About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Homicide Rates Higher in Gunshot Survivors Than Other Trauma Patients

by Reshma Anand on November 19, 2015 at 6:14 PM
Font : A-A+

Homicide Rates Higher in Gunshot Survivors Than Other Trauma Patients

80% of Gunshot survivors in an urban area with high crime died within five years by homicide, revealed a new study. The study tracked patients after they had been discharged from the hospital that treated them. The study was published in the journal Injury Prevention.

The lead author Jahan Fahimi, MD, MPH, of UCSF, and colleagues from UCSF and Highland Hospital in Oakland, Calif., compared mortality rates for three groups of Emergency Department patients. Approximately 1,000 had been injured in a motor vehicle collision, 700 were victims of non-firearm assaults and 500 had non self-inflicted gunshot wounds. The patients had all been treated in 2007 at Highland Hospital, which serves a high volume of trauma patients requiring life-saving care.

Advertisement


The researchers found that 9 percent of gunshot wound patients died during the initial hospital visit, versus less than 1 percent for those in both the auto accident and non-firearm assault groups. When they looked at the total percentage of people alive five years following discharge, they found that a further 5 percent of the gunshot wound patients had died and that 80 percent of these deaths were attributed to homicide. In contrast 12 percent of the non-firearm injury survivors and 7 percent of the auto accident survivors were victims of homicide in this five-year timeframe.

The study showed that the victims of gunshot wounds were younger, more likely to be male and nonwhite. The average age at hospital admission was 23, 89 percent were male and 94 percent were black or Hispanic; versus age 30 for the auto accident patients of whom 61 percent were male and 65 percent were black or Hispanic.
Advertisement

'After-effects comparable to chronic disease'

"This data supports the theory that violence is not usually an isolated phenomenon," said Fahimi, assistant clinical professor in the Department of Emergency Medicine at the USCF School of Medicine and formerly of Highland Hospital, where the study was initiated.

"The after-effects of surviving firearm injuries, in the population we studied, are comparable to living with a chronic disease, with the risk of death highest during the first year after the injury. Patients victimized by firearms were five to six times more likely to die in the first year, compared to other injured patients. This underlines the importance of in-hospital violence intervention programs, which could alter the life course of these patients."

Fahimi and colleagues plan to replicate their research at multiple sites throughout the country and analyze the significance of factors like substance abuse, mental health and social networks in gun violence.

"This is an area of research that is overlooked and underfunded. Firearm violence receives scant attention compared with other public health issues like smoking and motor vehicle accidents," said Fahimi.

Study excludes 'countless' victims

"Our research suggests that a total of 14 percent of all victims of gunshot violence presented to the Emergency Department are dead within five years, but this is certainly an underestimate of the lethality of firearms used in violent acts, since it does not include the countless victims who died on scene and were never transported to the hospital," he added.

There were 11,208 firearm homicides in the United States in 2013, according to the latest figures from the Centers for Disease Control and Prevention. This study was supported by funding from the National Institute on Minority Health and Health Disparities, the Hellman Fellows Fund and UCSF School of Medicine.

Source: Eurekalert
Advertisement

Advertisement
Advertisement

Recommended Reading

Latest General Health News

More Than 300 People on Texas-Mexico Cruise Ship Fall Sick
Over 300 people had fallen sick with illness caused by Norovirus on a US cruise ship, say authorities.
 No Smoking Day 2023: Ex-smokers in Wakefield Lead the Campaign
Ex-smokers in Wakefield have shared their stories to encourage others to give up cigarettes on No Smoking Day 2023 which falls on 8th March.
New Protein Linked to Neurodegeneration
Total levels of m6A in the nervous system rise with age and that (some) neurodegenerative diseases are characterized by RNA hypermethylation.
How Stress Disrupts Maturation of Brain's Reward Circuits?
New study provides insights into the impact of early-life adversity on brain development and on control of reward behaviors that underlie emotional disorders
 Indonesia Partners With FIND for Diagnostic Testing Access Initiative
Ministry of Health of the Republic of Indonesia signed a formal memorandum of understanding (MOU) that will expand access to essential diagnostics in the country.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
×

Homicide Rates Higher in Gunshot Survivors Than Other Trauma Patients Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests