Document Detail


Twenty years of pediatric gunshot wounds: an urban trauma center's experience.
MedLine Citation:
PMID:  23357275     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Pediatric gunshot wounds remain an important cause of morbidity and mortality in the United States. Recent experience in the urban pediatric population has not been extensively documented. METHODS: A retrospective review of the trauma registry identified all pediatric (age 0-16 y) gunshot wound injuries between October 1991 and August 2011. We evaluated demographic, injury location, disposition, and outcome data. We applied descriptive statistics and χ(2) with significance level set to P ≤ 0.05. RESULTS: We treated 740 patients at our trauma center. Patients tended to be male (82%) and African American (72%), and most frequently were shot in the abdomen, back, or pelvic regions (26%). Patients with head or neck injuries experienced the highest mortality rate (35%), whereas the mortality rate overall was 12.7%. A total of 23% of patients were discharged directly, but 32% required an operation. We grouped data into five equal time periods, demonstrating that after decreasing through the 1990s, pediatric gunshot wounds presenting to our hospital are steadily increasing. CONCLUSIONS: We identified certain demographic and temporal trends regarding pediatric gunshot wounds, and the overall number of injuries appears to be increasing.
Authors:
James S Davis; Diego M Castilla; Carl I Schulman; Eduardo A Perez; Holly L Neville; Juan E Sola
Related Documents :
23705825 - Laparoscopic surgery for crohn's disease: a meta-analysis of perioperative complication...
22943465 - Outcome of arthroscopic treatment for cam type femoroacetabular impingement in adolesce...
23245565 - Experience with lung resection in a fast-track surgery program.
23024625 - Instability following total knee arthroplasty.
23809675 - Planning of anatomical liver segmentectomy and subsegmentectomy with 3-dimensional simu...
7879265 - Training general practitioners in surgical and obstetrical emergencies in ethiopia.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-19
Journal Detail:
Title:  The Journal of surgical research     Volume:  -     ISSN:  1095-8673     ISO Abbreviation:  J. Surg. Res.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A pediatric cervical spine clearance protocol to reduce radiation exposure in children.
Next Document:  Tryptophan-47 in the active site of Methylophaga sp. strain SK1 flavin-monooxygenase is important fo...