Fatal and nonfatal firearm injuries in the eastern Democratic Republic of Congo: a hospital-based retrospective descriptive cohort study assessing correlates of adult mortality

Autor:	Georges Kuyigwa Toha, Ulrick Sidney Kanmounye, Tshibambe Nathanael Tshimbombu, Ghislain Maheshe-Balemba, Fabrice Gulimwentuga Cikomola, Darck Cubaka Badesire, Leon-Emmanuel Mukengeshai Mubenga, Roméo Bujiriri Murhega, Paterne Safari Mudekereza, Paul Munguakonkwa Budema
Rok vydání:	2021
Předmět:	Adult Male Firearms Referral Conflict Survival Cohort Studies Medicine Humans Retrospective Studies RC86-88.9 business.industry Mortality rate Research Trauma center RC952-1245 Medical emergencies. Critical care. Intensive care. First aid Mass Casualty Hospital based Democratic Republic of Congo Triage Hospitals Blood pressure Special situations and conditions Barriers to care Firearm injury Emergency Medicine Democratic Republic of the Congo Female Wounds Gunshot business Cohort study Demography
Zdroj:	BMC Emergency Medicine BMC Emergency Medicine, Vol 21, Iss 1, Pp 1-9 (2021)
ISSN:	1471-227X
Popis:	Introduction The Eastern Democratic Republic of Congo (DRC) has been the battleground for multiple armed conflicts, resulting in many fatal and nonfatal firearm injuries (F&NFFIs). Chronic insecurity has stressed the health system’s resources and created barriers to seeking, reaching, and receiving timely care further increasing the F&NFFI burden. Our institution is the largest trauma center in the region and receives the bulk of F&NFFI cases. We aimed to identify correlates of mortality in Congolese F&NFFI patients. Methods We included all F&NFFI patients admitted to our institution between 2017 and 2020. We extracted data from patient charts and admission logs. We identified mortality correlates using the two-sample t-test, Chi-square test, and multivariable regression analysis. A P-value of less than 0.05 was considered statistically significant. Results This study included 814 adult patients, mostly male (86%) with an average age of 34.5 years and living 154.4 km away from the hospital on average. The most affected anatomical sites were the lower limbs (48.2%) and upper limbs (23.2%). The median length of stay was 34.0 days, and the in-hospital mortality rate was 3.6%. In addition, mortality was negatively correlated with diastolic blood pressure (P = 0.01), SaO2 (P P = 0.002). Conclusion F&NFFIs cause an enormous burden in the region, and mortality is correlated with some clinical and biological variables. Thus, the study findings will inform F&NFFI referral, triage, and management in low-resource and mass casualty settings.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cb4b2432d208a2e3068766a7739fd94a https://pubmed.ncbi.nlm.nih.gov/34641813 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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