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Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?

INTRODUCTION: Lebanon lacks a national database of gunshot injuries (GSIs), which limits injury prevention initiatives. OBJECTIVES: This study examines patient characteristics, injury patterns, and clinical outcomes in GSI victims and evaluates the impact of intent on clinical outcomes with the aim...

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Autores principales: Zgheib, Hady, Shayya, Sami, Wakil, Cynthia, Bachir, Rana, El Sayed, Mazen J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557061/
https://www.ncbi.nlm.nih.gov/pubmed/31198278
http://dx.doi.org/10.4103/JETS.JETS_135_18
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author Zgheib, Hady
Shayya, Sami
Wakil, Cynthia
Bachir, Rana
El Sayed, Mazen J.
author_facet Zgheib, Hady
Shayya, Sami
Wakil, Cynthia
Bachir, Rana
El Sayed, Mazen J.
author_sort Zgheib, Hady
collection PubMed
description INTRODUCTION: Lebanon lacks a national database of gunshot injuries (GSIs), which limits injury prevention initiatives. OBJECTIVES: This study examines patient characteristics, injury patterns, and clinical outcomes in GSI victims and evaluates the impact of intent on clinical outcomes with the aim of improving awareness among emergency department (ED) physicians about the importance of inquiring about intent to predict prognosis. MATERIALS AND METHODS: We conducted a retrospective cohort study of GSI victims presenting to the ED of a tertiary care center in Beirut, Lebanon. Descriptive and bivariate analyses were done to identify differences based on intent. RESULTS: A total of 83 patients were included, 59% with intentional GSI, 22% with unintentional GSI, and 19% with unspecified intent. They were mostly males (89.2%), with a mean age of 31.7 years, and mostly presenting during summer seasons. Females were more commonly victims of unintentional GSI. All victims sustaining multiple GSIs were in the intentional group. When compared to unintentional GSI, intentional and unspecified GSIs were found to result in more ICU admissions (46.9%, 31.3%, and 16.7%, P = 0.096), significantly longer hospital stays (18.2, 26.3, and 5.6 days; P = 0.001) and higher mortality (11.6%, 18.2%, and 6.7%; P = 0.747). The rates of surgical procedures were similar between the three groups although more victims of intentional and unspecified GSI underwent multiple surgeries. CONCLUSION: GSIs have different features, resource utilization, and clinical outcomes depending on the intentionality of injuries. All GSI victims suffer from substantial morbidity and mortality, but intentionally harmed victims sustain more severe injuries with worse outcomes.
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spelling pubmed-65570612019-06-13 Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims? Zgheib, Hady Shayya, Sami Wakil, Cynthia Bachir, Rana El Sayed, Mazen J. J Emerg Trauma Shock Original Article INTRODUCTION: Lebanon lacks a national database of gunshot injuries (GSIs), which limits injury prevention initiatives. OBJECTIVES: This study examines patient characteristics, injury patterns, and clinical outcomes in GSI victims and evaluates the impact of intent on clinical outcomes with the aim of improving awareness among emergency department (ED) physicians about the importance of inquiring about intent to predict prognosis. MATERIALS AND METHODS: We conducted a retrospective cohort study of GSI victims presenting to the ED of a tertiary care center in Beirut, Lebanon. Descriptive and bivariate analyses were done to identify differences based on intent. RESULTS: A total of 83 patients were included, 59% with intentional GSI, 22% with unintentional GSI, and 19% with unspecified intent. They were mostly males (89.2%), with a mean age of 31.7 years, and mostly presenting during summer seasons. Females were more commonly victims of unintentional GSI. All victims sustaining multiple GSIs were in the intentional group. When compared to unintentional GSI, intentional and unspecified GSIs were found to result in more ICU admissions (46.9%, 31.3%, and 16.7%, P = 0.096), significantly longer hospital stays (18.2, 26.3, and 5.6 days; P = 0.001) and higher mortality (11.6%, 18.2%, and 6.7%; P = 0.747). The rates of surgical procedures were similar between the three groups although more victims of intentional and unspecified GSI underwent multiple surgeries. CONCLUSION: GSIs have different features, resource utilization, and clinical outcomes depending on the intentionality of injuries. All GSI victims suffer from substantial morbidity and mortality, but intentionally harmed victims sustain more severe injuries with worse outcomes. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6557061/ /pubmed/31198278 http://dx.doi.org/10.4103/JETS.JETS_135_18 Text en Copyright: © 2019 Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Zgheib, Hady
Shayya, Sami
Wakil, Cynthia
Bachir, Rana
El Sayed, Mazen J.
Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?
title Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?
title_full Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?
title_fullStr Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?
title_full_unstemmed Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?
title_short Gunshot Injuries in Lebanon: Does Intent Affect Characteristics, Injury Patterns, and Outcomes in Victims?
title_sort gunshot injuries in lebanon: does intent affect characteristics, injury patterns, and outcomes in victims?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6557061/
https://www.ncbi.nlm.nih.gov/pubmed/31198278
http://dx.doi.org/10.4103/JETS.JETS_135_18
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