injury by powder weapon.

关 键 词：FIREARM INJURY PEDIATRIC TRAUMA Upper extremity 

分 类 号：R726.8[医药卫生—儿科]