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Table 2 Firearm injury patterns and severity

From: Pediatric firearm injury epidemiology at a level 1 trauma center from 2019 to 2021: including time of the COVID-19 pandemic

 

Total N = 271

2019 N = 78

2020 N = 104

2021 N = 89

Percentage change from 2019 to 2020 a

(95% confidence interval)

Percentage change from 2019 to 2021 a

(95% confidence interval)

Estimated annual percentage change a

(95% confidence interval)

Injury location, n (%)

Head/Neck

72 (26.6)

22 (28.2)

30 (28.8)

20 (22.5)

25.9% (− 22.5–104.4%)

− 12.7% (− 48.7–48.5%)

− 6.1% (− 25.9–19.1%)

Chest

36 (13.3)

15 (19.2)

11 (10.6)

10 (11.2)

− 32.3% (− 67.5–41.1%)

− 36.0% (− 70.0–36.4%)

− 20.9% (− 46.9–17.7%)

Back/Flank

38 (14.0)

7 (9.0)

22 (21.2)

9 (10.1)

190.1% (30.4–545.5%)

23.4% (− 51.6–214.5%)

6.2% (− 21.7–44.0%)

Abdomen

40 (14.8)

11 (14.1)

13 (12.5)

16 (18.0)

9.1% (− 49.4–135.2%)

39.6% (− 32.0–186.6%)

18.8% (− 17.8–71.7%)

Pelvis/Groin

24 (8.9)

7 (9.0)

7 (6.7)

10 (11.2)

− 7.7% (− 66.0–150.8%)

37.1% (− 47.1–255.9%)

18.8% (− 29.0–98.7%)

Spine

15 (5.5)

5 (6.4)

8 (7.7)

2 (2.2)

47.7% (− 49.5–331.8%)

− 61.6% (− 92.3–92.3%)

− 28.2% (− 57.3–20.7%)

Extremity

147 (54.2)

44 (56.4)

59 (56.7)

44 (49.4)

23.8% (− 6.5–63.8%)

− 4.0% (− 27.9–27.9%)

− 2.0% (− 14.1–11.8%)

Injury type, n (%)

Superficial Injury

2 (0.7)

0 (0.0)

0 (0.0)

2 (2.2)

Open Wounds

58 (21.4)

14 (17.9)

21 (20.2)

23 (25.8)

38.5% (− 27.2–163.3%)

57.7% (− 16.7–198.5%)

24.5% (− 8.0–68.6%)

Unspecified

4 (1.5)

0 (0.0)

3 (2.9)

1 (1.1)

45.0% (− 28.3–193.1%)

Fractures

104 (38.4)

32 (41.0)

36 (34.6)

36 (40.4)

3.8% (− 30.7–55.6%)

8.0% (− 27.2–60.2%)

3.9% (− 14.7–26.6%)

Amputations

1 (0.4)

1 (1.3)

0 (0.0)

0 (0.0)

Internal Organs

64 (23.6)

24 (30.8)

20 (19.2)

20 (22.5)

− 23.1% (− 55.6–33.3%)

− 20.0% (− 52.9–36.0%)

− 11.0% (− 32.6–17.6%)

Blood Vessels

8 (3.0)

2 (2.6)

5 (4.8)

1 (1.1)

130.8% (− 54.0–1056.6%)

− 52.0% (− 95.6–420.7%)

− 19.2% (− 57.6–54.1%)

Nerves

4 (1.5)

1 (1.3)

3 (2.9)

0 (0.0)

177.0% (− 70.7%–2517.4%)

− 33.8% (− 67.2–33.8%)

Head Injury

26 (9.6)

4 (5.1)

16 (15.4)

6 (6.7)

269.2% (27.4–970.4%)

44.0% (− 57.7–390.6%)

10.3% (− 23.0–57.9%)

Disability, n (%)

Yes

48 (17.7)

13 (16.7)

19 (18.3)

16 (18.0)

34.9% (− 28.1–153.3%)

18.2% (− 38.8–128.1%)

7.8% (− 20.4–46.0%)

No

222 (81.9)

65 (83.3)

85 (81.7)

72 (80.9)

20.7% (1.1–44.1%)

6.3% (− 10.2–25.9%)

2.8% (− 5.1–11.5%)

Death, n (%)

Yes

28 (10.3)

10 (12.8)

12 (11.5)

6 (6.7)

10.8% (− 50.8–149.3%)

− 42.4% (− 78.0–50.6%)

− 21.4% (− 47.8–18.3%)

No

243 (89.7)

68 (87.2)

92 (88.5)

83 (93.3)

24.9% (5.2–48.3%)

17.2% (0.9–36.0%)

7.7% (0.3–15.7%)

  1. aPercentage changes were estimated with Poisson regression model with year as the main predictor
  2. CI stands for confidence interval
  3. Bold values indicate a percentage change with a 95% confidence interval that does not cross 0