{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T02:14:39Z","timestamp":1791252879956,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T00:00:00Z","timestamp":1623801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective chart review of patients &lt;18\u00a0years who presented to an urban level 1 trauma center between 2014 and 2019. Cases were categorized as accidental or intentional (stratified as assault-related or \u201ccrossfire\u201d injuries). Outcomes included biopsychosocial assessment (BA) utilization, trauma psychology service consultation, and linkage to outpatient services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 115 patients, 94% were victims of community violence. Black (50%) and Latinx (44%) patients were disproportionately affected, as were males aged 15-16 years (71%). Overall mortality was 8%. Biopsychosocial assessment 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211024227","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T10:45:49Z","timestamp":1623840349000},"page":"1644-1650","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Recovery of Pediatric Patients After Firearm Injury: Can Health Systems Do More?"],"prefix":"10.1177","volume":"87","author":[{"given":"Rachel M.","family":"Borthwell","sequence":"first","affiliation":[{"name":"Division of Trauma\/Acute Care Surgery\/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA, USA"},{"name":"The Lundquist Institute, Torrance, CA, USA"},{"name":"David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Olanrewaju","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brant A.","family":"Putnam","sequence":"additional","affiliation":[{"name":"Division of Trauma\/Acute Care Surgery\/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA, USA"},{"name":"The Lundquist Institute, Torrance, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis Y.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Trauma\/Acute Care Surgery\/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA, USA"},{"name":"The Lundquist Institute, Torrance, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent E.","family":"Chong","sequence":"additional","affiliation":[{"name":"Division of Trauma\/Acute Care Surgery\/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA, USA"},{"name":"The Lundquist Institute, Torrance, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"bibr1-00031348211024227","unstructured":"Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based injury statistics query and reporting system (WISQARS) [online]. 2020. Available at: http:\/\/www.cdc.gov\/ncipc\/wisqars. Accessed December 21, 2020."},{"key":"bibr2-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.1494"},{"key":"bibr3-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr1804754"},{"key":"bibr4-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-019-00035-2"},{"key":"bibr5-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001846"},{"key":"bibr6-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004390"},{"key":"bibr7-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2015.10.009"},{"key":"bibr8-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-3486"},{"key":"bibr9-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.10.050"},{"key":"bibr10-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13631"},{"key":"bibr11-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1007\/s40719-020-00188-5"},{"key":"bibr12-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-019-00043-2"},{"key":"bibr13-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.11.014"},{"key":"bibr14-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2016-000050"},{"key":"bibr15-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13021"},{"key":"bibr16-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.11.003"},{"key":"bibr17-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.10.003"},{"key":"bibr18-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.4533"},{"key":"bibr19-00031348211024227","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000003797"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211024227","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348211024227","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211024227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:35:55Z","timestamp":1777379755000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348211024227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,16]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1177\/00031348211024227"],"URL":"https:\/\/doi.org\/10.1177\/00031348211024227","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,16]]}}}