TABLE 1

Characteristics of Nonpowder Firearm Injuries Treated in US EDs by Age Group (NEISS 1990–2016)

CharacteristicsAge Group
<18 y Old<6 y Old6–12 y Old13–17 y Old
n (%)a95% CIn (%)a95% CIn (%)a95% CIn (%)a95% CI
Sex
 Male317 220 (87.1)273 565–360 87514 019 (68.4)11 216–16 823151 650 (87.9)128 191–175 109151 550 (88.5)130 181–172 920
 Female46 831 (12.9)39 892–53 7706473 (31.6)4869–807720 762 (12.0)17 218–24 30519 597 (11.4)16 385–22 809
 Unknown83b0–1730061b0–14721b0–54
Body region injured
 Head and/or neck143 046 (39.3)122 224–163 86910 435 (50.9)8335–12 53467 094 (39.0)55 978–78 21065 518 (38.3)55 612–75 424
 Upper extremity111 784 (30.7)96 207–127 3615350 (26.1)4002–669849 311 (28.6)41 433–57 19057 123 (33.4)48 656–65 590
 Trunk33 990 (9.3)28 423–39 5572734 (13.3)1867–360018 183 (10.6)14 721–21 64613 073 (7.6)10 518–15 628
 Lower extremity74 770 (20.6)63 503–86 0371968 (9.6)1156–278037 588 (21.8)30 862–44 31335 214 (20.6)29 843–40 586
 Other229 (<0.1)b13–4446 (<0.1)b0–1712 (<0.1)b0–28211 (0.1)b0–425
 Not specified315b68–56200286b41–53029b0–66
Diagnosis
 Contusion or abrasion49 006 (13.5)39 529–58 4823660 (17.9)2432–488823 691 (13.8)18 903–28 47921 655 (12.7)16 913–26 397
 Foreign body168 276 (46.3)142 874–193 6797231 (35.3)5502–896077 673 (45.1)64 552–90 79583 372 (48.8)70 112–96 632
 Fracture6755 (1.9)5023–8488265 (1.3)b40–4893202 (1.9)2118–42863288 (1.9)2232–4345
 Laceration15 464 (4.3)12 721–18 2071338 (6.5)663–20137044 (4.1)5464–86237082 (4.1)5481–8683
 Puncture81 182 (22.3)67 376–94 9875733 (28.0)4323–714340 081 (23.3)31 746–48 41535 368 (20.7)29 280–41 456
 Other42 882 (11.8)35 187–50 5782266 (11.1)1409–312220 571 (11.9)16 390–24 75120 046 (11.7)16 254–23 838
 Not specified568b105–103100212b0–471356b0–746
Disposition from ED
 Treated and released336 280 (92.4)290 269–382 29017 924 (87.5)14 409–21 439158 362 (91.9)134 408–182 317159 993 (93.5)137 352–182 634
 Admitted26 002 (7.1)21 182–30 8212307 (11.3)1508–310613 397 (7.8)10 280–16 51310 298 (6.0)8161–12 434
 Left against medical advice1638 (0.5)780–2496261 (1.3)b0–638588 (0.3)b197–979789 (0.5)b259–1319
 Not specified214b20–40800126b0–25388b0–240
Location of incident
 Home195 584 (89.4)161 180–229 98813 955 (96.9)11 008–16 90297 262 (91.5)79 141–115 38384 367 (86.0)68 307–100 428
 Other23 256 (10.6)18 003–28 510444 (3.1)b82–8059077 (8.5)6833–11 32113 736 (14.0)10 194–17 279
 Not specified145 293120 867–169 72060944432–775566 13553 314–78 95673 06561 129–85 000
Intent
 Unintentional188 129 (99.0)159 860–216 39710 332 (99.8)8125–12 53985 988 (98.6)72 132–99 84391 809 (99.2)77 063–106 555
 Intentional1960 (1.0)1130–279121 (0.2)b0–521221 (1.4)651–1790719 (0.8)b292–1146
 Not specified174 045148 276–199 81310 1397387–12 89285 26570 618–99 91278 64067 353–89 926
Type of firearm
 BB gun240 522 (80.8)207 158–273 88514 566 (86.5)11 635–17 497118 084 (83.6)100 011–136 156107 872 (77.3)92 222–123 522
 Pellet gun46 208 (15.5)38 952–53 4631867 (11.1)1162–257119 391 (13.7)15 444–23 33824 950 (17.9)20 724–29 176
 Airsoft gun1915 (0.6)654–3176115 (0.7)b0–267752 (0.5)b228–12751048 (0.8)b220–1876
 Paintball gun8958 (3.0)6244–11 672297 (1.8)b0–6083034 (2.1)1916–41535627 (4.0)3748–7505
 Not specified66 53155 597–77 46636472570–472431 21325 254–37 17231 67126 319–37 023
User of firearm
 Self103 416 (52.8)86 564–120 2673819 (33.2)2414–522443 934 (47.5)36 210–51 65855 663 (60.6)45 956–65 370
 Other92 466 (47.2)78 793–106 1387688 (66.8)5902–947348 515 (52.5)40 150–56 88036 263 (39.4)30 424–42 102
 Not specified168 253144 151–192 35589866688–11 28380 02466 848–93 20179 24268 025–90 460
Total364 133 (100.0)314 540–413 72720 492 (5.6)16 711–24 273172 473 (47.4)146 332–198 615171 168 (47.0)147 393–194 943
  • a Column percentages may not sum to 100.0% because of rounding error.

  • b Potentially unstable estimate because the sample is <20, estimate is <1200, or coefficient of variation is >33%.