Online Poster Portal

  • Author
    Rachel Borthwell
  • Co-author

    Rachel M. Borthwell M.P.H., Samuel Olanrewaju M.S., Brant A. Putnam M.D., Dennis Y. Kim M.D., Vincent E. Chong M.D., M.S.

  • Title

    Recovery of Pediatric Patients After Firearm Injury: Can Health Systems Do More?

  • Abstract

    Firearm injuries are the second leading cause of death among youth in the United States. Nonfatal firearm injuries far outnumber fatalities, yet data detailing the recovery and post-injury needs of pediatric patients after hospital discharge are limited. This study evaluated health system support of pediatric patients after firearm injury, from acute hospitalization to outpatient follow-up. We conducted a retrospective chart review of patients <18 years who presented to an urban level 1 trauma center between 2014-2019. Cases were categorized as accidental or intentional (stratified as assault-related or “crossfire” injuries). Outcomes included biopsychosocial assessment (BA) utilization, trauma psychology service consultation, and linkage to outpatient services. Among 115 patients, 94% were victims of community violence. Black (50%) and Latinx (44%) patients were disproportionately affected, as were males ages 15-16 (71%). Overall mortality was 8%. BA’s and trauma psychology consultations occurred in 43% and 20% of cases, respectively. Of eligible patients, 71% received referral to post-hospitalization support services. The most commonly identified needs were counseling, gang intervention, and help with the carceral system. Health systems should support long-term recovery of pediatric patients after firearm injury, particularly addressing social and structural determinants of health. Inpatient-to-outpatient linkages should be strengthened, and prospective follow-up is needed. 

  • College


  • Zoom

  • PDF