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Bulletin of Emergency and Trauma، جلد ۱۱، شماره ۴، صفحات ۱۹۰-۱۹۵
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عنوان انگلیسی Demographics, Radiological Findings, and Predictors of Prolonged Hospitalization in Civilian Gunshot Wound Patients
چکیده انگلیسی مقاله Objective: This study aims to characterize the demographic, clinical, and radiological features of gunshot
wound (GSW) patients as well as identify predictors of prolonged hospitalization.
Methods: In this retrospective study, a consecutive sampling method was used, including all patients with
GSWs in any anatomical region. Data collection included demographic and clinical information, radiological
findings, treatment specifics, and outcome variables, such as hospitalization length of stay (LOS) as the primary
outcome. To identify predictive factors associated with prolonged LOS, logistic regression analysis was used.
Results: We studied 212 GSW cases, including 95.8% were men and 4.2% were women. The mean age of the
studied group was 30.17±7.80 years. GSWs occurred in extremities (80.2%), abdomen (9.0%), thorax (4.7%),
and head or neck (5.2%). Two patients (0.9%) had both abdominal and thoracic GSWs. The most prevalent
radiological study was an X-ray (83.0%). Patients with head and neck GSWs had the longest emergency
department stay, while patients with abdominal GSW patients had the shortest (p=0.068). The highest rates
of blood product transfusion were observed in abdominal GSWs (63.2%), emergency surgery (63.2%), and
ICU admission (42.1%). Head and neck GSWs had the longest hospitalization LOS (7.5 days). Longer LOS
was significantly associated with abnormalities in radiological findings, receiving blood products, and ICU
admission (p≤0.001). Significant predictors of prolonged LOS were major abnormalities in radiological findings
[odds ratio (OR)=5.3; 95% confidence interval (CI):2.8-10.2], head and neck GSWs (OR=6.1; 95% CI:1.2-31.9),
and blood product transfusion (OR=4.1; 95% CI: 1.0-16.3).
Conclusion: This study provides insights into factors influencing prolonged hospitalization in GSW patients,
highlighting the importance of radiological findings, head and neck injuries, and blood product transfusion.
کلیدواژه‌های انگلیسی مقاله Gunshot, radiologic findings, Hospital length of stay, Trauma
نویسندگان مقاله Seyed Hadi Aghili |
Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran

Arshia Zardoui |
Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran

Mehri Farhang Ranjbar |
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Alireza Baratloo |
Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

نشانی اینترنتی https://beat.sums.ac.ir/article_49722_38730682bb82f0a41297b0f3ee8032b1.pdf
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