Demographics, Radiological Findings, and Predictors of Prolonged Hospitalization in Civilian Gunshot Wound Patients.

Bulletin of emergency and trauma Pub Date : 2023-01-01 DOI:10.30476/BEAT.2023.100565.1473

Seyed Hadi Aghili, Arshia Zardoui, Mehri Farhang Ranjbar, Alireza Baratloo

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Abstract

Objective: This study aims to characterize the demographic, clinical, and radiological features of gunshot wound (GSW) patients as well as identify predictors of prolonged hospitalization.

Methods: In this retrospective study, a consecutive sampling method was used, including all patients with GSWs in any anatomical region. Data collection included demographic and clinical information, radiological findings, treatment specifics, and outcome variables, such as hospitalization length of stay (LOS) as the primary outcome. To identify predictive factors associated with prolonged LOS, logistic regression analysis was used.

Results: We studied 212 GSW cases, including 95.8% were men and 4.2% were women. The mean age of the studied group was 30.17±7.80 years. GSWs occurred in extremities (80.2%), abdomen (9.0%), thorax (4.7%), and head or neck (5.2%). Two patients (0.9%) had both abdominal and thoracic GSWs. The most prevalent radiological study was an X-ray (83.0%). Patients with head and neck GSWs had the longest emergency department stay, while patients with abdominal GSW patients had the shortest (p=0.068). The highest rates of blood product transfusion were observed in abdominal GSWs (63.2%), emergency surgery (63.2%), and ICU admission (42.1%). Head and neck GSWs had the longest hospitalization LOS (7.5 days). Longer LOS was significantly associated with abnormalities in radiological findings, receiving blood products, and ICU admission (p≤0.001). Significant predictors of prolonged LOS were major abnormalities in radiological findings [odds ratio (OR)=5.3; 95% confidence interval (CI):2.8-10.2], head and neck GSWs (OR=6.1; 95% CI:1.2-31.9), and blood product transfusion (OR=4.1; 95% CI: 1.0-16.3).

Conclusion: This study provides insights into factors influencing prolonged hospitalization in GSW patients, highlighting the importance of radiological findings, head and neck injuries, and blood product transfusion.

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平民枪伤患者的人口统计学、放射学检查结果和延长住院时间的预测因素。

目的：本研究旨在了解枪伤（GSW）患者的人口统计学特征、临床特征和放射学特征，并确定延长住院时间的预测因素：本研究旨在了解枪伤（GSW）患者的人口统计学、临床和放射学特征，并确定延长住院时间的预测因素：在这项回顾性研究中，采用了连续抽样的方法，包括任何解剖区域的所有枪伤患者。收集的数据包括人口统计学和临床信息、放射学检查结果、治疗细节和结果变量，如作为主要结果的住院时间（LOS）。为了确定与住院时间延长相关的预测因素，我们采用了逻辑回归分析：我们研究了 212 个 GSW 病例，其中 95.8% 为男性，4.2% 为女性。研究组的平均年龄为（30.17±7.80）岁。GSW发生在四肢（80.2%）、腹部（9.0%）、胸部（4.7%）和头颈部（5.2%）。两名患者（0.9%）同时患有腹部和胸部 GSW。最常见的放射学检查是 X 光（83.0%）。头颈部 GSW 患者的急诊科住院时间最长，而腹部 GSW 患者的急诊科住院时间最短（P=0.068）。腹部一般重症肌无力患者输血率最高（63.2%），急诊手术输血率最高（63.2%），入住重症监护室输血率最高（42.1%）。头颈部一般医务人员的住院时间最长（7.5 天）。较长的住院时间与放射学检查结果异常、接受血液制品和入住重症监护室明显相关（p≤0.001）。放射学检查结果主要异常[几率比（OR）=5.3；95% 置信区间（CI）：2.8-10.2]、头颈部 GSWs（OR=6.1；95% CI：1.2-31.9）和输血制品（OR=4.1；95% CI：1.0-16.3）是延长 LOS 的重要预测因素：本研究深入探讨了影响GSW患者住院时间延长的因素，强调了放射学检查结果、头颈部损伤和输血的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.