Assault Induced Stab Injuries: Epidemiology and Actual Treatment Strategy.

El-Abdellati, Esmael; Messaoudi, Nouredin; Hee, R. Van

doi:10.1080/00015458.2011.11680726

Cited by 11 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Almost all cases in this study were assaults on men in the early decades of adult life. This is in line with previous studies, where penetrating stab injuries have mainly been observed in young men in the second and third decades of life [7, 18, 24, 25, 27–29]. A noticeable majority of cases in our study involved domestic violence, which contrasts with overseas studies where most of the injuries happen out of doors in public locations [18, 28].…”

Section: Discussionsupporting

confidence: 91%

“…Thirty-day mortality in the present study was very low (4.1%), but our cohort represents a small population compared to previously reported series in the literature [3, 24, 25, 27, 28]. This indicates that advanced trauma care can be provided for these patients in a small geographically isolated community such as Iceland, where the incidence of penetrating stab injury is very low.…”

Section: Discussionmentioning

confidence: 46%

“…This difference from our study can be explained by the much warmer climate in these areas, so people spend more time outdoors. Previous studies have shown that alcohol and drugs are commonly involved in penetrating stab injuries [5, 7, 10, 25–27], and many of the patients involved are unemployed [26] and belong to ethnic minorities [25, 27]. Concurrent consumption of alcohol was common in the current study, but other demographic features such as unemployment status and ethnicity were not reported.…”

Section: Discussionmentioning

confidence: 50%

“…Overseas studies have shown that at certain lower-volume centres similar to ours, such as Norway [11], for example, operative management is the more common choice. Patient care has evolved in recent years, with most high-volume trauma centres favouring a more conservative, non-operative approach [8, 25, 30, 31]. This indicates that choosing a selective non-operative approach requires experience, and that treatment strategies are frequently based on the experience of the attending physician involved at any particular time.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries

Johannesdottir

Jónsdóttir

Heimisdottir

et al. 2019

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

BackgroundStudies on penetrating injuries in Europe are scarce and often represent data from single institutions. The aim of this study was to describe the incidence and demographic features of patients hospitalized for stab injury in a whole nation.Materials and methodsThis was a retrospective nationwide population-based study on all consecutive adult patients who were hospitalized in Iceland following knife and machete-related injuries, 2000–2015. Age-standardized incidence was calculated and Injury Severity Score (ISS) was used to assess severity of injury.ResultsAltogether, 73 patients (mean age 32.6 years, 90.4% males) were admitted during the 16-year study period, giving an age-standardized incidence of 1.54/100,000 inhabitants. The incidence did not vary significantly during the study period (P = 0.826). Most cases were assaults (95.9%) occurring at home or in public streets, and involved the chest (n = 32), abdomen (n = 26), upper limbs (n = 26), head/neck/face (n = 21), lower limbs (n = 10), and the back (n = 6). Median ISS was 9, with 14 patients (19.2%) having severe injuries (defined as ISS > 15). The median length of hospital stay was 2 days (range 0–53). Forty-seven patients (64.4%) underwent surgery and 26 of them (35.6%) required admission to an intensive care unit (ICU), all with ISS scores above 15. Three patients did not survive for 30 days (4.1%); all of them had severe injuries (ISS 17, 25, and 75).ConclusionStab injuries that require hospital admission are rare in Iceland, and their incidence has remained relatively stable. One in every five patients sustained severe injuries, two-thirds of whom were treated with surgical interventions, and roughly one-third required ICU care. Although some patients were severely injured with high injury scores, their 30-day mortality was still low in comparison to other studies.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries

Johannesdottir

Jónsdóttir

Heimisdottir

et al. 2019

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…Accordingly, all such factors may increase risk of firearm injuries among Arabs, which is supported by our finding. The international literature also has shown evidence that stab and firearm injuries are more common among ethnic minorities, similar to our findings of higher risks among the minority groups in Israel [3–5, 7, 46].…”

Section: Discussionsupporting

confidence: 90%

Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017

Tiruneh

Radomislensky

Peleg

et al. 2019

Isr J Health Policy Res

View full text Add to dashboard Cite

Background Populations of different ethnicity and country of origin living in the same country may possess particular features of violence-related injuries. This study aims to compare violence-related injury characteristics and circumstances, hospital resource utilization and in-hospital mortality among the major ethnic groups in Israel. Methods A study based on the Israeli National Trauma Registry database of patients hospitalized due to violence-related injuries between 2008 and 2017. Data included demographic, injury and hospitalization characteristics and in-hospital mortality. Statistical analysis included χ 2 -test and multiple logistic regression. Results During the study period, 16,151 violence related-hospitalizations were reported, of which; 46.1% were Arab Israelis (AI), 3.2% were Israelis born in Ethiopia (IBE), 12.7% were Israelis born in the former Soviet Union (IBFSU) and 38.0% were all other Israelis (AOI). The proportion of violence-related hospitalizations among AI, IBE and IBFSU was greater than their respective proportion in the Israeli population. In comparison to the other groups, stab injuries were significantly greater among IBE (30% vs 39%); unarmed brawl-related injuries were greater among IBFSU (22–41% vs 49%) and firearm injuries were greatest among AI (2–8% vs 23%). These differences in violence mechanism persisted even after accounting for age, gender, injury place and time differences. The foreign born groups had higher rates for injuries sustained on the street/road (58% for IBE, 54% for IBFSU vs 46% for AI and AOI, each), with IBE also showing higher rates for weekend and weeknight injuries compared to the other groups (83% vs 71–75%). IBE were more likely to suffer from severe and critical injuries (19% vs 12–16%), to be admitted to the intensive care unit (17% vs 9–11%) and to have prolonged hospital stays of seven days or more (20% vs 16–17%), with no significant difference in in-hospital mortality between the comparison groups. Conclusions Characteristics of violence-related casualties differed significantly among diverse ethnic populations living in the same country. Each population group showed specific attributes regarding injury mechanism, circumstances, severity and hospital utilization. Violence prevention programs should be culturally adapted and take into account ethnicity and country of origin of the target population.

show abstract

Are injury admissions on weekends and weeknights different from weekday admissions?

Tiruneh

Siman‐Tov

Radomislensky

et al. 2018

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Assault Induced Stab Injuries: Epidemiology and Actual Treatment Strategy.

Cited by 11 publications

References 12 publications

Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries

Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries

Minorities and foreign born are disproportionately affected by injuries due to violence: an analysis based on a National Trauma Registry 2008–2017

Are injury admissions on weekends and weeknights different from weekday admissions?

Contact Info

Product

Resources

About