ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Epidemiology of firearm injuries in a Scandinavian trauma center.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 50 citations in OpenAlex.
- Assessment of Union Rates in Ballistic Hand Fractures.Hand (New York, N.Y.) · 2026Article
- Surgical debridement of low velocity ballistic traumatic arthrotomy did not reduce rates of early wound infection or septic arthritis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Penetrating extremity injuries in a large Scandinavian Level-1 trauma center: a 4-year analysis of imaging methods, mechanisms of injury and clinical outcome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Importance of injury severity in the choice of treatment and its impact on prognosis in gunshot fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Risk factors and mortality associated with undertriage after major trauma in a physician-led prehospital system: a retrospective multicentre cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
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- Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia.Journal of orthopaedic surgery and research · 2023Article
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- A characterization of trauma laparotomies in a scandinavian setting: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Epidemiology of firearm injuries in Sweden.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Surviving the Scene in Civilian Penetrating Brain Injury: Injury Type, Cause and Outcome in a Consecutive Patient Series in Austria.Frontiers in surgery · 2022Article
- Gunshot injuries: experience in a tertiary health facility in the Niger Delta Region of Nigeria.The Pan African medical journal · 2022Article
- Health status after penetrating major trauma in Victoria, Australia: a registry-based cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- The trajectory of a low-velocity bullet from the chest to the pituitary gland.Trauma case reports · 2021Article
- Surgical management of pediatric patients with peripheral nerve and plexus lesions caused by stray bullets.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade.Frontiers in neurology · 2021Article
- Physiotherapy management of patients with trunk trauma: A state-of-the-art review.The South African journal of physiotherapy · 2020Article
- Imaging of penetrating thoracic trauma in a large Nordic trauma center.Acta radiologica open · 2019Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries.
methodsRetrospective cohort study of all patients (n = 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection.
resultsMean age was 31.3 years (SD ± 12.9; range 16-88 years); 93.6% males; mean ISS was 14.3 (SD ± 15.9); 31.9% (75/235) had ISS > 15. There was a significant increase in penetrating trauma (P < 0.001) and firearm injuries (P < 0.001) over the years. The most common anatomical location of firearm injury was the lower extremity, (n = 138/235; 38%), followed by the abdomen (n = 69;19%), upper extremity (n = 53;15%), chest (n = 50; 14%), and head and neck (n = 50; 14%). Ninety patients (38.3%) had more than one anatomic injury location. There were in total 360 firearm injuries and 168 major surgical procedures were performed. 53% (n = 125) of patients underwent at least one surgical procedure. The most common procedures were fracture surgery 42% (n = 70/168), followed by laparotomy 30%% (n = 51), chest tube 17% (n = 29), and thoracotomy 11% (n = 18). Forty-one patients (17%) had at least one major vascular injury (n = 54). The most common vascular injury was lower extremity vessel injuries, 26/54 (48%), followed by vessels in chest and abdomen. There was a significant increase in vascular injuries during the study period (P < 0.006). The 30-day mortality was 12.8% (n = 30); 24 patients died within 24 h mainly due to injuries to the chest and the head and neck region.
conclusionsFirearm injuries cause significant morbidity and mortality and are an important medical and public health problem. In a Scandinavian trauma center there has been an increase of firearm injuries in recent years. The lower extremities followed by the abdomen are the dominating injured regions and there has been an increase in associated vascular injuries.
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