Pattern and clinical characteristics of firearm injuries

W A Odhiambo1, S W Guthua, M L Chindia

  • 1Department of Oral and Maxillofacial Surgery, College of Health Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya.

Insights

Firearm injuries (FAIs) are increasing, predominantly affecting young adult males. Abdominal wounds are the most lethal, while lower extremities are most commonly injured among survivors.

Area of Science:

  • Trauma Surgery
  • Public Health
  • Epidemiology

Background:

  • Firearm injuries (FAIs) represent a significant public health concern.
  • Understanding the epidemiology and outcomes of FAIs is crucial for developing targeted interventions.

Purpose of the Study:

  • To investigate the pattern and characteristics of patients admitted with firearm injuries (FAIs).
  • To determine the morbidity and mortality associated with firearm injuries.

Main Methods:

  • Retrospective cross-sectional study conducted at Kenyatta National Hospital from January 2004 to December 2005.
  • Analysis of all patients admitted with physically evident firearm injury.

Main Results:

  • A total of 717 patients with FAIs were recorded, with 421 admitted. FAIs constituted a statistically significant increase in assault cases from 2004 to 2005.
  • The majority of patients were young adult males (87.9%), with a mean age of 29.7 years.
  • Lower extremities were the most common injury site among survivors, while abdominal wounds had the highest mortality.

Conclusions:

  • Firearm injuries are on the rise, disproportionately affecting young adult males.
  • Mortality increases with age, and while less common, female victims are younger on average.
  • Abdominal injuries are associated with the highest fatality rates.
Abstract

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