Evidence map›Paper›PMID 33436448›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2021

Firearm injuries in children: a missed opportunity for firearm safety education.

Sarah C Stokes, Nikia R McFadden, Edgardo S Salcedo, Alana L Beres

Abstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Emergency department utilization by youth before and after firearm injury.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  2. Best Practices for Orthopaedic Treatment of Pediatric Gunshot Injuries.Journal of the Pediatric Orthopaedic Society of North America · 2023
    Review
  3. Article
  4. Firearm Safety Counseling for Patients: An Interactive Curriculum for Trauma Providers.MedEdPORTAL : the journal of teaching and learning resources · 2022
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarah C StokesDepartment of Surgery, University of California Davis Medical Center, Sacramento, California, USA scstokes@ucdavis.edu.ORCID 0000-0001-7227-1326
Nikia R McFaddenDepartment of Surgery, University of California Davis Medical Center, Sacramento, California, USA.
Edgardo S SalcedoDepartment of Surgery, University of California Davis Medical Center, Sacramento, California, USA.
Alana L BeresDepartment of Surgery, University of California Davis Medical Center, Sacramento, California, USA.

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

backgroundSurgeons frequently care for children who have sustained gunshot wounds (GSWs). However, firearm safety education is not a focus in general surgery training. We hypothesised that firearm safety discussions do not routinely take place when children present to a trauma centre with a GSW.

methodA retrospective review of patients <18 years presenting with GSWs to a level 1 paediatric trauma centre from 2009 to 2019 was performed. The primary outcome was discussion of firearm safety with the patient or family. The secondary outcome was notification of child protective services (CPS).

resultsA total of 226 patients with GSWs were identified, 22% were unintentional and 63% were assault. Firearm safety discussions took place in 10 cases (4.4%). Firearm safety discussions were more likely to occur after unintentional injuries compared with other mechanisms (16.0% vs 1.3%, p<0.001). CPS was contacted in 29 cases (13%). CPS notification was more likely for unintentional injuries compared with other mechanisms (40% vs 3.9%, p<0.001) and for younger patients (7 years vs 15 years, p<0.001).

conclusionAt a paediatric trauma centre, firearm safety discussions occurred in 4.4% of cases of children presenting with a GSW. There is a significant room for improvement in providing safety education interventions.

Indexed as

Accidental InjuriesFirearmsWounds, GunshotChildHumansRetrospective StudiesTrauma Centersadolescentchildcounselingeducationfirearm

Identifiers

PMID33436448
PMCPMC8273181

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.