Gunshot and stab wounds in France: descriptive study from a national trauma registry

Autor: Descamps, Chloé, Hamada, Sophie Rym, Hanouz, Jean Luc, Vardon-Bounes, F., James, A., Garrigue, Delphine, Abback, P., Cardinale, Mickaël, Dubreuil, Guillaume, Chatelon, Jeanne, Cook, Fabrice, de Garambé, Nathalie, Ausset, Sylvain, Boutonnet, Mathieu, Meaudre-Desgouttes, E., Godier, Anne, Harrois, Anatole, Gauss, Tobias, Pottecher, Julien, Pirrachio, Romain, Gaertner, Elisabeth, Geeraerts, Thomas, Neuschwander, Arthur
Přispěvatelé: Hôpital d'instruction des Armées Percy, Service de Santé des Armées, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Maison de Solenn [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université de Caen Normandie (UNICAEN), Normandie Université (NU), Hôpital Côte de Nacre [CHU Caen], CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN), CHU Toulouse [Toulouse], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Sorbonne Université (SU), CHU Lille, Hôpital Beaujon [AP-HP], Hopital d'instruction des armées Sainte-Anne [Toulon] (HIA), AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre), Service Anesthésie et Réanimation [Hôpital Nord - APHM], Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital Nord [CHU - APHM], CHU Henri Mondor, Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), École du Val de Grâce (EVDG), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Dalian Maritime University, DMU, Traumabase registry is partly funded by the Regional Health Agency of Ile de France, France. Arthur James received fees from LFB (Laborzatoire Français du fractionnementet des Biotechnologies) for an educational project., French military health service Schools, Lyon-Bron, France, Val-de-Grâce Military Health Academy, Paris, France: Sylvain Ausset. Anesthesiology and Intensive Care Unit. Sainte Anne Military Teaching Hospital, Toulon, France: Eric Meaudre-Desgouttes. Université de Paris, Department of Anaesthesiology and Critical Care, AP-HP, Hôpital Européen Georges Pompidou, 25, rue Leblanc, 75015 Paris, France: Anne Godier. Department of Anesthesia and Critical Care, AP-HP, Bicêtre Hospital, Paris, France: Anatole Harrois. Department of Anaesthesiology and Intensive Care, AP-HP.Nord, Beaujon Hospital, DMU PARABOL, University of Paris, Clichy, France: Tobias Gauss. Anesthesia and Intensive Care Unit, University Hospital of Strasbourg, Strasbourg, France: Julien Pottecher. Université de Paris, Department of Anaesthesiology and Critical Care, AP-HP, Hôpital Européen Georges Pompidou, 25, rue Leblanc, 75015 Paris, France: Romain Pirrachio. Anesthesia and Intensive Care Unit, Hôpital Louis Pasteur de Colmar, Colmar, France: Elisabeth Gaertner. Department of Anesthesiology and Critical Care, Toulouse University Hospital, Toulouse, France: Thomas Geeraerts., Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), CHU Henri Mondor [Créteil]
Rok vydání: 2021
Předmět:
Zdroj: European Journal of Trauma and Emergency Surgery
European Journal of Trauma and Emergency Surgery, 2022, 48 (5), pp.3821-3829. ⟨10.1007/s00068-021-01742-9⟩
ISSN: 1863-9941
1863-9933
Popis: International audience; Purpose: Severe trauma is a major problem worldwide. In France, blunt trauma (BT) is predominant and few studies are available on penetrating trauma (PT). The purpose of this study was to perform a descriptive analysis of severe gunshot (GSW) and stab wounds (SW) in patients who were treated in French trauma centers. Methods: Retrospective study on prospectively collected data in a national trauma registry. All adult (> 15 years) trauma patients primarily admitted in 1 of the 17 trauma centers members of the Traumabase between January 2015 to December 2018 were included. Data from patients who had a PT were compared with those who had suffered a BT over the same period. Due to the known differences between GSW and SW, sub-group analyses on data from GSW, SW and BT were also performed. Results: 8128 patients were included. Twelve percent of the study group had a PT. The main mechanism of PT was SW (68.1%). Five hundred and eighty patients with PT (59.4%) required surgery within the first 24 h. Severe hemorrhage was more frequent in penetrating traumas (11.2% vs. 7.8% p < 0.001). Hospital mortality following PT was 8.9% vs 11% for blunt trauma (p = 0.047). Among PT the mortality after GSW was ten times higher than after SW (23.8% vs 2%). Conclusion: This work is the largest study to date that has specifically focused on GSW and SW in France, and will help improving knowledge in managing such patients in our country.
Databáze: OpenAIRE
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