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Epidemiology of firearm injuries in a Scandinavian trauma center
Background There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries. Methods Retrospective cohort study of all patients ( n = 235) tre...
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| Published in: | European journal of trauma and emergency surgery (Munich : 2007) 2020-06, Vol.46 (3), p.641-647 |
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| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
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| creator | Bäckman, Pernilla Brandt Riddez, Louis Adamsson, Lennart Wahlgren, Carl-Magnus |
| description | Background
There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.
Methods
Retrospective cohort study of all patients (
n
= 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection.
Results
Mean age was 31.3 years (SD ± 12.9; range 16–88 years); 93.6% males; mean ISS was 14.3 (SD ± 15.9); 31.9% (75/235) had ISS > 15. There was a significant increase in penetrating trauma (
P
|
| doi_str_mv | 10.1007/s00068-018-1045-1 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_484383</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2130056505</sourcerecordid><originalsourceid>FETCH-LOGICAL-c558t-bca83469bd4780501a262a490910810b0a5d84c3e6adc3e88596f19a06e3de993</originalsourceid><addsrcrecordid>eNp1kk1P3DAQhq2qVaG0P4ALitQLl9DxZ-xLVYRoQULqoXC2ZhNn8TaxF3sD4t_Xq12WgsTFHnme9x2PPYQcUjihAM23DABK10B1TUHImr4j-1QrXhsj6PtdzPke-ZTzosCgJPtI9jhwwygT--TH-dJ3bvRxiPPHKvZV75PDNFY-LKbkXS5BhdWfFkPnA957DNUq4TRi1bqwcukz-dDjkN2X7X5Abn6eX59d1Fe_f12enV7VrZR6Vc9a1FwoM-tEo0ECRaYYCgOGgqYwA5SdFi13Cruyai2N6qlBUI53rvRwQOqNb35wy2lml8mPmB5tRG-3R39L5KzQgmteePMmv0yxexY9CangBhrJZNF-32gLMLpu3WjC4aXFi0zwt3Ye723DGt0oVQyOtwYp3k0ur-zoc-uGAYOLU7aMcgCpJKxrfX2FLuKUQnnKQjFtmDSgC0U3VJtizsn1u8tQsOtZsJtZsGUW7HoWLC2ao_-72CmePr8AbPtEJRXmLj2Xftv1H0TLv7k</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2128925908</pqid></control><display><type>article</type><title>Epidemiology of firearm injuries in a Scandinavian trauma center</title><source>Springer Nature</source><creator>Bäckman, Pernilla Brandt ; Riddez, Louis ; Adamsson, Lennart ; Wahlgren, Carl-Magnus</creator><creatorcontrib>Bäckman, Pernilla Brandt ; Riddez, Louis ; Adamsson, Lennart ; Wahlgren, Carl-Magnus</creatorcontrib><description>Background
There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.
Methods
Retrospective cohort study of all patients (
n
= 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection.
Results
Mean age was 31.3 years (SD ± 12.9; range 16–88 years); 93.6% males; mean ISS was 14.3 (SD ± 15.9); 31.9% (75/235) had ISS > 15. There was a significant increase in penetrating trauma (
P
< 0.001) and firearm injuries (
P
< 0.001) over the years. The most common anatomical location of firearm injury was the lower extremity, (
n
= 138/235; 38%), followed by the abdomen (
n
= 69;19%), upper extremity (
n
= 53;15%), chest (
n
= 50; 14%), and head and neck (
n
= 50; 14%). Ninety patients (38.3%) had more than one anatomic injury location. There were in total 360 firearm injuries and 168 major surgical procedures were performed. 53% (
n
= 125) of patients underwent at least one surgical procedure. The most common procedures were fracture surgery 42% (
n
= 70/168), followed by laparotomy 30%% (
n
= 51), chest tube 17% (
n
= 29), and thoracotomy 11% (
n
= 18). Forty-one patients (17%) had at least one major vascular injury (
n
= 54). The most common vascular injury was lower extremity vessel injuries, 26/54 (48%), followed by vessels in chest and abdomen. There was a significant increase in vascular injuries during the study period (
P
< 0.006). The 30-day mortality was 12.8% (
n
= 30); 24 patients died within 24 h mainly due to injuries to the chest and the head and neck region.
Conclusions
Firearm injuries cause significant morbidity and mortality and are an important medical and public health problem. In a Scandinavian trauma center there has been an increase of firearm injuries in recent years. The lower extremities followed by the abdomen are the dominating injured regions and there has been an increase in associated vascular injuries.</description><identifier>ISSN: 1863-9933</identifier><identifier>ISSN: 1863-9941</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-018-1045-1</identifier><identifier>PMID: 30392124</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Critical Care Medicine ; Emergency Medicine ; Epidemiology ; Female ; Firearms ; Humans ; Injuries ; Intensive ; Male ; Medicin och hälsovetenskap ; Medicine ; Medicine & Public Health ; Middle Aged ; Original ; Original Article ; Registries ; Retrospective Studies ; Scandinavian and Nordic Countries - epidemiology ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Trauma ; Trauma Centers ; Traumatic Surgery ; Trends ; Wounds, Gunshot - epidemiology</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2020-06, Vol.46 (3), p.641-647</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-bca83469bd4780501a262a490910810b0a5d84c3e6adc3e88596f19a06e3de993</citedby><cites>FETCH-LOGICAL-c558t-bca83469bd4780501a262a490910810b0a5d84c3e6adc3e88596f19a06e3de993</cites><orcidid>0000-0002-9619-3577</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30392124$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:143907525$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Bäckman, Pernilla Brandt</creatorcontrib><creatorcontrib>Riddez, Louis</creatorcontrib><creatorcontrib>Adamsson, Lennart</creatorcontrib><creatorcontrib>Wahlgren, Carl-Magnus</creatorcontrib><title>Epidemiology of firearm injuries in a Scandinavian trauma center</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Background
There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.
Methods
Retrospective cohort study of all patients (
n
= 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection.
Results
Mean age was 31.3 years (SD ± 12.9; range 16–88 years); 93.6% males; mean ISS was 14.3 (SD ± 15.9); 31.9% (75/235) had ISS > 15. There was a significant increase in penetrating trauma (
P
< 0.001) and firearm injuries (
P
< 0.001) over the years. The most common anatomical location of firearm injury was the lower extremity, (
n
= 138/235; 38%), followed by the abdomen (
n
= 69;19%), upper extremity (
n
= 53;15%), chest (
n
= 50; 14%), and head and neck (
n
= 50; 14%). Ninety patients (38.3%) had more than one anatomic injury location. There were in total 360 firearm injuries and 168 major surgical procedures were performed. 53% (
n
= 125) of patients underwent at least one surgical procedure. The most common procedures were fracture surgery 42% (
n
= 70/168), followed by laparotomy 30%% (
n
= 51), chest tube 17% (
n
= 29), and thoracotomy 11% (
n
= 18). Forty-one patients (17%) had at least one major vascular injury (
n
= 54). The most common vascular injury was lower extremity vessel injuries, 26/54 (48%), followed by vessels in chest and abdomen. There was a significant increase in vascular injuries during the study period (
P
< 0.006). The 30-day mortality was 12.8% (
n
= 30); 24 patients died within 24 h mainly due to injuries to the chest and the head and neck region.
Conclusions
Firearm injuries cause significant morbidity and mortality and are an important medical and public health problem. In a Scandinavian trauma center there has been an increase of firearm injuries in recent years. The lower extremities followed by the abdomen are the dominating injured regions and there has been an increase in associated vascular injuries.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Firearms</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intensive</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Original Article</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Scandinavian and Nordic Countries - epidemiology</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Trauma</subject><subject>Trauma Centers</subject><subject>Traumatic Surgery</subject><subject>Trends</subject><subject>Wounds, Gunshot - epidemiology</subject><issn>1863-9933</issn><issn>1863-9941</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kk1P3DAQhq2qVaG0P4ALitQLl9DxZ-xLVYRoQULqoXC2ZhNn8TaxF3sD4t_Xq12WgsTFHnme9x2PPYQcUjihAM23DABK10B1TUHImr4j-1QrXhsj6PtdzPke-ZTzosCgJPtI9jhwwygT--TH-dJ3bvRxiPPHKvZV75PDNFY-LKbkXS5BhdWfFkPnA957DNUq4TRi1bqwcukz-dDjkN2X7X5Abn6eX59d1Fe_f12enV7VrZR6Vc9a1FwoM-tEo0ECRaYYCgOGgqYwA5SdFi13Cruyai2N6qlBUI53rvRwQOqNb35wy2lml8mPmB5tRG-3R39L5KzQgmteePMmv0yxexY9CangBhrJZNF-32gLMLpu3WjC4aXFi0zwt3Ye723DGt0oVQyOtwYp3k0ur-zoc-uGAYOLU7aMcgCpJKxrfX2FLuKUQnnKQjFtmDSgC0U3VJtizsn1u8tQsOtZsJtZsGUW7HoWLC2ao_-72CmePr8AbPtEJRXmLj2Xftv1H0TLv7k</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Bäckman, Pernilla Brandt</creator><creator>Riddez, Louis</creator><creator>Adamsson, Lennart</creator><creator>Wahlgren, Carl-Magnus</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-9619-3577</orcidid></search><sort><creationdate>20200601</creationdate><title>Epidemiology of firearm injuries in a Scandinavian trauma center</title><author>Bäckman, Pernilla Brandt ; Riddez, Louis ; Adamsson, Lennart ; Wahlgren, Carl-Magnus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c558t-bca83469bd4780501a262a490910810b0a5d84c3e6adc3e88596f19a06e3de993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Firearms</topic><topic>Humans</topic><topic>Injuries</topic><topic>Intensive</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Original Article</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Scandinavian and Nordic Countries - epidemiology</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Trauma</topic><topic>Trauma Centers</topic><topic>Traumatic Surgery</topic><topic>Trends</topic><topic>Wounds, Gunshot - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bäckman, Pernilla Brandt</creatorcontrib><creatorcontrib>Riddez, Louis</creatorcontrib><creatorcontrib>Adamsson, Lennart</creatorcontrib><creatorcontrib>Wahlgren, Carl-Magnus</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bäckman, Pernilla Brandt</au><au>Riddez, Louis</au><au>Adamsson, Lennart</au><au>Wahlgren, Carl-Magnus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of firearm injuries in a Scandinavian trauma center</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>46</volume><issue>3</issue><spage>641</spage><epage>647</epage><pages>641-647</pages><issn>1863-9933</issn><issn>1863-9941</issn><eissn>1863-9941</eissn><abstract>Background
There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.
Methods
Retrospective cohort study of all patients (
n
= 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection.
Results
Mean age was 31.3 years (SD ± 12.9; range 16–88 years); 93.6% males; mean ISS was 14.3 (SD ± 15.9); 31.9% (75/235) had ISS > 15. There was a significant increase in penetrating trauma (
P
< 0.001) and firearm injuries (
P
< 0.001) over the years. The most common anatomical location of firearm injury was the lower extremity, (
n
= 138/235; 38%), followed by the abdomen (
n
= 69;19%), upper extremity (
n
= 53;15%), chest (
n
= 50; 14%), and head and neck (
n
= 50; 14%). Ninety patients (38.3%) had more than one anatomic injury location. There were in total 360 firearm injuries and 168 major surgical procedures were performed. 53% (
n
= 125) of patients underwent at least one surgical procedure. The most common procedures were fracture surgery 42% (
n
= 70/168), followed by laparotomy 30%% (
n
= 51), chest tube 17% (
n
= 29), and thoracotomy 11% (
n
= 18). Forty-one patients (17%) had at least one major vascular injury (
n
= 54). The most common vascular injury was lower extremity vessel injuries, 26/54 (48%), followed by vessels in chest and abdomen. There was a significant increase in vascular injuries during the study period (
P
< 0.006). The 30-day mortality was 12.8% (
n
= 30); 24 patients died within 24 h mainly due to injuries to the chest and the head and neck region.
Conclusions
Firearm injuries cause significant morbidity and mortality and are an important medical and public health problem. In a Scandinavian trauma center there has been an increase of firearm injuries in recent years. The lower extremities followed by the abdomen are the dominating injured regions and there has been an increase in associated vascular injuries.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30392124</pmid><doi>10.1007/s00068-018-1045-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9619-3577</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2020-06, Vol.46 (3), p.641-647 |
| issn | 1863-9933 1863-9941 1863-9941 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_484383 |
| source | Springer Nature |
| subjects | Abdomen Adolescent Adult Aged Aged, 80 and over Critical Care Medicine Emergency Medicine Epidemiology Female Firearms Humans Injuries Intensive Male Medicin och hälsovetenskap Medicine Medicine & Public Health Middle Aged Original Original Article Registries Retrospective Studies Scandinavian and Nordic Countries - epidemiology Sports Medicine Surgery Surgical Orthopedics Trauma Trauma Centers Traumatic Surgery Trends Wounds, Gunshot - epidemiology |
| title | Epidemiology of firearm injuries in a Scandinavian trauma center |
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