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Hospitalizations and healthcare costs associated with serious, non-lethal firearm-related violence and injuries in the United States, 1998-2011

引用

family Medicine and Community Health 2015年第2期3卷 8-19页

作者： Jason L.Salemi Vikas Jindal RoneéE.Wilson mulubrhan f.mogos Muktar H.Aliyu Hamisu M.Salihu Department of family and Community Medicine Baylor College of MedicineHoustonTexasUSA Department of Occupational Health Kaiser PermanenteLancasterCaliforniaUSA Department of Epidemiology and Biostatistics College of Public HealthUniversity of South FloridaTampaFloridaUSA Department of Community Health Systems School of NursingIndiana UniversityIndianapolisIndianaUSA Vanderbilt Institute for Global Health Vanderbilt UniversityNashvilleTennesseeUSA

Objective:To describe the prevalence,trends,correlates,and short-term outcomes of inpa-tient hospitalizations for firearm-related injuries(fRIs)in the United States between 1998 and ***:We conducted a retrospective,cross-sectional analysis of inpatient hospitalizations using data from the Nationwide Inpatient *** addition to generating national prevalence estimates,we used survey logistic regression to calculate odds ratios(ORs)and 95%confidence intervals(CIs)for the association between fRIs and patient/hospital-level ***-ral trends were estimated and characterized using joinpoint ***:There were 10.5 fRIs(95%CI:9.2-11.8)per 10,000 non-maternal/neonatal inpatient hospitalizations,with assault accounting for 60.1%of fRIs,followed by unintentional/accidental(23.0%)and intentional/self-inflicted fRIs(8.2%).The highest odds of fRIs,particularly fRIs associated with an assault,was observed among patients 18-24 years of age,patients 14-17 years of age,patients with no insurance/self-pay,and non-Hispanic *** mean inpatient length of stay for fRIs was 6.9 days;however,4.7%of patients remained in the hospital over 24 days and 1 in 12 patients(8.2%)died before *** mean cost of an inpatient hospitalization for a fRI was$22,149,which was estimated to be$679 million annually;approximately two-thirds of the annual cost(64.7%)was for assault($439 million).Conclusion:fRIs are a preventable public health issue which disproportionately impacts younger generations,while imposing significant economic and societal burdens,even in the ab-sence of *** of fRIs should be considered a priority in this era of healthcare cost containment.

关键词： Assault cost gunshot firearms hospitalization intentional injury

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