Journal article
Evaluation of Self-Inflicted versus Non-Self-Inflicted Gunshot Wounds and Associated Injuries Involving the Hand and Upper Extremity
Healthcare (Basel), v 12(5), p564
29 Feb 2024
PMID: 38470675
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Orthopedic costs associated with gunshot wounds (GSWs) totaled approximately USD 510 million from 2005 to 2014. Previous studies have identified differences in injuries associated with self-inflicted (SI) GSWs; however, there remains a gap in understanding injury patterns. This study aims to expand upon the current literature and shed light on injury patterns and outcomes associated with SI vs. non-self-inflicted (NSI) GSWs. This is a retrospective cohort study of upper extremity GSWs from January 2012 to December 2022. Data were analyzed using the two-sample
-test, Pearson's chi-squared test, and Fisher's exact test. SI GSWs tended to be high-velocity GSWs and occurred more often in distal locations compared to NSI GSWs (
= 0.0014 and
< 0.0001, respectively). SI GSWs were associated with higher Gustilo-Anderson (GA) and Tscherne classifications (
< 0.0001 and
= 0.0048, respectively) and with a greater frequency of neurovascular damage (
= 0.0048). There was no difference in fracture rate or need for operative intervention between the groups. GA and Tscherne classifications were associated with the need for and type of surgery (
< 0.0001), with a higher classification being associated with more intricate operative intervention; however, GSW velocity was not associated with operative need (
= 0.42). Our findings demonstrate that velocity, wound grading systems, and other factors are associated with the manner in which GSWs to the upper extremity are inflicted and may thus have potential for use in the prediction of injury patterns and planning of trauma management and surgical intervention.
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Details
- Title
- Evaluation of Self-Inflicted versus Non-Self-Inflicted Gunshot Wounds and Associated Injuries Involving the Hand and Upper Extremity
- Creators
- Tommy Pan - Allegheny Health NetworkBrianne M Giuffrida - Allegheny Health NetworkAmol H Trivedi - Allegheny Health NetworkDom Contestabile - Allegheny Health NetworkPraveer S Vyas - Allegheny Health NetworkBoyle C Cheng - Allegheny Health NetworkDaniel T Altman - Allegheny Health NetworkSteven M Regal - Allegheny Health Network
- Publication Details
- Healthcare (Basel), v 12(5), p564
- Publisher
- MDPI
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery; Surgery
- Web of Science ID
- WOS:001183168100001
- Scopus ID
- 2-s2.0-85187425715
- Other Identifier
- 991021897407004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services