Citation

Eriş S, Orak M, Al B, Güloğlu C, Aldemir M. Marmara Med. J. 2009; 22(3): 181-191.

Copyright

(Copyright © 2009, Marmara University)

DOI

unavailable

PMID

unavailable

Abstract

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).

Language: en

Keywords

adolescent; adult; Injury; human; suicide; Suicide; Mortality; child; female; infant; male; aged; sex difference; mortality; scoring system; article; major clinical study; controlled study; gunshot injury; retrospective study; school child; medical record; preschool child; groups by age; emergency ward; Gunshot; thorax injury; blood transfusion; abdominal injury; Factors; Serious anemia