农村一级创伤中心的自杀枪伤趋势
Aliya G Burns1, Alex P Rasarmos2, Matthew A Leonard3
1Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
The American surgeon
|March 29, 2024
概括
在农村地区,自制枪伤 (GSW) 是一个重要的公共卫生问题. 与意外的枪伤相比,故意的枪伤导致伤害严重程度更高,住院时间更长,死亡率增加.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 流行病学 流行病学
背景情况:
- 枪支伤害是一个主要的公共卫生问题,不成比例地关注城市暴力犯罪.
- 自我造成的伤害和农村环境中发生的伤害受到研究的关注较少.
- 农村创伤中心处理大量与枪支有关的伤害.
研究的目的:
- 在农村环境中分析和比较意外与故意的自制枪伤 (GSWs) 的结果.
- 为了突出农村一级创伤中心的自制枪伤负担.
- 为目标枪支安全和伤害预防策略提供信息.
主要方法:
- 在农村一级创伤中心6年来对201名GSW患者的回顾性分析.
- 伤的分类是意外 (61.7%) 和故意的自我伤害 (38.3%).
- 两组之间的伤害严重性得分,住院日数和死亡率的比较.
主要成果:
- 蓄意自我造成的枪伤显示出明显更高的伤害严重性得分 (P < .001).
- 患有故意GSW的患者在医院住院日数显著增加 (P < .001) 和死亡率更高 (P < .001).
- 头部伤害是故意自制的枪伤中最常见的类型 (P < .001).
结论:
- 意外和故意的自杀性枪伤占农村创伤中心管理的枪支伤害的很大一部分.
- 蓄意自我造成的枪伤与明显更糟糕的结果有关.
- 了解这些伤害模式对于在农村社区开展有效,有针对性的预防工作至关重要.
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