Epidemiology of Knife Injuries at Ain Shams University Hospital Emergency Department from 2018 to 2019: A Cross-Sectional Study.

Open Access Emergency Medicine : OAEM Pub Date : 2021-12-16 eCollection Date: 2021-01-01 DOI:10.2147/OAEM.S338245
Manar M Ellaban, Eman Afifi, Moustafa El Houssinie, Jon Mark Hirshon, Mohamed El-Shinawi, Maged El-Setouhy
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Abstract

Purpose: For knife-related injuries (KRI), a comprehensive understanding of the incidence, mechanism, and pattern of injury is required for the development of prevention strategies. Unfortunately, reliable data on knife-related injuries are difficult to obtain. In Egypt, there is no national routine surveillance system for all knife injuries. The aim was to examine the epidemiologic characteristics of knife-related injuries at the Ain Shams University Hospital (ASUH) emergency department (ED).

Patients and methods: A cross-sectional study was conducted on 140 patients who presented with knife injuries at the ASUH ED. Data collection was done during a randomly selected period of seven days each month from October 2018 to September 2019. The sociodemographic characteristics, injury-related variables, and outcomes of the injury were recorded on a structured worksheet.

Results: Knife-related injuries represented 22.9% of all injury cases that presented to the ED. Majority of the knife-related injuries (87.86%) were accidental, 7.9% were assault, and 4.3% were self-inflicted. Home was the most reported place of injury. Most of the victims were discharged from the ED (87.1%), and 84.3% recovered completely. The mean hospital stay was 3.6 ± 1.3 days.

Conclusion: Majority of the knife-related injuries were accidental, and the most common pattern was isolated chest injury with contusions. Cases that were not severe and had favorable prognosis (ie, complete recovery) comprised the largest proportion. Recommendations include development of a surveillance system may result in the effective control and prevention of this growing problem of knife-related injuries.

Abstract Image

2018 - 2019年艾因沙姆斯大学医院急诊科刀伤流行病学横断面研究
目的:对于刀相关伤害(KRI),需要对伤害的发生率、机制和模式有一个全面的了解,以制定预防策略。不幸的是,很难获得与刀有关的伤害的可靠数据。在埃及,没有针对所有刀伤的国家例行监测系统。目的是研究艾因沙姆斯大学医院(ASUH)急诊科(ED)刀相关损伤的流行病学特征。患者和方法:对140名在ASUH急诊科出现刀伤的患者进行了横断面研究。数据收集是在2018年10月至2019年9月每月随机选择7天进行的。将社会人口学特征、损伤相关变量和损伤结果记录在结构化工作表上。结果:刀伤占急诊科所有伤例的22.9%,其中意外伤占绝大多数(87.86%),攻击伤占7.9%,自残伤占4.3%。家中是报告最多的受伤地点。大多数患者(87.1%)出院,84.3%患者完全康复。平均住院时间3.6±1.3天。结论:刀伤以意外伤害为主,以孤立性胸部挫伤为主。不严重且预后良好(即完全康复)的病例占最大比例。建议包括建立一个监测系统,从而有效控制和预防这一日益严重的刀伤问题。
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