Objective:

To describe the adult functional, participation, education, employment, and quality of life outcomes of children who incurred spinal cord injury (SCI) as the result of gun injuries vs. non-violent etiologies, as well as their utilization of health services.

Design:

Retrospective-cohort study. Eligibility criteria were current age at least 18 years, at least 5 years after SCI, and injury prior to 19 years of age. After enrolling the gun injury group, we matched individuals with non-violent etiologies from the Midwest Regional SCI Model System database to the gun injury group’s demographic characteristics. Adult outcomes included education level, employment, income, involvement with the criminal justice system, quality of life indicators using PROMIS and SCI-QOL item banks, and utilization of health services.

Participants:

Twenty-six participants with gun injury SCI matched with 19 participants with non-violent etiologies.

Results:

Average age at injury was 15 years and current age was 44 years for both cohorts. Individuals from racial minority groups were over-represented in the gun injury cohort. The gun-injury cohort had lower educational attainment. Though employment rates were similar, the gun injury group had a lower income level. Both groups endorsed high average levels of function and quality of life on the PROMIS and SCI-QOL short forms.

Conclusions:

SCI etiology reflects racial characteristics of the sample and is associated with subsequent educational attainment and income. Rehabilitation planning should consider gun injury etiology in children not as a characteristic that determines a poor outcome, but as a risk factor for reduced educational attainment and lifetime income.

中文翻译：

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遭受枪支相关脊髓损伤的儿童的成人结果

客观的：

描述因枪伤与非暴力病因导致脊髓损伤 (SCI) 的儿童的成人功能、参与、教育、就业和生活质量结果，以及他们对医疗服务的利用。

设计：

回顾性队列研究。资格标准是当前年龄至少 18 岁，脊髓损伤后至少 5 年，并且在 19 岁之前受伤。在登记枪伤组后，我们将中西部地区 SCI 模型系统数据库中具有非暴力病因的个体与枪伤组的人口特征相匹配。成人结果包括教育水平、就业、收入、参与刑事司法系统、使用 PROMIS 和 SCI-QOL 项目库的生活质量指标以及医疗服务的利用。

参加者：

26 名枪伤 SCI 参与者与 19 名非暴力病因参与者相匹配。

结果：

两个队列的平均受伤年龄为 15 岁，当前年龄为 44 岁。来自少数民族群体的个人在枪伤队列中所占比例过高。枪伤人群的受教育程度较低。尽管就业率相似，但枪伤组的收入水平较低。两组都认可 PROMIS 和 SCI-QOL 简短表格的高平均功能水平和生活质量。

结论：

SCI 病因反映了样本的种族特征，并与随后的教育程度和收入相关。康复计划不应将儿童的枪伤病因视为决定不良结果的特征，而是将其视为教育程度和终生收入下降的风险因素。