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M G Tito1, J P K Makelele2, W van den Boogaard3

  • 1Médecins Sans Frontières (MSF) Centre Opérationnel Amsterdam, Amsterdam, Pays-Bas.

Public Health Action
|August 2, 2023
PubMed
Summary
This summary is machine-generated.

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Firearm trauma patients with severe injuries or affiliation with irregular armed forces faced higher risks of unfavorable outcomes. Non-medical factors, including socio-political reasons, often hindered access to crucial higher referral care.

Area of Science:

  • Trauma surgery
  • Public health
  • Military medicine

Context:

  • Médecins Sans Frontières (MSF) provides critical healthcare in a war-torn African nation.
  • Focus on two regional referral hospitals managing firearm-related trauma emergencies.
  • Healthcare access and referrals are frequently impeded by non-medical barriers.

Purpose:

  • To identify factors contributing to unfavorable outcomes in firearm trauma referrals.
  • Study period: December 2020 to November 2021.
  • Cross-sectional study utilizing routinely collected data.

Summary:

  • 381 firearm trauma patients admitted; average age 29.
  • Severe injuries (28.3%) included thoraco-abdominal trauma and fractures.
  • Mortality rate: 4.9%; 7.9% left against medical advice.

Related Experiment Videos

  • Patients affiliated with irregular armed forces (45.4%) had higher rates of unsuccessful referral due to non-medical reasons.
  • Severe injuries, affiliation with irregular forces, and regular army membership significantly increased the risk of unfavorable outcomes (ORs 2.0-8.1, P < 0.01).

    • Impact:

    • Severe firearm injuries correlate with adverse outcomes.
    • Affiliation with specific groups increases risk, often due to socio-political, not medical, referral denial.
    • Highlights the critical need to address non-medical barriers in trauma care referral systems in conflict zones.