ArticleSurgery in practice and science2022
Social vulnerability index and firearms: How neighborhood health disparities affect trauma outcomes.
Article in Surgery in practice and science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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.
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Who cites it
6 citing papers in PubMed.
- Misappropriating vulnerability: Assessing the utility of the social vulnerability index as a predictor of firearm violence.PloS one · 2026Article
- Adolescent firearm injury trends at a Level I trauma center in Washington State, USA, 2011-2021.BMC pediatrics · 2025Article
- Understanding disparities in firearm mortality: The role of person- and place-based factors.Injury · 2025Article
- Using EMS data to explore community-level factors associated with firearm violence in North Carolina.Injury epidemiology · 2024Article
- Association between social vulnerability factors and homicide and suicide rates - United States, 2016 - 2020.Journal of safety research · 2024Article
- Child opportunity index is associated with pediatric firearm injury in Philadelphia, Pennsylvania.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Firearm injuries' association with individual-level socioeconomic risk is well described. Trauma research has suggested that neighborhood level risk factors may be associated with differences in firearm injury outcome. We analyzed the relationship between hospital length of stay (LOS), mortality and neighborhood level social markers from the Center for Disease Control (CDC) Social Vulnerability Index (SVI) after firearm injury. Materials and methods: We used the Healthcare Cost and Utilization Project (HCUP) State Inpatient Database (SID) in 2016 to identify firearm injuries using ICD-10 E-codes. Patient locations were identified at the census tract level. The 2016 CDC SVI was used to evaluate neighborhood level social vulnerability. Logistic and linear multivariable regression were used to evaluate the association between SVI percentile rank, mortality, and LOS. Results: We identified 9,764 cases of firearm injury in our database; 88.2% of individuals were male, and the average age was 33.8 years. Assault was the most common intent, accounting for 4682 (48.0%) of all admissions. Overall, SVI was correlated with the risk of firearm injury, but not associated with either outcome of length of stay or risk of death. Conclusions: While there is significant disparity between SVI and risk of firearm injury, once admitted to the hospital outcomes are similar between low and high-vulnerable populations. To reduce disparities in risk, funding and effort should focus on primary prevention.
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