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General Overview of Gunshot Injuries in Kars in Turkey Province

Author: 
Tülay Diken Allahverdi and Ertuğrul Allahverdi
Subject Area: 
Health Sciences
Abstract: 

Aim: We aimed to review and present our data on gunshot injury cases that presented to the Kars State Hospital and Kafkas University Hospital emergency department in this study. Material and Method: Gunshot injury cases that presented to the emergency service between January 2012 and December 2016 and were admitted to various clinics for surgical treatment were included in the study. The demographic characteristics, type of firearm, location of gunshot injuries, duration until presentation to the hospital, injured organs, the treatments used, post-treatment complications and mortality rates were evaluated together with the rate of gun licensing per year. The patients who presented to the emergency service were treated according to the physical examination, laboratory tests and imaging results at presentation. Results: The 71 gunshot injury cases that presented to the emergency service consisted of 9 females (12.7%) and 62 males (87.3%). The mean age was 39 years for the males and 24 years for the females. There were 53 cases from the villages (75%), 13 from the district centers (18%), and 5 (7%) from the province center. We also observed an increase in applications to obtain a gun license to both hospitals in Kars center from 2012 to 2016. The duration of presentation to the hospital after the injury was most commonly 2-4 hours (23 patients, 32%). The most commonly injured organs were the extremities, followed by the abdominal region and cranial region. Open fracture injury patients underwent appropriate debridement, external fixator, and plaque screw, intramedullary nail osteosynthesis; soft tissue injury patients received debridement; and abdominal injury patients underwent laparotomy and appropriate treatment according to the injured organ. Patients who presented with cranial hemorrhage and 4 patients with massive abdominal hemorrhage died. The complications were injury site infection in 5 (5.63%) patients, shortness of extremity in 3 (4.22%) patients and eventration in 2 (2.81%) patients. Conclusion: Gunshot injuries have become more common in rural areas and regions with a lower socioeconomic level in our country together with an increase in the rate of acquiring gun licenses. Gunshot injuries require a long hospitalization duration and can result in high mortality and morbidity rates if prompt intervention is not possible.

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