DOI: http://dx.doi.org/10.18203/2349-2902.isj20190042

Evaluation of complete profile and outcome of gunshot injuries in tertiary care centre

Fazle Rab Malik, Santosh Kumar Singh, Shivam Madeshiya, Roshni Khan, Nandan Rai

Abstract


Background: Gunshot injuries are range from minor superficial pellet injuries to devastating soft tissue and visceral injuries. The objective of study was to evaluate complete profile and outcome of gunshot injuries in tertiary care centre.

Methods: This study was a prospective study. All gunshot injury patients who admitted in Department of Surgery, Moti Lal Nehru Medical College, Allahabad were included in study.

Results: Result were analysed in terms of age, sex, rural-urban and religion wise distribution, etiology of injury, arms and ammunition, time elapsed in first aid, site of injury, associated injury, organ involved, Glasgow coma scale, injury severity score, revised trauma score, various blood and radiological investigations, treatment and complications.

Conclusions: Gunshot injury was common in male patients, age group 21-30years, Hindu community and in rural areas. Most patients received injury by shotgun. Assault was most common cause followed by accidental injury. Majority of patients had Glasgow coma scale between 13-15, injury severity score below 20 and revised trauma score more than eight.  Mortality and morbidity were more common in patients with high injury severity score, low revised trauma score and Glasgow coma scale below 8. Abdomen was most common site involved in gunshot injury. Most of the patients were managed conservatively as these patients had external body surface injury. Laparotomy was done for intra-abdominal injury. Wound infection was the most common complication.


Keywords


Arms and ammunition, Gunshot

Full Text:

PDF

References


Ordog GJ, Wasserberger J, Balasubramaniam S. Shotgun wound ballistics. J Trauma. 1988;28(5):624-31.

Sherman RT, Parrish RA. Management of shotgun injuries: a review of 152 cases. J Trauma Acute Care Surg. 1963;3(1):76-86.

Glezer JA, Minard G, Croce MA, Fabian TC, Kudsk KA. Shotgun wounds to the abdomen. Am Surg. 1993;59(2):129-32.

Pyper PC, Graham WJ. Analysis of terrorist injuries treated at Craigavon Area Hospital, Northern Ireland, 1972-1980. Injury. 1983;14(4):332-8.

Marcus NA, Blair WF, Shuck JM, Omer JG. Low-velocity gunshot wounds to extremities. J Trauma. 1980;20(12):1061-4.

Cornwell EE, Chang DC, Bonar JP, Campbell KA, Phillips J, Lipsett P, et al. Thoracolumbar immobilization for trauma patients with torso gunshot wounds: is it necessary?. Arch Surg. 2001;136(3):324-7.

Becker DP, Miller JD, Ward JD, Greenberg RP, Young HF, Sakalas R. The outcome from severe head injury with early diagnosis and intensive management. J Neurosurg. 1977;47(4):491-502.

Nasrullah M, Razzak JA. Firearm injuries presenting to a tertiary care hospital of Karachi, Pakistan. J Inj Violence Res. 2009;1(1):27-31.

Arandelovic S, Popovic B, Pavlica D, Obradovic M, Dukic S, Novakovic S. Indicators of hospital treatment and the organization and management of injuries and diseases in armed combat in 1991 and 1992. Vojnosanitetski Pregled. 1993;50(6):561-8.

Bergqvist D, Helfer M, Jensen N, Tägil M. Trends in civilian vascular trauma during 30years: A Swedish perspective. Acta Chirurgica Scandinavica. 1987;153(7-8):417-22.

Copes WS, Champion HR, Sacco WJ, Lawnick MM, Gann DS, Gennarelli T, et al. Progress in characterizing anatomic injury. J Trauma. 1990;30(10):1200-7.