Crossbow Injuries: Predictors of Mortality.

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Wilderness & Environmental Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI:10.1177/10806032241230243

Joshua W Julian, Maxwell L Todd, Benjamin J Marcheschi, Paula M Buchanan, Angela J Spencer, Cindy C Bitter

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引用次数: 0

Abstract

Introduction: Crossbow injuries are rare but carry significant morbidity and mortality, and there is limited evidence in the medical literature to guide care. This paper reviews the case reports and case series of crossbow injuries and looks for trends regarding morbidity and mortality based on the type of arrow, anatomic location of injury, and intent of injury.

Methods: Multiple databases were searched for cases of crossbow injuries and data were abstracted into a spreadsheet. Statistics were done in SPSS.

Results: 358 manuscripts were returned in the search. After deduplication and removal of nonclinical articles, 101 manuscripts remained. Seventy-one articles describing 90 incidents met the inclusion criteria. The mean age was 36.5 years. There were 10 female and 79 male victims. Fatality was 36% for injuries by field tip arrows and 71% for broadhead arrows, p = .024. Assaults were fatal in 84% of cases, suicides in 29%, and accidental injuries in 17%, p < .001. Mortality was similar for wounds to the head and neck (41%), chest (42%), abdomen (33%), extremities (50%), and multiple regions, p = .618.

Conclusions: Crossbows are potentially lethal weapons sold with fewer restrictions than firearms. Injuries caused by broadhead arrows are more likely to be fatal than injuries from field tip arrows. The anatomic location of injury does not correlate with fatality. More than half of crossbow injuries are due to attempted suicide, with a high case-fatality rate.

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弩伤：死亡率的预测因素

简介：弩箭伤害十分罕见，但发病率和死亡率却很高，医学文献中用于指导治疗的证据十分有限。本文回顾了弩伤的病例报告和系列病例，并根据箭的类型、受伤的解剖位置和受伤的意图寻找发病率和死亡率的趋势：方法：在多个数据库中搜索弩伤病例，并将数据摘录到电子表格中。用 SPSS 进行统计：结果：共检索到 358 篇手稿。经过重复删减和去除非临床文章后，剩下 101 篇手稿。71篇文章描述了90起事件，符合纳入标准。平均年龄为 36.5 岁。受害者中有 10 名女性和 79 名男性。野外尖头箭的致命率为 36%，宽头箭的致命率为 71%，P = .024。84%的袭击致死，29%的自杀致死，17%的意外伤害致死，P = .618：结论：弩是一种潜在的致命武器，其销售限制少于枪支。阔头箭造成的伤害比野外尖端箭造成的伤害更容易致命。受伤的解剖位置与致死率无关。一半以上的弩伤是自杀未遂造成的，致死率很高。

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

Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.10

自引率

7.10%

发文量

审稿时长

>12 weeks

期刊介绍： Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.