Evidence map›Paper›PMID 39284184›Full record

Observational studyAnnals of internal medicine2024

Factors Associated With Recurrent Pediatric Firearm Injury : A 10-Year Retrospective Cohort Analysis.

Zoe M Miller, Benjamin P Cooper, Daphne Lew, Rachel M Ancona, Vicki Moran, Christopher Behr, Marguerite W Spruce, Lindsay M Kranker, Michael A Mancini, Matt Vogel and 5 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Zoe M MillerBrown School of Social Work, Washington University in St. Louis, St. Louis, Missouri (Z.M.M.).ORCID 0000-0001-8836-9301
Benjamin P CooperInstitute for Public Health, Washington University in St. Louis School of Medicine, St. Louis, Missouri (B.P.C.).ORCID 0000-0003-2040-8524
Daphne LewCenter for Biostatistics and Data Science, Washington University in St. Louis School of Medicine, St. Louis, Missouri (D.L.).ORCID 0000-0001-5433-2367
Rachel M AnconaDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri (R.M.A., K.L.M.).ORCID 0000-0001-6514-0897
Vicki MoranTrudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, Missouri (V.M.).ORCID 0000-0002-3151-2223
Christopher BehrSSM Saint Louis University Hospital, Saint Louis University School of Medicine, St. Louis, Missouri (C.B.).
Marguerite W SpruceSection of Acute & Critical Care Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis; and USA C-STARS ETL, U.S. Air Force School of Aerospace Medicine, St. Louis, Missouri (M.W.S.).
Lindsay M KrankerSection of Acute & Critical Care Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (L.M.K., D.J.E.S.).ORCID 0000-0002-0372-929X
Michael A ManciniSaint Louis University School of Social Work, St. Louis, Missouri (M.A.M.).ORCID 0000-0003-3741-9465
Matt VogelDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri; and School of Criminal Justice, University at Albany, State University of New York, Albany, New York (M.V.).ORCID 0000-0002-3996-2237
Doug J E SchuererSection of Acute & Critical Care Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri (L.M.K., D.J.E.S.).
Lindsay ClukiesDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri (L.C.).ORCID 0000-0001-9550-5842
Megan L RanneyYale School of Public Health, New Haven, Connecticut (M.L.R.).ORCID 0000-0002-8450-9642
Randi E ForakerDepartment of Biomedical Informatics, Biostatistics & Medical Epidemiology, University of Missouri School of Medicine, Columbia, Missouri (R.E.F.).ORCID 0000-0001-9255-9394
Kristen L MuellerDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri (R.M.A., K.L.M.).ORCID 0000-0001-9799-0861

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Spreading LOV: Developing a Plan to Improve Engagement in the Life Outside Violence ProgramK23HD107520 · NICHD · WASHINGTON UNIVERSITY · PI Kristen Mueller · 2023 to 2026
$708k
NCATS NIH HHS UL1 TR002345NICHD NIH HHS K23 HD107520
6 · The paper itself

Abstract

backgroundFirearm injuries are the leading cause of death among children aged 0 to 17 years in the United States.

objectiveTo examine the factors associated with recurrent firearm injury among children who presented with acute (index) nonfatal firearm injury in the St. Louis region.

designMulticenter, observational, cohort study.

setting2 adult and 2 pediatric level I trauma hospitals in St. Louis, Missouri.

participantsPediatric patients aged 0 to 17 years presenting with an index firearm injury between 2010 and 2019. MEASUREMENTS: From the St. Louis Region-Wide Hospital-Based Violence Intervention Program Data Repository, we collected data on firearm-injured patient demographics, hospital and diagnostic information, health insurance status, and mortality. The Social Vulnerability Index was used to characterize the social vulnerability of the census tracts of patients' residences. Analysis included descriptive statistics and time-to-event analyses estimating the cumulative incidence of experiencing a recurrent firearm injury.

resultsDuring the 10-year study period, 1340 children presented with an index firearm injury. Most patients were Black (87%), non-Hispanic (99%), male (84%), and between the ages of 15 and 17 years (67%). The estimated risk for firearm reinjury was 6% at 1 year and 14% at 5 years after initial injury. Male children and those seen at an adult hospital were at increased risk for reinjury. LIMITATION: Our data set does not account for injuries occurring outside of the study period and for reinjuries presenting to nonstudy hospitals.

conclusionChildren who experience an initial firearm injury are at high risk for experiencing a recurrent firearm injury. Interventions are needed to reduce reinjury and address inequities in the demographic and clinical profiles within this cohort of children. PRIMARY FUNDING SOURCE: National Institutes of Health.

Indexed as

RecurrenceWounds, GunshotAdolescentChildChild, PreschoolFemaleFirearmsHumansIncidenceInfantInfant, NewbornMaleMissouriRetrospective StudiesRisk Factors

Identifiers

PMID39284184
PMCPMC11537306

What OpenQuestion holds

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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.