The relationship of biological factors with survival in the spine gunshot injuries

Seçer, Mehmet; Ulutaş, Murat; Alagöz, Fatíh; Uçkun, Özhan Merzuk; Çınar, Kadir; Yel, Cihat; Gökçe, Emre Cemal; Dalgıç, Ali

doi:10.5505/tjtes.2015.76228

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Chest and head injuries are the most common fatal injuries in 77% of the cases. [14,15] The low mortality rate of the patients who were admitted to our hospital can be explained by the high rate of survivable injuries, as all intracranial hemorrhages arise from a fragmented bullet injury with predominantly extremity injuries.…”

Section: Discussionmentioning

confidence: 99%

The characteristics of patients in mass public shootings among coup attempt in Turkey: A single-center hospital response

Açıksarı

Koçak

Solakoğlu³

et al. 2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Turkey is an experienced country for both military and civilian mass casualties that arise from explosions and shootings by various terrorist groups. In this study, we aimed to investigate the characteristics of patient flow admitted to our hospital caused by primarily gunshot wounds during the coup attempts on the 15 th of July. METHODS: This descriptive, retrospective study included a total of 50 patients who were injured during a coup attempt on the date of July 15, 2016, and admitted to our emergency department (ED). Demographic characteristics, anatomical injury sites, postoperative clinical outcomes, and hospitalization settings were recorded. The Glasgow Coma Scale (GCS), Trauma and Injury Severity Score (TRISS), Abbreviated Injury Scale (AIS), Revised Trauma Score (RTS) and Injury Severity Score (ISS) were used to measure the severity of injuries. RESULTS: A total of 63 medical personnel voluntarily reached the ED within two hours. Extremity injuries were the most common injuries. The mean RTS, GCS, and TRISS scores did not differ significantly between the patients discharged from the ED and the patients who were hospitalized (p>0.05). However, there was a statistically significant difference in the ISS scores (p<0.001, independent t-test). There was no statistically significant difference in the GCS and RTS scores between the discharged and hospitalized patients, although the ISS scores were higher in hospitalized patients (p>0.05 and p<0.001, respectively). A total of 33 patients (66%) were admitted to the hospital for follow-up and/or surgical intervention. Five (10%) of the patients were hospitalized for more than 14 days. CONCLUSION: The management of each disaster is unique. Armed conflicts result in gunshot wounds, and preparations must be focused on surge capacity and a prolonged hospital stay of the patients. In our study, the length of stay in the hospital decreased after the arrival of volunteer staff to the ED, but we should note that the ISS increased. Hospital disaster plans should be reorganized not only for ED but also for the whole hospital.

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Section: Discussionmentioning

confidence: 99%

The characteristics of patients in mass public shootings among coup attempt in Turkey: A single-center hospital response

Açıksarı

Koçak

Solakoğlu³

et al. 2020

Ulus Travma Acil Cerrahi Derg

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“…Gunshot injuries do not have a clear treatment protocol. Incomplete neurological deficit, mechanical instability, cerebrospinal fluid fistula, risk of migration of the bullet or its fragments within the canal and bullet intoxication are generally accepted criteria for surgical operations 18). Irrespective of the indications of spinal surgery, additional organ injuries unfavorably affect survival in spinal gunshot injuries.…”

Section: Introductionmentioning

confidence: 99%

Incomplete Isolated C7 Root Injury Caused by Gunshot Wound: A Case Report

Çiftçi

Akıncı²,

Delen³

et al. 2017

Korean J Neurotrauma

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Gunshot wounds to the spine cause severe neurological and/or internal organs damages. Although most of publications in the literature are realized on military injuries, increased civilian arming which raises civilian gunshot injuries is a new social danger causing serious health problems. In gunshot injuries to the spine; vertebral column, spinal cord and nerve roots are damaged with direct, indirect and transient cavitation related mechanisms. In this case report, we present 24 years old male patient who had severe pain and monoparesis in left upper extremity followed by gunshot injury to the spine with clinical, radiological and postoperative follow-up findings.

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A clinical case of surgical treatment of a gunshot blind penetrating complicated wound at the level of vertebrae CI—CII using percutaneous video endoscopic technique

Sychenikov¹,

Likholetov²,

Boryak³

et al. 2022

Endosk. khir.

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The relationship of biological factors with survival in the spine gunshot injuries

Cited by 4 publications

References 15 publications

The characteristics of patients in mass public shootings among coup attempt in Turkey: A single-center hospital response

The characteristics of patients in mass public shootings among coup attempt in Turkey: A single-center hospital response

Incomplete Isolated C7 Root Injury Caused by Gunshot Wound: A Case Report

A clinical case of surgical treatment of a gunshot blind penetrating complicated wound at the level of vertebrae CI—CII using percutaneous video endoscopic technique

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