Past-year intentional and unintentional injury among teens treated in an inner-city emergency department.
An inner-city emergency department (ED) visit provides an opportunity for contact with high-risk adolescents to promote injury prevention.


OBJECTIVE
To identify the prevalence of injuries sustained over the past year by teens presenting to an inner-city ED, and to identify factors associated with recent injury to inform future ED-based injury prevention initiatives.


METHODS
Over 1 year, 7 days a week, from 1:00-11:00 p.m., patients aged 14-18 years presenting to the ED participated in a survey regarding past-year risk behaviors and injuries.


RESULTS
Of the entire group of teens presenting to the ED (n = 1128) who completed the survey (83.8% response rate), 46% were male, and 58% were African-American. Past-year injuries were reported by 768 (68.1%) of the teens; 475 (61.8%) of those reported an unintentional injury and 293 (38.1%) reported an intentional injury. One-third of all youth seeking care reported a past-year sports-related injury (34.5%) or an injury related to driving or riding in a car (12.3%), and 8.2% reported a gun-related injury. Logistic regression found that binge drinking (adjusted odds ratio [AOR] 1.95) and illicit weapon carrying (AOR 2.31) predicted a past-year intentional injury. African-American youth (AOR 0.56) and those receiving public assistance (AOR 0.73) were less likely to report past-year unintentional injuries.


CONCLUSIONS
Adolescents seeking care in an inner-city ED, regardless of the reason for seeking care, report an elevated prevalence of recent injury, including violence. Future injury screening and prevention efforts should consider universal screening of all youth seeking ED care.
Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Rebecca M
RM
Cunningham
Maureen A
MA
Walton
Stephanie
S
Roahen Harrison
Stella M
SM
Resko
Rachel
R
Stanley
Marc
M
Zimmerman
C Raymond
CR
Bingham
Jean T
JT
Shope
D000059:Accidents / Q000706:statistics & numerical data*; D000293:Adolescent; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008824:Michigan / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D014754:Violence / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology