Document Detail


Fatal firearm-related injury surveillance in Maryland.
MedLine Citation:
PMID:  9791623     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Maryland began a statewide firearm-related injury surveillance system in 1995. The system now focuses on firearm-related deaths; a system to monitor nonfatal injuries is being developed. The system is passive; it accesses, integrates, and analyzes data collected by Maryland's Office of the Chief Medical Examiner, Maryland State Police, and Division of Health Statistics. OBJECTIVE: To evaluate the surveillance system's ability to ascertain cases in the absence of a standard for the true number of cases. DESIGN: Link records of the same firearm-related death captured by the surveillance system's multiple data sources, comparing the rate of false positives and false negatives, and assessing errors in linkage variables. SETTING: Maryland, 1991-1994. PARTICIPANTS: All deaths occurring in the state of Maryland as a result of a firearm-related injury. MAIN OUTCOME MEASURES: Sensitivity and positive predictive value. RESULTS: The system is extremely sensitive, detecting 99.61% of cases, and it has a very high positive predictive value, with 99.87% of the cases identified from medical examiner's office data being confirmed as actual cases. CONCLUSIONS: Maryland's database of information from the medical examiner's office is highly accurate for ascertaining firearm-related deaths that occur in the state. A unique identifier common across data sources would ease record linkage efforts, and improve the system's ability to monitor firearm-related deaths.
Authors:
B Wiersema; C Loftin; R C Mullen; E M Daub; M A Sheppard; J E Smialek; D McDowall
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  15     ISSN:  0749-3797     ISO Abbreviation:  Am J Prev Med     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1998-12-10     Completed Date:  1998-12-10     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  46-56     Citation Subset:  IM    
Affiliation:
Department of Criminology and Criminal Justice, University of Maryland, College Park 20742-8235, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bias (Epidemiology)
Data Collection / methods
Firearms / legislation & jurisprudence,  statistics & numerical data
Humans
Maryland / epidemiology
Medical Record Linkage
Population Surveillance / methods*
Program Evaluation
Sensitivity and Specificity
Wounds, Gunshot / etiology,  mortality*,  prevention & control
Grant Support
ID/Acronym/Agency:
U17/CCU311058//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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