Injury最新文献

{"title":"Outcomes of intramedullary versus plate fixation in distal fibula fractures: Comment on the study by Auger et al.","authors":"Dr Sitanshu Barik, Dr Vikash Raj, Dr Vishal Kumar","doi":"10.1016/j.injury.2025.112438","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112438","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112438"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subdural effusion secondary to unilateral decompressive craniectomy in patients with traumatic brain injury: Incidence, clinical characteristics, predictors and outcomes.","authors":"Jun Shen, Qian An, Guanjie Hu, Xiaochun Jiang, Shaolin Zhang","doi":"10.1016/j.injury.2025.112446","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112446","url":null,"abstract":"<p><strong>Background: </strong>Currently, there is a lack of literature reporting on the risk factors associated with various types of subdural effusion (SDE). The purpose of this study is to investigate the incidence, risk factors, and prognosis of different types of SDE that occur secondary to unilateral decompressive craniectomy (DC) in patients with traumatic brain injury (TBI).</p><p><strong>Methods: </strong>A total of 417 patients who met the inclusion criteria were analyzed. The incidence, treatment, and prognosis of various types of SDE were examined. Risk factors associated with different types of SDE were identified through univariate analysis followed by multivariable logistic regression analysis.</p><p><strong>Results: </strong>The overall incidence of SDE was 50.6 %. There was no statistically significant difference in GOS scores among the various types of SDE (P = 0.511). Age (per 10-year increase) (OR, 1.471; 95 % CI, 1.201-1.802; P < 0.001), alcoholism (OR, 2.027; 95 % CI, 1.021-4.022; P = 0.043), combined with contralateral subdural hematoma (OR, 4.874; 95 % CI, 2.676-8.878; P < 0.001), and contralateral pneumocephalus after surgery (OR, 4.051; 95 % CI, 1.837-8.934; P = 0.001) were identified as independent risk factors for the occurrence of contralateral SDE. The type of injury (acute subdural hematoma, ASDH) (OR, 1.918; 95 % CI, 1.367-2.690; P <0.001), was an independent risk factor for the occurrence of ipsilateral SDE. Combined with contralateral subdural hematoma (OR, 2.669; 95 % CI, 1.161-6.139; P = 0.021) and contralateral pneumocephalus after surgery (OR, 2.271; 95 % CI, 1.177-4.381; P = 0.014) were independent risk factors for the occurrence of interhemispheric SDE.</p><p><strong>Conclusions: </strong>Various types of SDE do not significantly affect the prognosis of patients with traumatic brain injury (TBI). Independent risk factors for the occurrence of contralateral SDE include age, alcoholism, and the presence of contralateral subdural hematoma and contralateral pneumocephalus following surgery. The type of injury being ASDH is the only risk factor for ipsilateral SDE. Combined with contralateral subdural hematoma and contralateral pneumocephalus after surgery were independent risk factors for the occurrence of interhemispheric SDE.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112446"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of open cardiopulmonary resuscitation in pulseless blunt chest trauma: A nationwide cohort study.","authors":"Yau-Ren Chang, Hu-Lin Christina Wang, Heng-Fu Lin, Ting-An Hsu, Chih-Yuan Fu, Faran Bokhari","doi":"10.1016/j.injury.2025.112447","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112447","url":null,"abstract":"<p><strong>Introduction: </strong>Open cardiopulmonary resuscitation (OCPR) is a critical treatment for severe torso trauma. While OCPR has shown survival benefits for patients with penetrating traumatic cardiac arrest, its efficacy in blunt trauma patients remains unclear.</p><p><strong>Materials and methods: </strong>This retrospective cohort study analyzed pulseless blunt chest trauma patients from the National Trauma Data Bank (NTDB) in the United States during 2014-2015. The study excluded patients under 18 years of age, those without initial signs of life, and those with burns, penetrating trauma, unknown mechanisms, incomplete records, severe head injuries, or transportation times over 60 min. The primary outcome was Emergency Department (ED) survival, and the secondary outcome was overall survival.</p><p><strong>Results: </strong>Out of 1358 pulseless blunt chest trauma patients, 420 met the inclusion criteria, and 15.5 % (65/420) received OCPR. ED survival was significantly greater in the OCPR group (81.5 % [53/65] vs. 46.8 % [166/355], p < 0.001), whereas overall survival was not significantly different between the groups (9.2 % [6/65] vs. 12.4 % [44/355], p = 0.626). A subset analysis of patients with cardiac injuries showed better ED survival (81.3 % [13/16] vs. 40.5 % [17/42], p = 0.012) and a trend of better overall survival (25.0 % [4/16] vs. 3.4 % [2/42], p = 0.086) for those who underwent OCPR.</p><p><strong>Conclusion: </strong>OCPR does not improve overall survival in all pulseless blunt chest trauma patients, but it offers significant benefits for those with cardiac injuries. Further research is needed to refine management strategies for these patients.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112447"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of trauma-related preventable death; a Delphi procedure in The Netherlands.","authors":"N A G Hakkenbrak, A M K Harmsen, W P Zuidema, U J L Reijnders, P Schober, F W Bloemers","doi":"10.1016/j.injury.2025.112437","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112437","url":null,"abstract":"<p><strong>Introduction: </strong>Trauma-related preventable death is considered death as a consequence of moderate to severe injury under (sub)optimal trauma care conditions and is used as a criterion to evaluate the management and quality of trauma care worldwide. A validated definition of trauma-related preventable death is still lacking due to differences in classification. To reach consensus on a definition and assess the necessity of an additional trauma prediction algorithm, a Delphi procedure was performed.</p><p><strong>Methods: </strong>A digital three-round Delphi procedure was performed. Trauma surgeons, neurosurgeons, forensic medicine physicians, anesthesiologists, and emergency care physicians working at a Level 1 or affiliated trauma center in the Netherlands were invited to participate. An electronic questionnaire was administered to assess the most suitable category of trauma-related preventable death (clinical definition, trauma prediction algorithm, clinical definition and trauma prediction algorithm or other) and the additional benefit of a trauma prediction algorithm.</p><p><strong>Results: </strong>Fifty-four panelists completed the study: 23 trauma surgeons, 13 emergency care physicians, 10 anesthesiologists, 4 neurosurgeons and 4 forensic medicine physicians. In the first round, a clinical definition and a clinical definition and trauma prediction algorithm (Trauma Score and Injury Severity Score and a combination of algorithms) were favored. The results were fed back to the panelists. In the final round, there was a tendency towards group consensus in favor of a clinical definition and trauma prediction algorithm (63 %). Consensus was reached on the most suitable algorithm: the Trauma Score and Injury Severity Score combined with the Probability of survival.</p><p><strong>Conclusion: </strong>The identification of trauma-related preventable death is essential in the evaluation of trauma care. This study elucidates the difficulty of multidisciplinary consensus. However, a propensity towards consensus on a clinical definition, and consensus on the additional benefit of the PS, based on the TRISS, seems to be present.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112437"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding social and environmental risks of firearm injury using geospatial patterns.","authors":"Soroosh Noorbakhsh, Will Dunne, Oluwadamilola Babatola, Amber Himmler, Lucy Hart, Nkosi Cave, Kenya Jackson, Jamaji Nwanaji-Enwerem, Alejandro De Leon Castro, Preethi Krishnan, Rishikesan Kamaleswaran, Christine Castater, Randi N Smith","doi":"10.1016/j.injury.2025.112418","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112418","url":null,"abstract":"<p><strong>Background: </strong>For firearm-related injuries (FRI), understanding spatial injury patterns may inform intervention strategies. This study evaluates geographic FRI patterns, emphasizing (1) proximity of home address to injury location and (2) locational social determinants of health (SDOH).</p><p><strong>Methods: </strong>We performed a retrospective analysis of FRI patients at a Level 1 trauma center between 01/2016-10/2022. Patient home and injury ZCTAs (ZCTA tabulation areas) were collected. SDOH indicators were calculated by ZIP codes using the Distressed Communities Index (DCI, ranges from 0-100 [most distressed]) and Social Deprivation Index (SDI, ranges from 1-100 [highest deprivation]). SDOH index variations and distances between ZCTAs were calculated.</p><p><strong>Results: </strong>Of 37,537 trauma activations, 6326 were due to FRI. ZCTAs were available in 3864 (63.12 %) patients. The cohort was 86.5 % male and 85.2 % Black. Median (IQR) age was 30 (23-39) years. Home and injury locations were the same in 37.8 % of patients, within 5 miles of each other in 57.1 %, and within 20 miles in 87.2 %. DCI and SDI were significantly higher in injury vs home addresses (average DCI: home 59.5, injury 65.7; average SDI: home 71.8, injury 79.6; p < 0.001). Twenty ZCTAs (among 182) made up 68.4 % of injury locations. On linear regression, SDI and DCI were significantly associated with FRI number within ZCTAs.</p><p><strong>Conclusions: </strong>FRI often happens close to home, and when ZCTAs differ, injury location SDOH tend to be worse. \"Hotspots\" with higher-than-average distress/deprivation present opportunity to maximize the impact of violence reduction; efforts should target these regions to mitigate factors perpetuating violence.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112418"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shock index identifies compensated shock in the 'Normotensive' trauma patient.","authors":"Theodore M Lin, Ali M Memon, Emily A Reeson, Grace C Tolan, Trevor M Low, Kristina M Kupanoff, Dih-Dih Huang, Michael D Jones, Brian R Czarkowski, Hahn Soe-Lin, James N Bogert, Jordan A Weinberg","doi":"10.1016/j.injury.2025.112419","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112419","url":null,"abstract":"<p><strong>Introduction: </strong>Hemorrhagic shock is a life-threatening condition that requires rapid identification for timely intervention. Although shock is easily discernible in the hypotensive patient, compensated shock in the \"normotensive\" patient is not. This study aimed to evaluate the utility of shock index (SI) in trauma patients with compensated shock.</p><p><strong>Methods: </strong>Patients with SBP > 90 mmHg on arrival were identified from our trauma center registry. SI was calculated by arrival heart rate divided by arrival SBP. Patients were stratified by SI using the following thresholds: ≤ 0.7, > 0.7 to 0.9, > 0.9 to 1.1, > 1.1 to 1.3, and > 1.3. Cross tabulations were used to estimate the odds of transfusion within 1 hour of arrival for each SI category with ≤ 0.7 as the referent.</p><p><strong>Results: </strong>5958 trauma patients were included. Blood products were transfused within 1 hour of arrival in 211 (3.5 %) patients. A main effect was observed for shock index with increased risk for required transfusion for patients with admission shock index >0.7 (P < 0.001). In comparison to shock index of ≤ 0.7, odds ratios were 2.5(1.7 - 3.8), 8.2(5.4 - 12.2), 24.9(15.1 - 41.1), 59.0(32.0 - 108.6) for each categorical increase in SI.</p><p><strong>Discussion: </strong>Among trauma patients presenting without hypotension, elevated SI was associated with an increase in odds of receiving transfusion within one hour. SI may be useful in determining the presence of compensated shock in non-hypotensive patients.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112419"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the rural trauma team development course in Southwestern Ontario: change in practice and course evaluation.","authors":"Fran Priestap, Alison Armstrong, Laura Allen, Neil Parry, Daryl Gray, Richard Hilsden, Rob Leeper, Brad Moffat, Jake Pace, Kelly Vogt","doi":"10.1016/j.injury.2025.112414","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112414","url":null,"abstract":"<p><strong>Purpose: </strong>The Rural Trauma Team Development Course (RTTDC) was introduced in 1998 in response to a growing number of deaths in rural areas due to trauma. Current literature provides evidence of the effectiveness of the RTTDC in reducing delays in the trauma transfer process in the United States. London Health Sciences Centre (LHSC) implemented the RTTDC in August of 2017. The objective of this study was to evaluate its impact in the Canadian setting.</p><p><strong>Methods: </strong>A retrospective cohort study of referred trauma patients before and after delivery of the RTTDC was conducted. The primary outcome was the proportion of patients transferred within 3 h of arrival at referring hospital. Statistical analyses compared pre and post RTTDC groups. Following multiple imputation, multivariable logistic regression analysis was used to control for confounding between groups. A planned subgroup analysis included only patients who met trauma team activation criteria and/or had an ISS ≥16. Course attendee satisfaction was measured using the American College of Surgeons RTTDC 4th Edition Course Evaluation and the Southwest Regional Trauma Network RTTDC Evaluation.</p><p><strong>Results: </strong>In total 180 patients were included in the study. Patients had a mean age of 52.0 (20.4) years, were most often male (73.3 %), sustained a blunt injury (92.8 %) with a mean ISS of 15.8 (10.5). The proportion of patients who were transferred within 3 h of arrival at primary hospital was 48.9 % pre-RTTDC and 56.7 % post-RTTDC (p = 0.370). Hosting an RTTDC did not have a significant impact on the proportion of patients transferred within 3 h of primary hospital arrival (OR = 1.18 (0.63, 2.20)). Median time (hours) spent at a primary hospital was similar (3.1 (1.4, 4.2) vs 2.7 (1.7, 3.8), p = 0.702), as was median decision to transfer time (hours) (1.5 (0.6, 2.5) vs 1.6 (0.6, 2.5), p = 0.837). Results of the subgroup analyses were similar (N = 98). Attendee satisfaction with the RTTDC was exceedingly positive.</p><p><strong>Conclusion: </strong>In this study, participation in a one-day RTTDC did not result in a 20 % improvement in the proportion of patients being transferred from a referring hospital within 3 h. More accessible and sustainable educational outreach strategies are required to make further improvements.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112414"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with discharge to home after traumatic rib fractures.","authors":"Jennifer M Brewer, Julia R Silverman, Yuen-Joyce Liu, Jeremy Fridling, Evert A Eriksson, S M Leon, Ysela Carrillo, Mark McMellen, Robin Chappell, Alison Schultz, Brian C Thurston, Zachary M Bauman, Alexandra A Myers, Joseph D Forrester, Carol McGuiness, Ronald Gross, T Russel Hill, Chasen Greig, Manuel Moutinho, Andrew R Doben","doi":"10.1016/j.injury.2025.112351","DOIUrl":"10.1016/j.injury.2025.112351","url":null,"abstract":"<p><strong>Background: </strong>Chest wall injury is common among trauma patients. Generally, patients with more medical problems tend to have worse outcomes with rib fractures. Our aim was to determine if surgical stabilization of rib fractures (SSRF) increases the likelihood of discharge to home.</p><p><strong>Methods: </strong>We performed a retrospective cohort study of patients with ≥1 comorbidity, aged 18-99 with rib fractures from five Chest Wall Injury Society (CWIS) Collaborative Centers. Discharge disposition of patients who underwent SSRF was compared to those who did not undergo surgery. Discharge to home was considered the ideal state to which other discharge dispositions were compared. For the model to estimate discharge to a rehabilitation hospital or skilled nursing facility, a multivariable logistic regression analysis was performed.</p><p><strong>Results: </strong>790 patients with ≥1 comorbidities and rib fractures were identified, and 545 (61.8 %) patients were discharged to home. Logistic regression analysis demonstrated SSRF (0.33 (0.15 - 0.75)) and tobacco use (0.62 (0.39 - 0.96)) were independently associated with discharge to home.</p><p><strong>Conclusion: </strong>In patients with rib fractures and at least one comorbid condition, SSRF is associated with discharge to home. Counterintuitively, tobacco use was also associated with discharge to home.</p><p><strong>Level of evidence: </strong>Level II STUDY TYPE: Therapeutic/Care Management.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112351"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ophthalmic consultations for incarcerated patients: An 11-year experience at a tertiary care center.","authors":"Taylor Kolosky, Urjita Das, Lisa S Schocket, Kenneth J Taubenslag","doi":"10.1016/j.injury.2025.112353","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112353","url":null,"abstract":"<p><strong>Introduction: </strong>Ophthalmic care of incarcerated individuals is understudied, particularly in the inpatient setting. We evaluated ophthalmic consultation findings, interventions and outcomes at a tertiary care center.</p><p><strong>Methods: </strong>For this retrospective noncomparative cohort study, data were collected on demographics, diagnoses, interventions, and outcomes for incarcerated patients for whom ophthalmic consultation was ordered at an academic medical center between December 2011 and December 2022.</p><p><strong>Results: </strong>The study cohort included 163 patients (mean age = 38 years) in custody at Maryland state correctional facilities. The majority of patients were male (95.7 %) and/or Black (71.8 %). The most common reason for consultation was trauma (135 of 163, 82.8 %). Among patients presenting for trauma, the mechanism of injury was documented as assault in 117 cases (86.7 %). Among trauma patients, 56 (41 %) required surgical intervention. In total, 20 open reduction and internal fixation of orbital fractures, 11 open globe repairs, and 36 eyelid laceration repairs, as well as 3 other surgeries (anterior chamber washout, vitrectomy, and placement of an orbital implant after autoenucleation) were performed. Loss to follow-up was high; 68 patients (42 %) had no follow-up visits despite recommendations for follow-up at discharge.</p><p><strong>Conclusion: </strong>Ocular trauma was the most common reason for ophthalmic consultation for incarcerated patients in the hospital setting, accounting for >80 % of consults. Over 40 % of prisoners presenting for ocular trauma required surgery. Even in the custody of the state, inmates are not protected from ocular trauma. These findings suggest a need for creative, humane interventions and policy initiatives to address violence in correctional facilities.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112353"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent injury admission as a potential adverse childhood experience: A 25 US Level I Trauma center investigation.","authors":"Allison Engstrom Buggaveeti, Megan Moore, Kristian Jones, Eileen Bulger, Deepika Nehra, Joan Russo, Jin Wang, Jake Shoyer, Douglas Zatzick","doi":"10.1016/j.injury.2025.112344","DOIUrl":"https://doi.org/10.1016/j.injury.2025.112344","url":null,"abstract":"<p><strong>Introduction: </strong>Adverse Childhood Experiences (ACEs), such as violence exposure, are linked with numerous long-term health consequences. Adult firearm and other injury survivors presenting to level I trauma centers frequently report having youth family members exposed to firearm violence and other traumatic life events. Few investigations have examined the demographic and familial characteristics, or cumulative trauma burden of exposed family members.</p><p><strong>Methods: </strong>The investigation was a secondary analysis of data collected as part of a 25-site national US level I trauma center randomized clinical trial (N = 635). Baseline characteristics of firearm injury survivors (n = 128) versus all other injury survivors (n = 507) were compared, including number of children, pre-injury trauma history, and post-admission recurrent traumatic and stressful life events. Analyses were conducted on baseline characteristics of firearm injury survivors, including trauma history, and compared to non-firearm injury survivors. For injury survivors with children, mixed model regression was used to assess whether firearm injury was independently associated with an increased risk of childhood injury leading to hospitalization over the course of the year after the index parental injury admission.</p><p><strong>Results: </strong>There were few demographic and clinical differences between firearm and non-firearm injury survivors. Approximately 70% of adult injury survivors had at least one child. Over 10% of adult injury survivors had a child hospitalized in the year after the index admission; firearm injury survivors were no more likely than all other injury survivors to have a child hospitalized after the index admission. For injury survivors with children, mixed model regression analyses revealed a significant association between pre-injury childhood exposure to life-threating illness/injury and child injury hospitalization in the year after the index parental injury admission (Relative Risk = 1.92, 95% Confidence Interval = 1.08, 3.42).</p><p><strong>Conclusions: </strong>Over 10% of adult injury survivors reported that their children were hospitalized for an injury in the year after an index injury admission. Prehospital childhood illness or injury admission was significantly associated with childhood injury hospitalization in the year after parental injury. Trauma centers could be harnessed as a public health point-of-contact for screening, intervention, and referral of ACEs, such as childhood injury.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":" ","pages":"112344"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}