Human and economic costs of pediatric firearm injury.

Pediatric firearm injury is a national crisis that inflicts significant trauma. No studies have captured risk factors for readmissions after firearm injury, including cost analysis. Nationwide Readmissions Database (2010-2014) was queried for patients <18 years admitted after acute firearm injury. Outcomes included mortality, length of stay, hospital costs, and readmission rates (30-day and 1-year). Multivariable logistic regression identified risk factors, significance set at p < 0.05. There were 13,596 children admitted for firearm injury. Mortality rate was 6% (n = 797). Self-inflicted injury was the most lethal (37%, n = 218) followed by unintentional (5%, n = 186), and assault (4%, n = 340), all p < 0.01. Readmission rates at 30 days and 1-year were 6% (12% to different hospital) and 12% (19% to different hospital), respectively. Medicaid patients were more frequently readmitted to the index hospital, whereas self-pay and/or high income were readmitted to a different hospital. The total hospitalizations cost was over $382 million, with $5.4 million due to readmission to a different hospital. While guns cause significant morbidity, disability, and premature mortality in children, they also have a substantial economic impact. This study quantifies the previously unreported national burden of readmission costs and discontinuity of care for this preventable public health crisis. Retrospective Comparative Study. Level III.

Quiroz HJ ，Casey LC ，Parreco JP ，Willobee BA ，Rattan R ，Lasko DS ，Perez EA ，Sola JE ，Thorson CM ... -  《-》

Hidden Costs of Hospitalization After Firearm Injury: National Analysis of Different Hospital Readmission.

Rattan R ，Parreco J ，Namias N ，Pust GD ，Yeh DD ，Zakrison TL ... -  《-》

Risk of 90-day readmission in patients after firearm injury hospitalization: a nationally representative retrospective cohort study.

Kalesan B ，Zuo Y ，Vasan RS ，Galea S ... -  《-》

Readmission risk and costs of firearm injuries in the United States, 2010-2015.

Spitzer SA ，Vail D ，Tennakoon L ，Rajasingh C ，Spain DA ，Weiser TG ... -  《PLoS One》

Sex Differences in Early Cardiovascular and All-Cause Hospitalization Outcomes After Surviving Firearm Injury.

Zuo Y ，Pino EC ，Vyliparambil M ，Kalesan B ... -  《-》