ArticleJournal of pediatric surgery2022
The COVID-19 pandemic and associated rise in pediatric firearm injuries: A multi-institutional study.
Article in Journal of pediatric surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 47 citations in OpenAlex.
- Firearm injury and young children: a critical review.BMC pediatrics · 2025Review
- Systems-based care of the injured child: Technical report.The journal of trauma and acute care surgery · 2025Article
- Environmental racism: associations between poverty, pollution, and pediatric gun violence.BMC pediatrics · 2025Observational
- The Impact of COVID-19 on Patterns of Fractures Presenting to Pediatric Emergency Departments.Pediatric emergency care · 2025Article
- Receptivity of providing firearm safety storage devices to parents along with firearms safety education.Frontiers in public health · 2024Article
- Child opportunity index is associated with pediatric firearm injury in Philadelphia, Pennsylvania.Frontiers in public health · 2024Article
- Trends in pediatric firearm-related injuries and disparities in acute outcomes.Frontiers in public health · 2024Article
- A multicenter evaluation of pediatric emergency department injury visits during the COVID-19 pandemic.Injury epidemiology · 2023Article
- Kids gone wild - Alcohol use and patient characteristics in pediatric trauma during the coronavirus disease 2019 pandemic.Pediatric investigation · 2023Article
- Pediatric Firearm Injury Emergency Department Visits From 2017 to 2022: A Multicenter Study.Pediatrics · 2023Article
- Relationship between the COVID-19 pandemic and structural inequalities within the pediatric trauma population.Injury epidemiology · 2023Article
- Pivoting injury prevention efforts during a pandemic: results of an international survey.Injury epidemiology · 2023Article
- Evaluating the Regional Differences in Pediatric Injury Patterns During the COVID-19 Pandemic.The Journal of surgical research · 2023Article
- The Effects of the COVID-19 Pandemic on Violent Injuries in Children: A Literature Review.Advances in pediatrics · 2023Review
- Fractures in Children Due to Firearm Activity.Children (Basel, Switzerland) · 2023Article
- Analyzing Child Firearm Assault Injuries by Race and Ethnicity During the COVID-19 Pandemic in 4 Major US Cities.JAMA network open · 2023Article
- Socioeconomic Factors and Pediatric Injury.Current trauma reports · 2023Review
- Effect of the COVID-19 pandemic on the psychotropic drug consumption.Frontiers in psychiatry · 2022Article
Corrections and comments
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Authors and funding
21 authors at 10 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFirearm sales in the United States (U.S.) markedly increased during the COVID-19 pandemic. Our objective was to determine if firearm injuries in children were associated with stay-at-home orders (SHO) during the COVID-19 pandemic. We hypothesized there would be an increase in pediatric firearm injuries during SHO.
methodsThis was a multi institutional, retrospective study of institutional trauma registries. Patients <18 years with traumatic injuries meeting National Trauma Data Bank (NTDB) criteria were included. A "COVID" cohort, defined as time from initiation of state SHO through September 30, 2020 was compared to "Historical" controls from an averaged period of corresponding dates in 2016-2019. An interrupted time series analysis (ITSA) was utilized to evaluate the association of the U.S. declaration of a national state of emergency with pediatric firearm injuries.
resultsNine Level I pediatric trauma centers were included, contributing 48,111 pediatric trauma patients, of which 1,090 patients (2.3%) suffered firearm injuries. There was a significant increase in the proportion of firearm injuries in the COVID cohort (COVID 3.04% vs. Historical 1.83%; p < 0.001). There was an increased cumulative burden of firearm injuries in 2020 compared to a historical average. ITSA showed an 87% increase in the observed rate of firearm injuries above expected after the declaration of a nationwide emergency (p < 0.001).
conclusionThe proportion of firearm injuries affecting children increased during the COVID-19 pandemic. The pandemic was associated with an increase in pediatric firearm injuries above expected rates based on historical patterns.
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