ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016
Epidemiology and outcome of penetrating injuries in a Western European urban region.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Stab Injuries Due to Violent Crime: An Analysis of Data on Severely Injured Persons From the DGU Trauma Registry, 2013-2024.Deutsches Arzteblatt international · 2026Observational
- Emergency laparotomies in trauma management: a six-year case series.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Incidence and predictors of mortality among traumatic brain injury patients in Ethiopia: a systematic review and meta-analysis.Journal of trauma and injury · 2025Article
- Penetrating cardiac injury with non-coronary cusp aortic valve rupture and ventricular septal injury: A case report.International journal of surgery case reports · 2025Article
- [Development of violence-associated penetrating trauma in the Düsseldorf metropolitan region over a 5-year period (GewPen study)].Die Anaesthesiologie · 2024Article
- Patterns and outcomes of patients with abdominal injury: a multicenter study from Iran.BMC emergency medicine · 2024Article
- Are trauma victims with obesity lucky in penetrating trauma injuries?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Civilian gunshot injuries at the emergency department of a Nigerian teaching hospital: patient characteristics, pattern and outcome 2014-2018.The Pan African medical journal · 2024Article
- Incidence, demographics and outcomes of patients with penetrating injury: a Japanese nationwide 10-year retrospective study.BMJ open · 2023Article
- Epidemiology and outcomes of patients with penetrating trauma in Incheon Metropolitan City, Korea based on National Emergency Department Information System data: a retrsopective cohort study.Journal of trauma and injury · 2023Article
- Introduction of Laparoscopy in an Urban High-Volume Sub-Saharan Trauma Centre.World journal of surgery · 2023Review
- A characterization of trauma laparotomies in a scandinavian setting: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Evaluation of follow-up and long-term outcomes of gunshot and stab wounds in a French civilian population.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Observational
- Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries.Critical care (London, England) · 2022Review
- Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade.Frontiers in neurology · 2021Article
- Epidemiology of firearm injuries in a Scandinavian trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Characteristics and management of penetrating abdominal injuries in a German level I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Risk of 90-day readmission in patients after firearm injury hospitalization: a nationally representative retrospective cohort study.Journal of injury & violence research · 2019Article
- Effect of team training on efficiency of trauma care in a Chinese hospital.The Journal of international medical research · 2018Article
- The First Aid and Hospital Treatment of Gunshot and Blast Injuries.Deutsches Arzteblatt international · 2017Article
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6 authors.
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Abstract
purposeSevere life-threatening injuries in Western Europe are mostly caused by blunt trauma. However, penetrating trauma might be more common in urban regions, but their characteristics have not been fully elucidated.
methodsRetrospective analysis of data from patients admitted to our urban university level I trauma center between 2008 and 2013 with suspicion of severe multiple injuries. Collection of data was performed prospectively using a PC-supported online documentation program including epidemiological, clinical and outcome parameters.
resultsOut of 2095 trauma room patients admitted over the 6-year time period 194 (9.3 %) suffered from penetrating trauma. The mean Injury Severity Score (ISS) was 12.3 ± 14.1 points. In 62.4 % (n = 121) the penetrating injuries were caused by interpersonal violence or attempted suicide, 98 of these by stabbing and 23 by firearms. We observed a widespread injury pattern where mainly head, thorax and abdomen were afflicted. Subgroup analysis for self-inflicted injuries showed higher ISS (19.8 ± 21.8 points) than for blunt trauma (15.5 ± 14.6 points). In 82.5 % of all penetrating trauma a surgical treatment was performed, 43.8 % of the patients received intensive care unit treatment with mean duration of 7.4 ± 9.3 days. Immediate emergency surgical treatment had to be performed in 8.0 vs. 2.3 % in blunt trauma (p < 0.001). Infectious complications of the penetrating wounds were observed in 7.8 %.
conclusionsSpecific characteristics of penetrating trauma in urban regions can be identified. Compared to nationwide data, penetrating trauma was more frequent in our collective (9.3 vs. 5.0 %), which may be due to higher crime rates in urban areas. Especially, self-inflicted penetrating trauma often results in most severe injuries.
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