Evidence map›Paper›PMID 37530783›Full record

ArticleWorld journal of surgery2023

Injury Patterns and Treatment Strategies in Civilian and Military Isolated Abdominal Gunshot Wounds.

Joshua Dilday, Natthida Owattanapanich, Elizabeth R Benjamin, Subarna Biswas, Stacy Shackelford, Demetrios Demetriades

Open access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Assault rifle injuries in civilians: ballistics of wound patterns, assessment and initial management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  2. Moving toward point-of-care surgery in Ukraine: testing an ultra-portable operating room in an active war zone.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Joshua DildayDivision of Trauma and Surgical Critical Care, Los Angeles General Medical Center, 2051 Marengo Street, Inpatient Tower, C5L100, Los Angeles, CA, 90033, USA.
Natthida OwattanapanichDivision of Trauma and Surgical Critical Care, Los Angeles General Medical Center, 2051 Marengo Street, Inpatient Tower, C5L100, Los Angeles, CA, 90033, USA.
Elizabeth R BenjaminDivision of Trauma and Surgical Critical Care, Emory University, Grady Health System, Atlanta, GA, USA.
Subarna BiswasDivision of Trauma and Surgical Critical Care, Los Angeles General Medical Center, 2051 Marengo Street, Inpatient Tower, C5L100, Los Angeles, CA, 90033, USA.
Stacy ShackelfordDefense Health Agency, Colorado Springs, CO, USA.
Demetrios DemetriadesDivision of Trauma and Surgical Critical Care, Los Angeles General Medical Center, 2051 Marengo Street, Inpatient Tower, C5L100, Los Angeles, CA, 90033, USA. Demetrios.Demetriades@med.usc.edu.
Los Angeles Medical Center · USDefense Health Agency · USGrady Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombat-related gunshot wounds (GSW) may differ from those found in civilian trauma centers. Missile velocity, resources, logistics, and body armor may affect injury patterns and management strategies. This study compares injury patterns, management, and outcomes in isolated abdominal GSW between military (MIL) and civilian (CIV) populations.

methodsThe Department of Defense Trauma Registry (DoDTR) and TQIP databases were queried for patients with isolated abdominal GSW from 2013 to 2016. MIL patients were propensity score matched 1:3 based on age, sex, and extraabdominal AIS. Injury patterns and in-hospital outcomes were compared. Initial operative management strategies, including selective nonoperative management (SNOM) for isolated solid organ injuries, were also compared.

resultsOf the 6435 patients with isolated abdominal GSW, 183 (3%) MIL were identified and matched with 549 CIV patients. The MIL group had more hollow viscus injuries (84% vs. 66%) while the CIV group had more vascular injuries (10% vs. 21%) (p < .05 for both). Operative strategy differed, with more MIL patients undergoing exploratory laparotomy (95% vs. 82%) and colectomy (72% vs. 52%) (p < .05 for both). However, no difference in ostomy creation was appreciated. More SNOM for isolated solid organ injuries was performed in the CIV group (34.1% vs. 12.5%; p < 0.05). In-hospital outcomes, including mortality, were similar between groups.

conclusionsMIL abdominal GSW lead to higher rates of hollow viscus injuries compared to CIV GSW. MIL GSW are more frequently treated with resection but with similar ostomy creation compared to civilian GSW. SNOM of solid organ injuries is infrequently performed following MIL GSW.

Indexed as

Abdominal InjuriesMilitary PersonnelTrauma CentersWounds, GunshotDatabases, FactualHumansInjury Severity ScoreMilitary MedicineQuality ImprovementRegistriesRetrospective StudiesUnited StatesUnited States Department of Defense

Identifiers

PMID37530783
OpenAlexW4385477466

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.