Annual Meeting of the Section on Surgery of the American Academy of Pediatrics. Boston (USA), 1996/10/26.
To better characterize firearm violence in urban youth, the authors investigated the circumstances and outcome of shootings among youths under 17 years of age.
A retrospective case review was undertaken of all patients under 17 years of age treated for a gunshot wound at two adjoining level I Trauma Centers (adult and pediatric) administering to a predominantly lower socioeconomic population from January 1986 to December 1995.
Demographics, injury severity, circumstances, and outcome of injury were analyzed.
323 youths were wounded by firearms.
The mean age was 12.8 years, and 82.3% were boys.
There was a 110% increase in frequency of wounding noted during the second half of study (219 v 104), predominantly in the adolescent subset (160% increase for age greater than 12 years v 30% increase for age 12 years and under).
The mean injury severity score and trauma score were 9.3 and 14.4, respectively.
Violent circumstances (assault, crossfire, drive-by shooting, suicide) accounted for 60.4% of injuries and more than doubled over the study period (26.7% of total in the first 2 years [n=41,68.8% in the last 2 years [n=551).
Unintentional injuries (self nonsuicide, family, friend) accounted for 26.3% of the injuries and declined in relative frequency over the study period (46.7% of total in the first 2 years [n=7], 20.0% in the last 2 years [n=161).
Black boys had the highest wounding incidence. (...)
Mots-clés Pascal : Blessure, Arme à feu, Violence, Milieu urbain, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Adolescent, Homme, Enfant, Traumatisme
Mots-clés Pascal anglais : Injury, Fire arm, Violence, Urban environment, United States, North America, America, Epidemiology, Adolescent, Human, Child, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0505282
Code Inist : 002B30A01A2. Création : 13/02/1998.