Penetrating and Orthopaedic Trauma from Blast versus Gunshots Caused by Terrorism: Israel's National Experience
| Autor: | Yoram A, Weil, Kobi, Peleg, Adi, Givon, Rami, Mosheiff, I, Waksman |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Explosions Poison control Wounds Penetrating Blast injury Fractures Bone Young Adult Injury prevention medicine Humans Orthopedics and Sports Medicine Registries Israel Child Aged Trauma Severity Indices business.industry Age Factors Infant Retrospective cohort study General Medicine Middle Aged medicine.disease Polytrauma Child Preschool Emergency medicine Musculoskeletal injury Injury Severity Score Female Terrorism Wounds Gunshot Surgery Medical emergency Gunshot wound business |
| Zdroj: | Journal of Orthopaedic Trauma. 25:145-149 |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0b013e3181e7f177 |
| Popis: | Evaluation of the demographics, features, and outcomes of musculoskeletal injury patterns caused by terrorism in the civil setting and comparing injuries from explosions with gunshot injuries.Retrospective cohort analysis of a prospective database.National trauma registry consisting of all the six Level I and four Level II trauma centers.A total of 1245 casualties with terror-related musculoskeletal trauma. Five hundred fifty-one had high-velocity gunshot wound and 694 blast wounded (BW) caused by explosion.Demographic and injury data analyzed for age, gender, New Injury Severity Score, and associated injuries. Outcome of were analyzed according to length of hospital stay, intensive care unit stay, surgical procedures, and mortality.Severe injuries (New Injury Severity Score 16 or greater) were more common in the BW group (P0.01). In the BW group, a significantly higher proportion of casualties had associated injuries (73% versus 43%), intensive care unit care, longer length of stay, and mortality. Orthopaedic injuries were similar among the two groups with more open extremity fractures in the gunshot wound group and less significant injuries in the BW group. With casualties matched to the same New Injury Severity Score groups, the ones with the musculoskeletal injuries had longer hospitalization than those without.Musculoskeletal injury caused by blast is associated with multiple penetrating injuries, differing from more "conventional" penetrating trauma such as caused by gunshot injuries. Although the treatment of specific injuries caused by both mechanisms is essentially similar, the systemic effect of the blast must be taken into consideration in anticipation of an increased overall injury severity. |
| Databáze: | OpenAIRE |
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