Gunshot Injuries in American Trauma Centers: Analysis of the Lethality of Multiple Gunshot Wounds

Ahmad Zeineddin · Mallory Williams · Harry Nonez · Wasay Nizam · Olubode Ademola Olufajo · Gezzer Ortega +2 more

70 citations0/0 files storedThe American Surgeon

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Gun Ownership and Violence Research Trauma and Emergency Care Studies Trauma Management and Diagnosis

Abstract

Introduction Trauma center care and survival have been improving over the past several years. However, yearly firearm-related deaths have remained near constant at 33 000. One challenge to decreasing gunshot mortality is patients presenting with complex injury patterns from multiple gunshot wounds (GSWs) made possible by high-caliber automated weapons. Our study analyzes outcomes of trauma patients of firearms using the National Trauma Databank (NTDB). Methods We conducted a retrospective review of the NTDB from the years 2003-2015 for patients with penetrating injuries. We separated patients into groups based on stab wounds, single GSW, and multiple GSW. We performed multivariate logistic regression analyses in which we adjusted for demographics and injury severity. Results Overall, 382 376 patients presenting with penetrating injuries were analyzed. Of those 167 671 had stab, 106 538 single GSW, and 57 819 multiple GSW injuries. Crude mortality was 1.97% for stab wounds, 13.26% for single GSW, and 18.84% for multiple GSW. Adjusted odds ratio (OR) compared with 2003 demonstrates a trend toward decreased mortality for stab wounds (OR range of 0.48-0.69, P < .05 for years 2010-2015). A similar trend was demonstrated in single GSW injuries (OR 0.31-0.83, P < .01 for years 2005-2015). Conversely, multiple GSW injuries did not follow this trend (OR 0.91-1.36 with P > 0.05 for each year). Conclusion In contrast to significant improvement in survival in patients with a single GSW injury since 2003, multiple GSW injuries still pose a challenge to trauma care. This warrants further investigation into the efficacy of legislature, and the lack thereof, as well as future preventative measures to this type of injury.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 70 citations exist upstream.

References

2015Violent Death Rates: The US Compared with Other High-income OECD Countries, 2010 2017Childhood Firearm Injuries in the United States 2016What Do We Know About the Association Between Firearm Legislation and Firearm-Related Injuries?2018The Association of Firearm Caliber With Likelihood of Death From Gunshot Injury in Criminal Assaults 2017Emergency Department Visits For Firearm-Related Injuries In The United States, 2006–14 2016Trends in Research Publications About Gun Violence in the United States, 1960 to 2014 2004Firearm related deaths: the impact of regulatory reform 1996Characteristics of Firearms Involved in Fatalities

Cited by

2021The association between the rise of gun violence in popular US primetime television dramas and homicides attributable to firearms, 2000–2018

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.