Evidence map›Paper›PMID 40555422›Full record

ReviewPediatrics2025

Pediatric Nonfatal Firearm Injury Health Care Utilization.

Joseph Du, Annie Andrews, Kelsey Gastineau, Lois K Lee, Megan L Ranney, Chana A Sacks, Zirui Song, Eric W Fleegler, Christian D Pulcini

Abstract readReview
In one paragraph

Review in Pediatrics, 2025. 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. Trends in Pediatric Orthopaedic Firearm Injuries: A 28-Year National Representative Database Review.Journal of the Pediatric Orthopaedic Society of North America · 2026
    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

9 authors.

Joseph DuUniversity of Vermont Larner College of Medicine, Burlington, Vermont.
Annie AndrewsDepartment of Pediatrics, Children's National Hospital, Washington, District of Columbia.
Kelsey GastineauVanderbilt University Medical Center, Nashville, Tennessee.
Lois K LeeDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
Megan L RanneyYale University School of Public Health, New Haven, Connecticut.
Chana A SacksMassachusetts General Hospital Gun Violence Prevention Center, Boston, Massachusetts.
Zirui SongDivision of General Internal Medicine and Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts.
Eric W FleeglerDepartments of Pediatrics and Emergency Medicine, Harvard Medical School, Boston, Massachusetts.
Christian D PulciniUniversity of Vermont Larner College of Medicine, Burlington, Vermont.

Funding

Optimization and Implementation Trial of a User-Centered Emergency Care Planning Tool for Infants with Medical ComplexityK23HD109469 · NICHD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Christian Donald Pulcini · 2022 to 2026
$777k
NICHD NIH HHS K23 HD109469
6 · The paper itself

Abstract

Firearm injury is a leading cause of death among children in the United States. For every 1 child killed by a firearm, approximately 2 to 4 more are injured and survive. An emerging literature characterizes changes in health care utilization and costs attributable to survivors of pediatric firearm injuries. We provide a summary that may guide intervention efforts focused on both injury prevention and postinjury care. Among 15 studies, we found that multiple categories of health care use increased after firearm injury, including hospitalizations and readmissions, compared both to preinjury patterns and to non-firearm-injured controls. Mental health diagnoses also increased after firearm injury. Health care spending increased considerably in the first-year postinjury among both injured children and their families. There are few data addressing longer-term health care outcomes and expenditures. To quantify the continuing economic and societal impact of firearm injury as well as the cost-effectiveness of prevention efforts, longitudinal research is needed to address the health impacts on firearm-injured children, families, and communities.

Indexed as

Patient Acceptance of Health CareWounds, GunshotAdolescentChildChild, PreschoolFirearmsHospitalizationHumansUnited States

Identifiers

PMID40555422
PMCPMC13007813

What OpenQuestion holds

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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.