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  1. The impact of gunshot wounds on an orthopaedic surgical service in an urban trauma center.

    Article - En anglais

    Objective 

    To determine the prevalence of gunshot wound related orthopaedic injuries in an urban trauma center and outline the socioeconomic background of this patient population.

    Design 

    Retrospective study conducted from January 1,1994, through December 30,1994.

    Setting 

    University-affiliated level 1 trauma center.

    Patients 

    Strict inclusion and exclusion criteria were established.

    Inclusion Criteria 

    All patients were admitted through the emergency room with a gunshot wound for which the orthopaedic surgery service was consulted.

    The study group consisted of 284 patients

    Exclusion Criteria :

    Those individuals excluded from the study were patients with an orthopaedic injury who died during or before attempts at resuscitation in the emergency room and patients treated on an outpatient basis.

    Main Outcome Measures 

    Orthopaedic and nonorthopaedic diagnoses, etiology, procedures performed, number of hours from admission to the first surgical procedure, average daily hospital census, drug and alcohol screen results, and patient financial status.

    Results 

    The orthopaedic service was consulted on 284 patients admitted with gunshot wounds.

    This group comprised 24% of all orthopaedic admissions, 33% of the average daily orthopaedic census, and 14% of all orthopaedic surgery cases performed.

    Ninety-four percent were African American and 87% were male, with a mean age of 27 years. (...)

    Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Hôpital, Zone urbaine, Chirurgie, Système ostéoarticulaire pathologie, Blessure, Arme à feu, Impact socioéconomique

    Mots-clés Pascal anglais : United States, North America, America, Epidemiology, Hospital, Urban area, Surgery, Diseases of the osteoarticular system, Injury, Fire arm, Socioeconomical impact

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0350561

    Code Inist : 002B16N. Création : 12/09/1997.