Demographics and Incident Location of Gunshot Wounds at a Single Level I Trauma Center
Introduction: Little is known surrounding the demographic and geospatial factors of firearm-related traumas in the Midwest Region. The purpose of this study was to describe the overall incidence of firearm-related traumas and examine any racial/ethnic disparities that may exist.
Methods: A retrospective review was conducted of all patients 14 years or older who were admitted with a gunshot wound (GSW) to a Level I trauma center between 2016 and 2017.
Results: Forty-nine percent of patients were Caucasian, 26.5% African American, and 19.6% Hispanic/Latino. Hispanic/Latino patients were the youngest (25.8 ± 8.8) and Caucasians were the oldest (34.3 ± 14.1, P = 0.002). Compared to Caucasian patients, African American (42.0%) and Hispanic/Latino (54.1%) patients were more likely to be admitted to the intensive care unit (ICU) (P = 0.034) and experienced longer ICU lengths of stay (2.5 ± 6.3 and 2.4 ± 4.7, P = 0.031, respectively). African American patients (96.0%) experienced more assaults while Caucasians were more likely to receive gunshot wounds accidentally (26.9%, P = 0.001). More African American (86.0%) and Hispanic/Latino (89.2%) patients were injured with a handgun and Caucasians sustained the highest number of shotgun/rifle related injuries (16.1%, P = 0.012). Most GSWs occurred in zip codes 67202, 67203, 67213, 67211, and 67214. Geographical maps indicated that GSWs were concentrated in low-income areas and areas with high minority populations. Conclusions: Racial differences were noted, however, unlike national trends, most of our patients were older Caucasian males.
Copyright (c) 2021 Blair Benton, David Watson, Elizabeth Ablah, Kelly Lightwine, Ronda Lusk, Hayrettin Okut, Thuy Bui, James M Haan
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