Evidence map›Paper›PMID 35039797›Full record

ArticleTrauma surgery & acute care open2022

Examining trends in gun violence injuries before and during the COVID-19 pandemic across six trauma centers.

Constance McGraw, Stephanie Jarvis, Matthew Carrick, Mark Lieser, Robert M Madayag, Gina M Berg, Kaysie L Banton, David Hamilton, David Bar-Or

Open access · goldAbstract read
In one paragraph

Article in Trauma surgery & acute care open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
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

8 citing papers in PubMed, 20 citations in OpenAlex.

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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

9 authors at 6 institutions in 1 country.

Constance McGrawTrauma Research Department, Injury Outcomes Network, Englewood, Colorado, USA.
Stephanie JarvisTrauma Research Department, Injury Outcomes Network, Englewood, Colorado, USA.
Matthew CarrickTrauma Services Department, Medical City Plano, Plano, Texas, USA.
Mark LieserTrauma Services Department, Research Medical Center, Kansas City, Missouri, USA.
Robert M MadayagTrauma Services Department, St Anthony Hospital, Lakewood, Colorado, USA.
Gina M BergTrauma Services Department, Wesley Medical Center, Wichita, Kansas, USA.
Kaysie L BantonTrauma Services Department, Swedish Medical Center, Englewood, Colorado, USA.
David HamiltonTrauma Services Department, Penrose-St Francis Health Services, Colorado Springs, Colorado, USA.
David Bar-OrTrauma Research Department, Injury Outcomes Network, Englewood, Colorado, USA.
Penrose-St. Francis Health Services · USPlano Cancer Institute · USSt. Anthony Hospital · USSwedish Medical Center · USTruman Medical Center · USWesley Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe onset of the national stay-at-home orders accompanied by a surge in firearm sales has elevated the concerns of clinicians and public health authorities. The purpose of this study was to examine the impact of the stay-at-home orders among gunshot wound (GSW) trauma admissions.

methodsThis was a retrospective cohort study at six level I trauma centers across four states. Patients admitted after the onset of COVID-19 restrictions (March 16, 2020-June 30, 2020) were compared with those admitted during the same period in 2019. We compared (1) rate of patients with GSW and (2) characteristics of patients with GSW, by period using Χ

resultsThere were 6996 trauma admissions across the study period; 3707 (53%) in 2019 and 3289 (47%) in 2020. From 2019 to 2020, there was a significant increase in GSW admissions (4% vs. 6%, p=0.001); 4 weeks specifically had significant increases (March 16-March 23: 4%, April 1-April 8: 5%, April 9-April 16: 6%, and May 11-May 18: 5%). Of the 334 GSWs, there were significant increases in patients with mental illness (5% vs. 11%, p=0.03), alcohol use disorder (2% vs. 10%, p=0.003), substance use disorder (11% vs. 25%, p=0.001), and a significant decrease in mortality (14% vs. 7%, p=0.03) in 2020. No other significant differences between time periods were identified.

conclusionOur data suggest that trauma centers admitted significantly more patients with GSW following the national guidelines, including an increase in those with mental illness and substance use-related disorders. This could be attributable to the stay-at-home orders. LEVEL OF EVIDENCE: Level III, retrospective study.

Indexed as

COVID-19firearmsgunshotwounds

Identifiers

PMID35039797
PMCPMC8753110
OpenAlexW4205279700

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.