DISTRIBUTION OF FIREARM INJURIES PRESENTED TO SURGICAL DEPARTMENT OF DHQ TEACHING HOSPITAL BANNU, PAKISTAN

Ajmal Shah Bukhari, Akhtar Munir, Shabir Hussain

Abstract


Background: The incidences of violent crimes with gunshot injuries have become increasingly more common. The objective of the study was to determine the frequency and distribution of firearms injuries, etiological factors and the management of the patients.
Material & Methods: This hospital based, cross-sectional study was conducted in the department of Surgery, DHQ Teaching Hospital, Bannu from January 2015 to December 2015. Sample size was 292 cases with consecutive technique. All the firearm injury cases presented to the Surgical Department of DHQ Teaching Hospital were included and all other cases were excluded. Demographic variables were; sex, age in years, age groups and time distribution. Research variables were; length of hospital stay, etiology, site of firearm injuries and the procedure performed in surgical operation theater. Categorical variables were calculated as frequency and percentages whereas numeric variable that is age in years was calculated as minimum and maximum. SPSS version 20 was used for data analysis.
Results: Out of the 292 cases, 250 (85.6%) were male and 42(14.4%) were females. The male to female ratio was 6:1. The age ranged from 4-70 years. The majority of cases were between 11-30 years. In terms of injury site 126(43%) had injury of abdomen, 74(25%) limbs, 69(24%) thorax, Head (3%), Neck 3(1%) and 11(4%) patients got multiple injuries on their bodies. On laparotomy, 65 had perforations in jejunum and ileum, while liver was involved in 18 cases, Colon was injured in 16, cecum in 7. While in 63 cases Chest cavity was breached where Chest Intubation was done.
Conclusion: Firearm injuries were common among young males, Civilian clash was the most common cause of firearm injuries. Abdomen and pelvis were the most affected body regions.

Keywords


Firearm; Gunshots; Civilian.

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References


Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997;349:1269-76.

Richardson JD, Davidson D, Miller FB. After the shooting stops: follow-up on victims of an assault rifle attack. J Trauma 1996;41:789-93.

World Health Organization, World report on violence and health: summary. Geneva: World Health Organization 2002.

Statement on Gun Violence from the AlamedaCounty Human Relations Commission.

WHO. Injuries and violence prevention department in Small Arms Global Health a contribution to Weapons. 2001;9-20.

Kumar A, Shailendra P. A rare case of retained, asymptomatic bullet in para spinal space due to homicidal injury by country made weapon. Egyptian Journal of Forensic Sciences 2013;3:35-8.

Byers M, Ryan JM, Mahoney PF. In: How guns work. Mahoney PF, Ryan JM, Brooks AJ, Schwab CW, eds. Balistic Trauma. London: Springer Verlag 2005;31-40.

Onuminya JE, Ohwowhiagbese E. Pattren of Civilian Gunshot injuries in Irru, Nigeria. SAJS 2005;43:170-2.

Niaz K, Shujah IA. Civilian perspective of firearm injuries in Bahawalpur. J Pak Med Assoc 2013;63: 20-4.

Molina DK, Dimaio VJ. Trends in firearm usage in homicides and suicides in Bexar County Texas from 1982 to 2004. Am J Forensic Med Pathol 2008;29:281-4.

Humeau M, Senon JL. Attempted suicide by firearms: a retrospective study of 161 case. Encephale 2008;34:459-66.

Marri MZ, Bashir Z, Munawar AZ, Khalil ZH, Khalil IR. Analysis of homicidal deaths in Peshawar, Pakistan. J Ayub Med Coll Abbottabad 2006; 18:30–3.

Vougiouklakis T, Tsiligianni C. Forensic and criminologic aspectsof murder in North-West (Epirus), Greece. J Clin Forensic Med 2006;13:316-20.

Makitie I, Pihlajamki H. Fatal firearm injuries in Finland: a nationwide survey. Scand J Surg 2002; 91:328-31.

Azmak D, Altun G, Bilgi S, Yilmmaz A. Firearm fatalities in Edirne1981–1997. Forensic Sci Int 998; 95:231–9.

Al-Madni O, Kharosha M, Shotar A. Firearm fatalities in Dammam, Saudi Arabia. Med Sci Law 2008; 48:237–40.

Hussain Z, Shah MM, Afridi HK, Arif M. Homicidal deaths by firearms in Peshawar: an autopsy study. J Ayub Med Coll Abbottabad 2006; 18:44–7.

Mujahid M, Hassan Q, Arif M, Gandapur J, Shah H. Homicidal deaths by firearms in Dera Ismail Khan: an autopsy study. Pakistan J Med Res 2006; 45:14-6.

Fackler ML. Civilian gunshot wounds and ballistics: dispelling the myths. Emerg Med Clin North Am 1998; 16: 17-28.

Volgas DA, Stannard JP, Alonso JE. Current orthopaedic treatment of ballistic injuries. Injury 2005; 36: 380-6.

Aldrich EF, Eisenberg HM, Saydjari C. Predictors of mortality in severely head-injured patients with civilian gunshot wounds: a report from the NIH Traumatic Coma Data Bank. Surg Neurol 1992; 38: 418-23.

World Health Organization, World report on violence and health: summary. Geneva: World Health Organization 2002.


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