Evidence map›Paper›PMID 39427472›Full record

ArticleThe Journal of surgical research2024

Pediatric Firearm Reinjury: A Retrospective Statewide Risk Factor Analysis.

Matthew D Price, Katherine M McDermott, Rahul Gorijavolu, Charbel Chidiac, Yao Li, Katherine Hoops, Mark B Slidell, Isam W Nasr

Abstract read
In one paragraph

Article in The Journal of surgical research, 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. Observational
  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

8 authors.

Matthew D PriceThe Johns Hopkins Department of Surgery, Baltimore, Maryland. Electronic address: mprice40@jh.edu.
Katherine M McDermottThe Johns Hopkins Department of Surgery, Baltimore, Maryland; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Rahul GorijavoluThe Johns Hopkins School of Medicine, Baltimore, Maryland.
Charbel ChidiacThe Johns Hopkins Department of Surgery, Baltimore, Maryland.
Yao LiDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Earth, Environmental, and Geographical Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina; Center for Applied Geographic Information Science, University of North Carolina at Charlotte, Charlotte, North Carolina.
Katherine HoopsThe Johns Hopkins Bloomberg School of Public Health, Center for Gun Violence Solutions, Baltimore, Maryland; The Johns Hopkins Department of Anesthesiology and Critical Care Medicine, Baltimore, Maryland.
Mark B SlidellThe Johns Hopkins Department of Surgery, Baltimore, Maryland; The Johns Hopkins Department of Pediatric Surgery, Baltimore, Maryland.
Isam W NasrThe Johns Hopkins Department of Surgery, Baltimore, Maryland; The Johns Hopkins Department of Pediatric Surgery, Baltimore, Maryland.

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
Clinical and Laboratory Research Training for Surgical OncologistsT32CA126607 · NCI · JOHNS HOPKINS UNIVERSITY · PI CAMERON, ANDREW M. · 2008 to 2024
$6.0M
NCI NIH HHS T32 CA126607NHLBI NIH HHS T32 HL007024
6 · The paper itself

Abstract

introductionPediatric firearm injuries are a significant public health concern in the United States. This study examines risk factors for firearm reinjury in Maryland's pediatric population.

methodsPediatric patients (age 0-19 y) who presented to any hospital in Maryland with a firearm injury between October 1, 2015, and December 31, 2019, were identified in the Maryland Health Services Cost Review Commission database and were followed for repeat firearm injuries through March 31, 2020. Logistic regression was used to analyze risk factors for reinjury. Geospatial analysis was used to identify communities with the highest prevalence of reinjury.

resultsOf 1351 index presentations for firearm injuries, 102 (7.3%) were fatal. Among children with nonfatal injuries, 40 (3.1%) re-presented with a second firearm injury, 25% of which were fatal. The median interval to reinjury was 149 d [interquartile range: 73-617]. Reinjury was more common in children aged ≥15 y (90% versus 76%), males (100% versus 87%), of Black race (90% versus 69%) or publicly insured (90% versus 68%) (all P < 0.05). Most lived in highly deprived neighborhoods of Baltimore City. No single factor was significant in multivariable models.

conclusionsPediatric firearm reinjury is rare but highly morbid in Maryland. While prior studies have shown Black race to be independently associated with firearm reinjury, we found the effect of race was entirely attenuated after controlling for neighborhood deprivation. These findings underscore the urgent need for targeted interventions in areas identified as high risk in addition to policies to reduce youth firearm access.

Indexed as

Wounds, GunshotAdolescentChildChild, PreschoolFemaleFirearmsHumansInfantInfant, NewbornMaleMarylandRetrospective StudiesRisk FactorsYoung AdultArea deprivation index (ADI)Firearm recidivismFirearm reinjuryGeospatial mappingMaryland Health Services Cost Review Commission (HSCRC)Pediatric firearm reinjury

Identifiers

PMID39427472
PMCPMC11665736

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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.