Epidemiology of gunshot wounds in the University Hospital “Dr. José Eleuterio González” of the Autonomous University of Nuevo León

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• 作者：José ; Canseco Cavazos ; Jorge Palacios-Zertuche ; Francisco Reyna-Sepú ; lveda ; Neri Á ; lvarez-Villalobos ; Louisiana Alatorre-Ló ; pez ; Gerardo Muñ ; oz-Maldonado ; ^{jcansecouanl@gmail.com}
• 关键词：Epidemiology ; Wound ; Gunshot
• 刊名：Cirugía y Cirujanos (English Edition)
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：85
• 期：1
• 页码：41-48
• 全文大小：716 K
• 卷排序：85

文摘

The incidence of deaths and injuries associated with gunshot wounds deserves special attention, mainly because of its repercussions on hospital resources and the diagnosis and treatment protocols.ObjectiveTo perform an analysis on the epidemiological factors associated with gunshot wounds.Material and methodsAn analysis was made of multiple variables of all patients diagnosed with gunshot wounds during the period between 2005 and 2015.ResultsA total of 605 cases were found, and an additional sub-group of 314 cases was obtained for a deeper analysis. The overall mortality rate was 7.9%. The main anatomical region was the abdomen, with 44%. A total of 324 laparotomies were performed, 124 incisions of the thoracic wall, and 72 vascular examinations. In the sub-group of 314 cases, a 16.9% and 42% of laparotomies and vascular examinations, respectably, were reported without evidence of injury to internal organs.DiscussionMorbidity and mortality increases when 2 or more wounds are present with multiple organ injuries, in patients with multiple transfusions, or in those transferred to the intensive care unit.ConclusionsThe incorporation of a physical evaluation format by all the departments involved is suggested for patients that are attended with gunshot wounds, in order to obtain more epidemiological information of these injuries for further studies.