Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade
Trauma injury is the sixth leading cause of death worldwide, and interpersonal violence is one of the major contributors in particular regarding injuries to the head and neck. The incidence, demographics, and outcomes of penetrating trauma reaching hospitals in Sweden are not known. We report the la...
Guardado en:
| Autores principales: | , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Frontiers Media S.A.
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/a3594125a2c4498993959fdbe8c2a013 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:a3594125a2c4498993959fdbe8c2a013 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:a3594125a2c4498993959fdbe8c2a0132021-11-15T06:51:56ZIncidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade1664-229510.3389/fneur.2021.730405https://doaj.org/article/a3594125a2c4498993959fdbe8c2a0132021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.730405/fullhttps://doaj.org/toc/1664-2295Trauma injury is the sixth leading cause of death worldwide, and interpersonal violence is one of the major contributors in particular regarding injuries to the head and neck. The incidence, demographics, and outcomes of penetrating trauma reaching hospitals in Sweden are not known. We report the largest, nationwide epidemiological study of penetrating injuries in Sweden, using the Swedish Trauma Registry (SweTrau). A multi-center retrospective descriptive study of 4,776 patients was conducted with penetrating injuries in Sweden, between 2012 and 2018. Due to the increase in coverage of the SweTrau registry during the same period, we chose to analyze the average number of cases for the time intervals 2013–2015 and 2016–2018 and compare those trends to the reports of the Swedish National Council for Crime Prevention (Brå) as well. A total of 663 patients had Injury Severity Score (ISS) ≥ 15 at admission and were included in the study. Three hundred and sixty-eight (55.5%) were stab wounds (SW), 245 (37.0%) gunshot wounds (GSW), and 50 (7.5%) other traumas. A majority of the cases involved injuries to the head, neck, and face. SW increased from 145 during 2013–2015 to 184 during the second period of 2016–2018. The increase was greater for GSW from 92 to 141 during the same respective periods. This trend of increase over time was also seen in head, neck, and face injuries. The 30-day mortality was unaffected (48–47%) in GSW and trended toward lower in SW (24–21%) when comparing 2013–2015 with 2016–2018. Patients with head trauma had 45% mortality compared to 18% for non-head trauma patients. Head trauma also resulted in worse outcomes, only 13% had Glasgow outcome score (GOS) 5 compared to 27% in non-head trauma. The increasing number of cases of both SW and GSW corresponded well with reports from Brå although further studies also are needed to address deaths outside of hospitals and not registered at the SweTrau. The majority of cases had injuries to the head, neck, and face and were associated with higher mortality and poor outcomes. Further studies are needed to understand the contributing factors to these worse outcomes in Sweden and whether more targeted trauma care of these patients can improve outcomes.Mattias GüntherMattias GüntherMartin DahlbergAmir RostamiAmir RostamiAli AzadaliUlf P. ArboreliusFredrik LinderElham RostamiElham RostamiFrontiers Media S.A.articlepenetrating head traumapenetrating traumaepidemiologyhead and neck injurygunshot traumastab woundNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
penetrating head trauma penetrating trauma epidemiology head and neck injury gunshot trauma stab wound Neurology. Diseases of the nervous system RC346-429 |
| spellingShingle |
penetrating head trauma penetrating trauma epidemiology head and neck injury gunshot trauma stab wound Neurology. Diseases of the nervous system RC346-429 Mattias Günther Mattias Günther Martin Dahlberg Amir Rostami Amir Rostami Ali Azadali Ulf P. Arborelius Fredrik Linder Elham Rostami Elham Rostami Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade |
| description |
Trauma injury is the sixth leading cause of death worldwide, and interpersonal violence is one of the major contributors in particular regarding injuries to the head and neck. The incidence, demographics, and outcomes of penetrating trauma reaching hospitals in Sweden are not known. We report the largest, nationwide epidemiological study of penetrating injuries in Sweden, using the Swedish Trauma Registry (SweTrau). A multi-center retrospective descriptive study of 4,776 patients was conducted with penetrating injuries in Sweden, between 2012 and 2018. Due to the increase in coverage of the SweTrau registry during the same period, we chose to analyze the average number of cases for the time intervals 2013–2015 and 2016–2018 and compare those trends to the reports of the Swedish National Council for Crime Prevention (Brå) as well. A total of 663 patients had Injury Severity Score (ISS) ≥ 15 at admission and were included in the study. Three hundred and sixty-eight (55.5%) were stab wounds (SW), 245 (37.0%) gunshot wounds (GSW), and 50 (7.5%) other traumas. A majority of the cases involved injuries to the head, neck, and face. SW increased from 145 during 2013–2015 to 184 during the second period of 2016–2018. The increase was greater for GSW from 92 to 141 during the same respective periods. This trend of increase over time was also seen in head, neck, and face injuries. The 30-day mortality was unaffected (48–47%) in GSW and trended toward lower in SW (24–21%) when comparing 2013–2015 with 2016–2018. Patients with head trauma had 45% mortality compared to 18% for non-head trauma patients. Head trauma also resulted in worse outcomes, only 13% had Glasgow outcome score (GOS) 5 compared to 27% in non-head trauma. The increasing number of cases of both SW and GSW corresponded well with reports from Brå although further studies also are needed to address deaths outside of hospitals and not registered at the SweTrau. The majority of cases had injuries to the head, neck, and face and were associated with higher mortality and poor outcomes. Further studies are needed to understand the contributing factors to these worse outcomes in Sweden and whether more targeted trauma care of these patients can improve outcomes. |
| format |
article |
| author |
Mattias Günther Mattias Günther Martin Dahlberg Amir Rostami Amir Rostami Ali Azadali Ulf P. Arborelius Fredrik Linder Elham Rostami Elham Rostami |
| author_facet |
Mattias Günther Mattias Günther Martin Dahlberg Amir Rostami Amir Rostami Ali Azadali Ulf P. Arborelius Fredrik Linder Elham Rostami Elham Rostami |
| author_sort |
Mattias Günther |
| title |
Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade |
| title_short |
Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade |
| title_full |
Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade |
| title_fullStr |
Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade |
| title_full_unstemmed |
Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade |
| title_sort |
incidence, demographics, and outcomes of penetrating trauma in sweden during the past decade |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/a3594125a2c4498993959fdbe8c2a013 |
| work_keys_str_mv |
AT mattiasgunther incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT mattiasgunther incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT martindahlberg incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT amirrostami incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT amirrostami incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT aliazadali incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT ulfparborelius incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT fredriklinder incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT elhamrostami incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade AT elhamrostami incidencedemographicsandoutcomesofpenetratingtraumainswedenduringthepastdecade |
| _version_ |
1718428572568256512 |