The COVID-19 pandemic and associated rise in pediatric firearm injuries: A multi-institutional study
dc.contributor.author | Collings, Amelia T. | |
dc.contributor.author | Farazi, Manzur | |
dc.contributor.author | Van Arendonk, Kyle J. | |
dc.contributor.author | Fallat, Mary E. | |
dc.contributor.author | Minneci, Peter C. | |
dc.contributor.author | Sato, Thomas T. | |
dc.contributor.author | Speck, K. Elizabeth | |
dc.contributor.author | Deans, Katherine J. | |
dc.contributor.author | Falcone, Richard A., Jr. | |
dc.contributor.author | Foley, David S. | |
dc.contributor.author | Fraser, Jason D. | |
dc.contributor.author | Gadepalli, Samir K. | |
dc.contributor.author | Keller, Martin S. | |
dc.contributor.author | Kotagal, Meera | |
dc.contributor.author | Landman, Matthew P. | |
dc.contributor.author | Leys, Charles M. | |
dc.contributor.author | Markel, Troy A. | |
dc.contributor.author | Rubalcava, Nathan | |
dc.contributor.author | St. Peter, Shawn D. | |
dc.contributor.author | Flynn-O’Brien, Katherine T. | |
dc.contributor.author | Midwest Pediatric Surgery Consortium | |
dc.contributor.department | Surgery, School of Medicine | |
dc.date.accessioned | 2024-05-17T10:11:43Z | |
dc.date.available | 2024-05-17T10:11:43Z | |
dc.date.issued | 2022 | |
dc.description.abstract | Background: Firearm sales in the United States (U.S.) markedly increased during the COVID-19 pandemic. Our objective was to determine if firearm injuries in children were associated with stay-at-home orders (SHO) during the COVID-19 pandemic. We hypothesized there would be an increase in pediatric firearm injuries during SHO. Methods: This was a multi institutional, retrospective study of institutional trauma registries. Patients <18 years with traumatic injuries meeting National Trauma Data Bank (NTDB) criteria were included. A "COVID" cohort, defined as time from initiation of state SHO through September 30, 2020 was compared to "Historical" controls from an averaged period of corresponding dates in 2016-2019. An interrupted time series analysis (ITSA) was utilized to evaluate the association of the U.S. declaration of a national state of emergency with pediatric firearm injuries. Results: Nine Level I pediatric trauma centers were included, contributing 48,111 pediatric trauma patients, of which 1,090 patients (2.3%) suffered firearm injuries. There was a significant increase in the proportion of firearm injuries in the COVID cohort (COVID 3.04% vs. Historical 1.83%; p < 0.001). There was an increased cumulative burden of firearm injuries in 2020 compared to a historical average. ITSA showed an 87% increase in the observed rate of firearm injuries above expected after the declaration of a nationwide emergency (p < 0.001). Conclusion: The proportion of firearm injuries affecting children increased during the COVID-19 pandemic. The pandemic was associated with an increase in pediatric firearm injuries above expected rates based on historical patterns. | |
dc.eprint.version | Final published version | |
dc.identifier.citation | Collings AT, Farazi M, Van Arendonk KJ, et al. The COVID-19 pandemic and associated rise in pediatric firearm injuries: A multi-institutional study. J Pediatr Surg. 2022;57(7):1370-1376. doi:10.1016/j.jpedsurg.2022.03.034 | |
dc.identifier.uri | https://hdl.handle.net/1805/40836 | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | |
dc.relation.isversionof | 10.1016/j.jpedsurg.2022.03.034 | |
dc.relation.journal | Journal of Pediatric Surgery | |
dc.rights | Publisher Policy | |
dc.source | PMC | |
dc.subject | Pediatric trauma | |
dc.subject | Firearm violence | |
dc.subject | COVID-19 | |
dc.subject | Pandemic | |
dc.subject | Gun violence | |
dc.subject | 2020 | |
dc.title | The COVID-19 pandemic and associated rise in pediatric firearm injuries: A multi-institutional study | |
dc.type | Article | |
ul.alternative.fulltext | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001175/ |