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

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.

Pattern of fabricated gunshot wounds- A hospital based cross-sectional study

“…The males in this demographic age group are the most socially active, hence there is a significant likelihood of intergroup violence. This finding is consistent with most of the studies such as Kohli et al, 15 Singh et al, 16 Pattowary et al, 17 Fedakar et al, 18 Hagras et al 19 The incidence of these gunshot injuries were more from the rural areas (79.2%) as compared to urban area (20.8%) which is consistent to study conducted by Malik et al 20 This is possibly because breaking the law is simpler in rural areas, where it is easier to get illegal weaponry. Unemployed and farming was found to be the most prevalent occupation, which is pretty obvious in this study given the predominance of the rural population.…”

Pattern of Firearm Injuries: A Five Year Retrospective Study at a Tertiary Care Centre in Central India

“…More so, relatively young people in the age range of 11-30 years were victims in the largest proportions. Similar results were obtained in the study conducted by Fazle Ras Malik et al 12 Country-made weapons were the most common type used to produce gun shot wounds. Similar results were obtained in the study conducted by Fazle Ras Malik et al 12 and Sangeeta Kumari et al 2 .…”

“…A total of 15 cases could not be labelled as homicidal/suicidal. In the study by Fazle Ras Malik et al 12 too the homicidal cases outnumbered other manners of death. Sangeeta Kumari et al 2 reports 'homicidal' as the most commonest manner of death.…”