Epidemiology and clinical aspects of stray bullet shootings in the United States

Wintemute, Garen J.; Claire, Barbara E.; McHenry, Vanessa; Wright, Michelle

doi:10.1097/ta.0b013e31824c3abc

Cited by 19 publications

(20 citation statements)

References 26 publications

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“…(2) In the present study, the most common site of injury was the extremities, including calf, thigh, and leg. This is in line with the epidemiology of stray bullet injuries found across the US, (4) revealing that in a sample of 284 cases, extremities were the most injured body part, and similarly for the Libyan sample. (2) In samples where the chest (3) and the head (11) were most commonly injured, a much higher mor-tality ratewas recorded.…”

Section: Discussionsupporting

confidence: 55%

“…(3) In a sample of 284 cases, 81% of those injured were unaware of the causes or events of the shooting. (4) Generally, a bullet that is fired vertically will fall at its terminal or free fall velocity based on bullet characteristics like weight and shape, its kinetic energy, and whether it lands base or nose first. (5) The degree of tissue damage also varies based on the size of the organ or tissue and the resistance of the tissue to strain.…”

Section: Introductionmentioning

confidence: 99%

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Stray bullet injuries in a tertiary care center

2016

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Section: Discussionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Stray bullet injuries in a tertiary care center

2016

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“…reported 27.7% mortality at the scene of the shooting and 84.6% on the day of the shooting for strayed bullets, representing a higher case fatality ratio compared to other forms of gunshot wounds. [18]…”

Section: Discussionmentioning

confidence: 99%

Civilian penetrating gunshot injury to the neurocranium in Enugu

et al. 2017

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Introduction:Civilian penetrating gunshot injuries to the neurocranium are no longer uncommon in Nigeria. Such injuries are however poorly reported. They are associated with poor outcome and, at close range, are frequently fatal, especially when inflicted by high-velocity weapons. Prompt transfer to neurosurgical service and urgent intervention may improve outcome in those that are not mortally wounded.Materials and Methods:Fifty-two patients with civilian penetrating gunshot wounds seen over a 10-year period (2004–2014) at the University of Nigeria Teaching Hospital and Memfys Hospital for Neurosurgery Enugu were reviewed retrospectively, and their data were analyzed to evaluate factors that impacted on outcome. Only patients with clinical and imaging evidence of cranial gunshot injuries who reached hospital alive were included in the study. The overall mortality and Glasgow outcome score were analyzed.Results:Fifty-two patients with isolated civilian penetrating gunshot wounds were identified (M:F = 7.7:1); mean (standard deviation) age was 32.8 (11.9) years. There was a high correlation (0.983) between the sex of the patients and the outcome. The overall mortality was 30.8%, whereas the mortality for patients with postresuscitation Glasgow coma scale (GCS) score ≤8 was 57%, as against 12.9% in those in whom postresuscitation GCS was >8; meaning that 87.1% of patients in whom postresuscitation GCS was >8 survived. Thirty-one patients (59.6%) had papillary abnormalities. Majority of patients with monohemispheric lesions survived while all those with diencephalic, transventricular, and posterior fossa involvement had 100% mortality.Conclusions:Admitting GCS and bullet trajectory were predictive of outcome.

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“…In fact, it can be argued that part of the incidence of bullying-related mortality in the Americas is already known to consist of at least 6 episodes of homicide per 100 000 children and adolescents ages [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. What percent of the 2 suicidal deaths per 100 000 children and adolescents is linked to bullying remains to be determined.…”

Section: Discussionmentioning

confidence: 99%

“…The number of fatal events is expressed as the average number per year of homicide or suicide deaths affecting children and adolescents (ages [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] occurring in the Americas from 1995 through 2008 (17).…”

Section: Number Of Fatal Injurious Eventsmentioning

confidence: 99%