|Authors: Asma Qureshi, Owais Gilani, Madyline Lawrence, Francesca Bryan, Cammeleigh Jaber, Ghulam Saadat, Andrew Khalifa, Francesco Bajani, Andrew Dennis, and Faran Bokhari|
|Presenter: Asma Qureshi, MD|
|Conference: American Public Health Association|
|Date: October 2020|
This study describes the outcomes of patients with abdominal gunshot wounds at Cook County Health, a high volume, Level 1 Trauma center in Chicago, Illinois.
Data was collected through the trauma registry from January 2016 through November 2019. Missing data and E codes not related to firearms or knives were excluded. R software was used for data analysis. The study was exempted by Cook County Health IRB.
582 patients with stab and gunshot wounds were included. 91.4% of patients were male and the mean age at death was 37.7 years. The most common cause of penetrating injury was gunshot (87.8%) followed by stab (12.2%). Mortality rate was 10.5% and 89.5% of patients were discharged alive. 278 patients needed multiple surgeries. Patients with a combination of solid and hollow viscus injuries, had prolonged length of stay (mean=29.5 days, SD=20.25, p=0.005). The median injury severity score (ISS) was 13 (IQR=15). The highest risk of mortality was found in patients with ISS>15 vs ISS <15 (odds ratio=14.37, p<0.001); gunshot wounds vs stab (odds ratio=4.5, p=0.02); liver injury vs no liver injury (odds ratio=2.5, p=0.001); and elderly patients vs younger patients (odds ratio=9.36, p<0.001).
Penetrating abdominal trauma contributes to high mortality and morbidity. For non-fatal gunshot injuries, treatment necessitates prolonged hospital stay and high quality of trauma care. Private and public funding is needed for developing integrated databases for trauma surveillance. Linkage activities between communities and hospitals need to focus on educating families about the consequences of trauma and eventual loss of income.