Evidence map›Paper›PMID 42419739›Full record

Observational studyHospital pediatrics2026

The Crisis of Adolescent Firearm Reinjury: A 14-Year Retrospective Cohort Analysis.

Kristen L Mueller, Daphne Lew, Nicholas Szoko, Zoe M Miller, Taylor Kaser, Benjamin P Cooper, Christopher Behr, Lindsay Clukies, Joseph Finney, Marguerite W Spruce and 13 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Hospital pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

23 authors.

Kristen L MuellerDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Daphne LewCenter for Biostatistics and Data Science, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Nicholas SzokoDivision of Adolescent Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Zoe M MillerWashington University in St. Louis School of Public Health, St. Louis, Missouri.
Taylor KaserDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Benjamin P CooperWashington University in St. Louis School of Public Health, St. Louis, Missouri.
Christopher BehrSSM Saint Louis University Hospital, Saint Louis University School of Medicine, St. Louis, Missouri.
Lindsay ClukiesDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Joseph FinneyDepartment of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Marguerite W SpruceDepartment of Surgery, Section of Acute and Critical Care Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Lindsay M KrankerDepartment of Surgery, Section of Acute and Critical Care Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Michael A ManciniSaint Louis University School of Social Work, St. Louis, Missouri.
Melissa KrollDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Erin G DawsonDepartment of Surgery, Division of Trauma, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania.
Matt VogelDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Rachel M AnconaDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Vicki MoranTrudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, Missouri.
Melik CoffeyDivision of Adolescent Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Kateri-Chapman KramerDepartment of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Doug J E SchuererDepartment of Surgery, Section of Acute and Critical Care Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Elvin GengWashington University in St. Louis School of Public Health, St. Louis, Missouri.
Megan L RanneyYale School of Public Health, New Haven, Connecticut.
Randi E ForakerDepartment of Biomedical Informatics, Biostatistics and Medical Epidemiology, University of Missouri, Columbia, Missouri.

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 US adolescents. Adolescents are among the highest risk, and those with nonfatal injuries experience high rates of reinjury. Identifying factors that predict firearm reinjury among adolescents may support tailored prevention strategies. This study sought to identify factors associated with firearm reinjury among adolescents who presented with acute nonfatal firearm injury in the St. Louis, Missouri region.

methodsWe conducted a multicenter observational cohort study of youth aged 15 to 17 years presenting to 2 adult and 2 pediatric trauma centers from 2010 through 2023. We collected data on firearm-injured patient demographics, hospital and diagnostic information, health insurance status, and mortality. Analysis included descriptive statistics, time-to-event analyses estimating reinjury probability, and adjusted hazard ratios (HRs) and 95% CIs.

resultsFrom 2010 through 2023, there were 1433 youth aged 15 to 17 years who experienced a firearm injury. Of the 1349 who survived their index injury, 233 (17.3%) experienced a reinjury during the study period. Estimated reinjury probability was 6.9% (95% CI 5.6-8.4) and 22.4% (95% CI 19.8-25.4) at 1 and 10 years, respectively. Youth who were male (HR: 4.4; 95% CI 2.1-9.3), Black (HR: 4.0; 95% CI 1.6-9.9), and treated at an adult hospital for index injury (HR: 1.5; 95% CI 1.1-2.0) had higher risk of reinjury over time.

conclusionsBlack male adolescents had high risk of firearm reinjury, highlighting the critical need for interventions addressing structural racism and other root causes of community firearm violence.

Indexed as

ReinjuriesWounds, GunshotAdolescentFemaleFirearmsHumansMaleMissouriRetrospective StudiesRisk Factors

Identifiers

PMID42419739
PMCPMC13459838

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.