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Research Letter
December 2018

Trends in the Incidence of and Charges Associated With Firearm-Related Injuries Among Pediatric Patients, 2006-2014

Author Affiliations
  • 1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Johns Hopkins Surgery Center for Outcomes Research, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Pediatr. 2018;172(12):1195-1196. doi:10.1001/jamapediatrics.2018.3091

On February 14, 2018, 19-year-old Nikolas Jacob Cruz killed 17 and wounded 17 teachers and students at his former school, Marjory Stoneman Douglas High School in Parkland, Florida. Although the aftermath of this mass shooting saw increased debate surrounding gun violence, research on firearm-related injuries in the United States—particularly among individuals younger than 18 years—continues to be limited.1 This study describes national trends in the incidence of and charges associated with the emergency department (ED) and inpatient management of firearm-related injuries among individuals younger than 18 years.

We used the International Classification of Disease, Ninth Edition, Clinical Modification, external cause of injury codes (e-codes) to identify ED visits for individuals younger than 18 years for the management of firearm-related injuries from January 2006 through December 2014 from the Nationwide Emergency Department Sample (NEDS).2,3 This study was approved by the institutional review board of The Johns Hopkins University, which waived the need for informed consent for the use of publicly available data.