Citation

Canseco Cavazos J, Palacios-Zertuche J, Reyna-Sepúlveda F, Álvarez-Villalobos N, Alatorre-López L, Muñoz-Maldonado G. Cir. Cir. 2016; 85(1): 41-48.

Vernacular Title

Epidemiología de las lesiones por proyectil de arma de fuego en el Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León.

Affiliation

Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México. Electronic address: jcansecouanl@gmail.com.

Copyright

(Copyright © 2016, Academia Mexicana de Cirugia)

DOI

10.1016/j.circir.2016.05.015

PMID

27422800

Abstract

BACKGROUND: 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.

OBJECTIVE: To perform an analysis on the epidemiological factors associated with gunshot wounds. MATERIAL AND METHODS: An analysis was made of multiple variables of all patients diagnosed with gunshot wounds during the period between 2005 and 2015.

RESULTS: A 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.

DISCUSSION: Morbidity 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.

CONCLUSIONS: The 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.

Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

Language: es