BACKGROUND Nationally, 115,000 non-fatal firearm injuries occurred in 2017, with many such victim... more BACKGROUND Nationally, 115,000 non-fatal firearm injuries occurred in 2017, with many such victims possessing retained bullet fragments (RBFs); however, the impact of RBFs has not been well studied. METHODS An institutional trauma database from an urban, level one trauma center was queried for patients presenting with gunshot wounds (GSWs) to the ED in 2017. GSWs were stratified by the presence or absence of RBFs. Groups were compared using t-tests, chi-squared, and logistic regression. RESULTS Of 674 patients with GSWs who met inclusion criteria, 394 had RBFs versus 280 with no RBFs. Patients with RBFs were more likely admitted from the ED (57.4% vs. 41.8%, p < 0.001), had significantly higher rates of return to the ED within six months (30.7% vs. 18.6%, p < 0.001), and higher rates of subsequent GSW in the next year (5.1% vs. 1.8%, p = 0.03). On return to ED, 17.6% of those with a RBF had symptoms associated with their RBF. CONCLUSION RBFs may represent an unrecognized risk ...
The social and physical environments have played a fundamental role in the production and mainten... more The social and physical environments have played a fundamental role in the production and maintenance of racial health inequities in the United States. Contexts of these environments not only shape the social norms and health behaviors of individuals from an early stage in life, but also the stressors and coping resources available. Historical and current racial residential segregation has played a central role in determining the resources available to black communities residing in such neighborhoods. These challenges were discussed in detail at the inaugural Collaboration on Race, Inequality and Social Mobility in America (CRISMA) conference in March 2018. This paper features the work of health equity scholars, Dr. Riana Anderson from The University of Michigan and Dr. Keon Gilbert from Saint Louis University, at the CRISMA conference who described their efforts to extend healthcare services to marginalized racial groups, particularly African Americans while simultaneously building...
BACKGROUND Nationally, 115,000 non-fatal firearm injuries occurred in 2017, with many such victim... more BACKGROUND Nationally, 115,000 non-fatal firearm injuries occurred in 2017, with many such victims possessing retained bullet fragments (RBFs); however, the impact of RBFs has not been well studied. METHODS An institutional trauma database from an urban, level one trauma center was queried for patients presenting with gunshot wounds (GSWs) to the ED in 2017. GSWs were stratified by the presence or absence of RBFs. Groups were compared using t-tests, chi-squared, and logistic regression. RESULTS Of 674 patients with GSWs who met inclusion criteria, 394 had RBFs versus 280 with no RBFs. Patients with RBFs were more likely admitted from the ED (57.4% vs. 41.8%, p < 0.001), had significantly higher rates of return to the ED within six months (30.7% vs. 18.6%, p < 0.001), and higher rates of subsequent GSW in the next year (5.1% vs. 1.8%, p = 0.03). On return to ED, 17.6% of those with a RBF had symptoms associated with their RBF. CONCLUSION RBFs may represent an unrecognized risk ...
The social and physical environments have played a fundamental role in the production and mainten... more The social and physical environments have played a fundamental role in the production and maintenance of racial health inequities in the United States. Contexts of these environments not only shape the social norms and health behaviors of individuals from an early stage in life, but also the stressors and coping resources available. Historical and current racial residential segregation has played a central role in determining the resources available to black communities residing in such neighborhoods. These challenges were discussed in detail at the inaugural Collaboration on Race, Inequality and Social Mobility in America (CRISMA) conference in March 2018. This paper features the work of health equity scholars, Dr. Riana Anderson from The University of Michigan and Dr. Keon Gilbert from Saint Louis University, at the CRISMA conference who described their efforts to extend healthcare services to marginalized racial groups, particularly African Americans while simultaneously building...
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Papers by Megha Uberoi