FACTORS AFFECTING MORTALITY IN PATIENTS WITH GUNSHOT INJURIES
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Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Marmara Univ, Fac Medicine
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: We planned this study in order to determine the factors affecting mortality in patients with gunshot injuries in more than one organ. Methods: We retrospectively reviewed the hospital records of 714 patients admitted to the Emergency Department of Dicle University, between January 2000 and December 2004. The factors that we considered would affect mortality such as age, sex, attempts suicide, long barrelled gun injuries, pellet injuries, contact/near contact shot, delayed admission time, presence of serious anemia and shock during admission, more than four entrance wounds, injury areas, serious cranial, thorax and abdominal injuries, vascular injuries in the extremities, administration of multiple transfusion, and trauma scores as GCS, RTS, PATI were analyzed. Results: As a result of unvaried statistical analyses, we determined that suicide attempts (p= 0.001), presence of serious anemia (p= 0.001) and shock (p= 0.001) during admission, presence of serious cranial (p= 0.001), thorax (p= 0.001) and abdominal (p= 0.001) injury, femoral artery injury (p= 0.001), multiple blood transfusion (p= 0.009),, GCS 0-7, GCS 8-12 (p= 0.001) and low RTS (p= 0.001) were significant factors affecting mortality. Conclusion: Multivariate analysis showed that serious anemia during admission, serious cranial injury, serious abdominal injury and low RTS were independently significant in predicting mortality (p< 0.05).
Açıklama
Anahtar Kelimeler
Factors, Gunshot, Mortality, Injury, Serious Anemia, Suicide
Kaynak
Marmara Medical Journal
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
22
Sayı
3
