Document Detail


Weapons injuries during and after periods of conflict: retrospective analysis.
MedLine Citation:
PMID:  9418089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the relative frequency of weapon injuries during conflict and after periods of conflict in the absence of disarmament. DESIGN: Retrospective analysis of a database of war wounds. SETTING: Region with a protracted conflict between rival combatant groups and a subsequent transition to the uncontested military authority of a single power. SUBJECTS: 2332 people who received weapons injuries during the conflict or post-conflict periods and were admitted to hospital within 24 hours of injury. MAIN OUTCOME MEASURES: Percentage change in mean monthly admission rate by weapon type between conflict and post-conflict periods; annual incidence of injury by weapon type during conflict and post-conflict periods; percentage change in annual incidence by weapon type between conflict and post-conflict periods. RESULTS: Mean monthly admission rates for injuries from fragmentation munitions decreased by 8% between conflict and post-conflict periods and by 23% for injuries from mines and 32% for gunshot injuries. The decline in admissions for all injuries was 23%. After adjustment for population growth over the study period, declines in annual incidence were 22% for fragmentation munitions injuries, 34% for mine injuries, and 40% for gunshot injuries. The decline in incidence for all injuries was 33%. In-hospital mortality from weapons related injuries increased from 2.5% to 6.1% (P < 0.001) between conflict and post-conflict periods. CONCLUSIONS: In this setting, continued availability of weapons is associated with increased mortality and a level of injuries from weapons that is only somewhat reduced from that observed during a period of conflict.
Authors:
D R Meddings
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  315     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-01-14     Completed Date:  1998-01-14     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1417-20     Citation Subset:  AIM; IM    
Affiliation:
dmeddings.gva@icrc.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Hospital Mortality
Hospitalization / statistics & numerical data
Humans
Incidence
Male
Refugees
Retrospective Studies
War*
Wounds and Injuries / epidemiology*

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


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