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Epidemiology and Outcome of Penetrating Injuries in a Western European Urban Region

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Date 2016 Jan 15
PMID 26762313
Citations 17
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Abstract

Purpose: Severe life-threatening injuries in Western Europe are mostly caused by blunt trauma. However, penetrating trauma might be more common in urban regions, but their characteristics have not been fully elucidated.

Methods: Retrospective analysis of data from patients admitted to our urban university level I trauma center between 2008 and 2013 with suspicion of severe multiple injuries. Collection of data was performed prospectively using a PC-supported online documentation program including epidemiological, clinical and outcome parameters.

Results: Out of 2095 trauma room patients admitted over the 6-year time period 194 (9.3 %) suffered from penetrating trauma. The mean Injury Severity Score (ISS) was 12.3 ± 14.1 points. In 62.4 % (n = 121) the penetrating injuries were caused by interpersonal violence or attempted suicide, 98 of these by stabbing and 23 by firearms. We observed a widespread injury pattern where mainly head, thorax and abdomen were afflicted. Subgroup analysis for self-inflicted injuries showed higher ISS (19.8 ± 21.8 points) than for blunt trauma (15.5 ± 14.6 points). In 82.5 % of all penetrating trauma a surgical treatment was performed, 43.8 % of the patients received intensive care unit treatment with mean duration of 7.4 ± 9.3 days. Immediate emergency surgical treatment had to be performed in 8.0 vs. 2.3 % in blunt trauma (p < 0.001). Infectious complications of the penetrating wounds were observed in 7.8 %.

Conclusions: Specific characteristics of penetrating trauma in urban regions can be identified. Compared to nationwide data, penetrating trauma was more frequent in our collective (9.3 vs. 5.0 %), which may be due to higher crime rates in urban areas. Especially, self-inflicted penetrating trauma often results in most severe injuries.

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References
1.
Peev M, Chang Y, King D, Yeh D, Kaafarani H, Fagenholz P . Delayed laparotomy after selective non-operative management of penetrating abdominal injuries. World J Surg. 2014; 39(2):380-6. DOI: 10.1007/s00268-014-2813-7. View

2.
Rhee P, Joseph B, Pandit V, Aziz H, Vercruysse G, Kulvatunyou N . Increasing trauma deaths in the United States. Ann Surg. 2014; 260(1):13-21. DOI: 10.1097/SLA.0000000000000600. View

3.
Rotondo M, Schwab C, McGonigal M, Phillips 3rd G, Fruchterman T, Kauder D . 'Damage control': an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma. 1993; 35(3):375-82; discussion 382-3. View

4.
Butt M, Zacharias N, Velmahos G . Penetrating abdominal injuries: management controversies. Scand J Trauma Resusc Emerg Med. 2009; 17:19. PMC: 2674409. DOI: 10.1186/1757-7241-17-19. View

5.
Velmahos G, Toutouzas K, Radin R, Chan L, Rhee P, Tillou A . High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ. Arch Surg. 2003; 138(5):475-80; discussion 480-1. DOI: 10.1001/archsurg.138.5.475. View