Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study
Background Existing study findings on firearms-related injury patterns are largely skewed towards males, who comprise the majority of this injury population. Given the paucity of existing data for females with these injuries, we aimed to elucidate the demographics, injury patterns, and outcomes of f...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-11-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/8/1/e001181.full |
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| author | Shahin Mohseni Babak Sarani Maximilian Peter Forssten James A Zebley Catherine Zwemer Susan Kartiko Joy Dowden Hughes |
| author_facet | Shahin Mohseni Babak Sarani Maximilian Peter Forssten James A Zebley Catherine Zwemer Susan Kartiko Joy Dowden Hughes |
| author_sort | Shahin Mohseni |
| collection | DOAJ |
| description | Background Existing study findings on firearms-related injury patterns are largely skewed towards males, who comprise the majority of this injury population. Given the paucity of existing data for females with these injuries, we aimed to elucidate the demographics, injury patterns, and outcomes of firearms-related injury in females compared with males in the USA.Materials and methods A 7-year (2013–2019) retrospective review of the National Trauma Database was conducted to identify all adult patients who suffered firearms-related injuries. Patients who were males were matched (1:1, caliper 0.2) to patients who were females by demographics, comorbidities, injury patterns and severity, and payment method, to compare differences in mortality and several other post-injury outcomes.Results There were 196 696 patients admitted after firearms-related injury during the study period. Of these patients, 23 379 (11.9%) were females, 23 378 of whom were successfully matched to a male counterpart. After matching, females had a lower rate of in-hospital mortality (18.6% vs. 20.0%, p<0.001), deep vein thrombosis (1.2% vs. 1.5%, p=0.014), and had a lower incidence of drug or alcohol withdrawal syndrome (0.2% vs. 0.5%, p<0.001) compared with males.Conclusion Female victims of firearms-related injuries experience lower rates of mortality and complications compared with males. Further studies are needed to elucidate the cause of these differences.Level of evidence Level III. |
| format | Article |
| id | doaj-art-a282b39db1f140cab855ace3fcfe58d9 |
| institution | Kabale University |
| issn | 2397-5776 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | BMJ Publishing Group |
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| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-a282b39db1f140cab855ace3fcfe58d92025-08-20T03:42:11ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762023-11-018110.1136/tsaco-2023-001181Firearms-related injury and sex: a comparative National Trauma Database (NTDB) StudyShahin Mohseni0Babak Sarani1Maximilian Peter Forssten2James A Zebley3Catherine Zwemer4Susan Kartiko5Joy Dowden Hughes6Division of Trauma and Emergency Surgery, Department of Surgery, Sheikh Shakhbout Medical City, Abu Dhabi, UAESurgery, George Washington University, Washington, District of Columbia, USA3 School of Medical Sciences, Örebro University, Orebro, SwedenDepartment of Surgery, The George Washington University Hospital, Washington, District of Columbia, USADepartment of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USADepartment of Surgery, The George Washington University Hospital, Washington, District of Columbia, USADivision of Trauma, Critical Care and Acute Care Surgery, Department of Surgery, Sheikh Shakhbout Medical City, Abu Dhabi, UAEBackground Existing study findings on firearms-related injury patterns are largely skewed towards males, who comprise the majority of this injury population. Given the paucity of existing data for females with these injuries, we aimed to elucidate the demographics, injury patterns, and outcomes of firearms-related injury in females compared with males in the USA.Materials and methods A 7-year (2013–2019) retrospective review of the National Trauma Database was conducted to identify all adult patients who suffered firearms-related injuries. Patients who were males were matched (1:1, caliper 0.2) to patients who were females by demographics, comorbidities, injury patterns and severity, and payment method, to compare differences in mortality and several other post-injury outcomes.Results There were 196 696 patients admitted after firearms-related injury during the study period. Of these patients, 23 379 (11.9%) were females, 23 378 of whom were successfully matched to a male counterpart. After matching, females had a lower rate of in-hospital mortality (18.6% vs. 20.0%, p<0.001), deep vein thrombosis (1.2% vs. 1.5%, p=0.014), and had a lower incidence of drug or alcohol withdrawal syndrome (0.2% vs. 0.5%, p<0.001) compared with males.Conclusion Female victims of firearms-related injuries experience lower rates of mortality and complications compared with males. Further studies are needed to elucidate the cause of these differences.Level of evidence Level III.https://tsaco.bmj.com/content/8/1/e001181.full |
| spellingShingle | Shahin Mohseni Babak Sarani Maximilian Peter Forssten James A Zebley Catherine Zwemer Susan Kartiko Joy Dowden Hughes Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study Trauma Surgery & Acute Care Open |
| title | Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study |
| title_full | Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study |
| title_fullStr | Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study |
| title_full_unstemmed | Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study |
| title_short | Firearms-related injury and sex: a comparative National Trauma Database (NTDB) Study |
| title_sort | firearms related injury and sex a comparative national trauma database ntdb study |
| url | https://tsaco.bmj.com/content/8/1/e001181.full |
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