ArticleJournal of injury & violence research2019
Risk of 90-day readmission in patients after firearm injury hospitalization: a nationally representative retrospective cohort study.
Article in Journal of injury & violence research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 37 citations in OpenAlex.
- Firearm violence and policy in the United States: A survey study on the perspectives of hand surgeons.Journal of clinical orthopaedics and trauma · 2025Article
- Machine learning classification of new firearm injury encounters in the St Louis region: 2010-2020.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Costs of Fatal and Nonfatal Firearm Injuries in the U.S., 2019 and 2020.American journal of preventive medicine · 2024Article
- Examining the Healthcare and Economic Burden of Gun Violence in a Major US Metropolitan City.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Upper extremity firearm injuries: epidemiology and factors predicting hospital admission.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Healthcare utilization and costs following non-fatal powdered and non-powdered firearm injuries for children and youth.European journal of pediatrics · 2022Article
- Injury Characteristics, Outcomes, and Health Care Services Use Associated With Nonfatal Injuries Sustained in Mass Shootings in the US, 2012-2019.JAMA network open · 2022Article
- Nonfatal Firearm Injuries by Intent in the United States: 2016-2018 Hospital Discharge Records from the Healthcare Cost and Utilization Project.The western journal of emergency medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNational conversation has justifiably been concerned with firearm-related deaths and much less attention has been paid to the consequences of surviving a firearm injury. We assessed the risk of hospital readmission, length of stay (LOS) during hospitalization, and costs within 90-days after surviving an index firearm injury and compared these data with pedestrians and occupants involved in motor vehicle crash (MVC).
methodsNationwide Readmission Database, a nationally representative readmission database from 2013 and 2014 was used to create a retrospective cohort study. The primary outcome was time-to-first all-cause readmission within 90-days after discharge from the index hospitalization. Secondary outcomes were LOS and hospitalization costs at index events and at 90-days.
resultsThere were 3,334 (10.5%), 3,818 (10.6%) and 24,672 (9.4%) firearm injury, pedestrian, and occupant MVC readmissions within 90-days. The risk of 90-day readmission among firearm was 20% (HR=1.20, 95%CI=1.09-1.32) and 34% (HR=1.34, 95%CI=1.26-1.44) greater than patients admitted after pedestrian and occupant MVC. The primary causes of firearm readmission were surgical complications, intestinal disorders and open wounds. The mean total costs were lower among patients after firearm injury versus occupant MVC hospitalizations ($9,357 versus $11,032, p=0.028) but mean total LOS was greater (4.48 versus 4.38 days, p=0.003). Medicaid-insured patients had longer LOS at a total lower cost during index hospitalization after firearm injury as compared to MVC occupant injury. Increased LOS and lower costs of 90-day readmissions among firearm patients versus occupant MVC were irrespective of insurance.
conclusionsThe patients surviving a firearm injury have a substantial risk of subsequent hospitalizations, higher than pedestrian or occupant MVC injuries. Medicaid is disproportionately burdened by the costs of treatment of firearm injury.
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