A review of 187 gunshot wound admissions to a teaching hospital over a 54-month period: training and service implications

Cowey, Alan; Mitchell, P. J.; Gregory, James M.; MacLennan, Ian C. M.; Pearson, Richard

doi:10.1308/003588404322827482

Cited by 36 publications

(31 citation statements)

References 4 publications

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“…Over 90% of injuries were alleged assaults. The median (interquartile range [IQR]) GCS was 15 across the whole sample, falling to 8 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) in the ISS 35-75 group. Mean (95% confidence interval [CI]) systolic blood pressure in A&E was 124 mmHg (122-126) and mean pulse rate was 94 beats per minute (92-95).…”

Section: Sample Characteristicsmentioning

confidence: 99%

Outcomes and costs of penetrating trauma injury in England and Wales

Christensen

Nielsen

Ridley

et al. 2008

Injury

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SummaryBackground: Penetrating trauma injury is generally associated with higher short-term mortality than blunt trauma, and results in substantial societal costs given the young age of those typically injured. Little information exists on the patient and treatment characteristics for penetrating trauma in England and Wales, and the acute outcomes and costs of care have not been documented and analysed in detail. Methods: Using the Trauma Audit Research Network (TARN) database, we examined patient records for persons aged 18+ years hospitalised for penetrating trauma injury between January 2000 and December 2005. Patients were stratified by injury severity score (ISS). Results: 1365 patients were identified; 16% with ISS 1-8, 50% ISS 9-15, 15% ISS 1624, 16% ISS 25-34, and 4% with ISS 35-75. The median age was 30 years and 91% of patients were men. Over 90% of the injuries occurred in alleged assaults. Stabbings were the most common cause of injury (73%), followed by shootings (19%). Forty-seven percent were admitted to critical care for a median length of stay of 2 days; median total hospital length of stay was 7 days. Sixty-nine percent of patients underwent at least one surgical procedure. Eight percent of the patients died before discharge, with a mean time to death of 1.6 days (S.D. 4.0). Mortality ranged from 0% among patients with ISS 1-8 to 55% in patients with ISS > 34. The mean hospital cost per patient was £7983, ranging from £6035 in patients with ISS 9-15 to £16,438 among patients with ISS > 34. Costs varied significantly by ISS, hospital mortality, cause and body region of injury. Conclusion: The acute treatment costs of penetrating trauma injury in England and Wales vary by patient, injury and treatment characteristics. Measures designed to reduce the incidence and severity of penetrating trauma may result in significant hospital cost savings.

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Section: Sample Characteristicsmentioning

confidence: 99%

Outcomes and costs of penetrating trauma injury in England and Wales

Christensen

Nielsen

Ridley

et al. 2008

Injury

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“…Twenty-eight patients underwent major surgical procedures at an average cost of £3,943 (e5,695). Another UK study by Cowey et al [24] assessing the initial hospital costs of treating penetrating trauma injury due to gunshot wounds, reported average costs of £2,698 (e3,897) per patient. ICU and hospital ward stays accounted for 69% of total hospital costs, while the cost of surgery accounted for 18%.…”

Section: Intensive Carementioning

confidence: 99%

Cost-Drivers in Acute Treatment of Severe Trauma in Europe: A Systematic Review of Literature

Pape

Neugebauer

Ridley

et al. 2008

Eur J Trauma Emerg Surg

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“…14% of all gunshot-related assaults will result in maxillofacial injuries [1]. Although there has been an increase in the incidence of gunshot wounds to the face [3], gunshot-related craniofacial injuries are still not as common as those to other regions of the body [4,5]. If this trend continues, then the mortality rate related to fire arms would soon exceed motor vehicle accidents, which are more common cause of death secondary to maxillofacial/head injury [4].…”

Section: Introductionmentioning

confidence: 99%

Role of Maxillofacial Radiologist in Ballistic Wound: Case Report with Literature Review

Sultana¹,

Sham²

2012

IJOHNS

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Gunshot injuries are rather serious but uncommon type of trauma in India. Radiologists can contribute substantially in evaluation and treatment of patients with a gunshot wounds. Plain films, CT, Angiography, and sometimes MR imaging are used to localize shots. This paper describes a case report of shotgun injury to the face and neck and also attempts to illustrate the spectrum of available imaging with relevant findings pertaining to bullets and shotgun pellets in gunshot injuries. Radiologists should be aware of the associated complications and forensic implications when they take on the task of interpreting these images.

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A review of 187 gunshot wound admissions to a teaching hospital over a 54-month period: training and service implications

Cited by 36 publications

References 4 publications

Outcomes and costs of penetrating trauma injury in England and Wales

Outcomes and costs of penetrating trauma injury in England and Wales

Cost-Drivers in Acute Treatment of Severe Trauma in Europe: A Systematic Review of Literature

Role of Maxillofacial Radiologist in Ballistic Wound: Case Report with Literature Review

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