Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia
Abstract Background War conflicts and terror-related injuries constitute a significant public health problem in Somalia. We aim to characterize and compare the injury characteristics of gunshot and blast injuries of the extremities. Methods The data of 333 patients with gunshot and blast injuries of...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03527-9 |
| _version_ | 1797945802868391936 |
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| author | Abdullahi Yusuf Mohamed Hassan Salad Ibrahim Hüseyin Taşkoparan Yasin Barkhad Ibrahim |
| author_facet | Abdullahi Yusuf Mohamed Hassan Salad Ibrahim Hüseyin Taşkoparan Yasin Barkhad Ibrahim |
| author_sort | Abdullahi Yusuf Mohamed |
| collection | DOAJ |
| description | Abstract Background War conflicts and terror-related injuries constitute a significant public health problem in Somalia. We aim to characterize and compare the injury characteristics of gunshot and blast injuries of the extremities. Methods The data of 333 patients with gunshot and blast injuries of the extremities over three years were retrospectively reviewed. The demographics, injury characteristics, and outcomes were analyzed. Results Most of the patients had injuries due to gunshot casualties compared with blast victims (n = 222, 66.7% vs. n = 111, 33.3%). Patients with gunshot wounds (GSW) had a more significant proportion of males than those with blast wounds (BW) (95.5% vs. 85.6%, P < 0.001). There were more open extremity fractures in GSW casualties (96.4% vs. 81.1%). The BW victims had significantly higher associated injuries (52.3% vs. 18.5%, P < 0.001). The BW group had a higher injury severity score (ISS ≥ 16 in 55%, P < 0.001). The need for an intensive care unit (ICU) admission was significantly higher in the BW patients (18% vs. 6.3%, P < 0.001); as well as the length of hospital stay (LOS) was higher in the BW group compared with the GW patients (> 2-week hospital stay in 31% vs. 19%, P < 0.04). About a 2.7% mortality rate was observed in BW (P < 0.014). Conclusion Gunshot and explosion injuries comprise the majority of war and terror-related trauma of the extremities. These injury mechanisms differ in the body regions involved, the severity of the injury, duration of hospital stay, need for ICU admission, and mortality. Assessment and management of such devastating casualties require a complex and multidisciplinary approach. |
| first_indexed | 2024-04-10T21:00:53Z |
| format | Article |
| id | doaj.art-539f22daccf343bd9e9fe87f255c1c0b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-10T21:00:53Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-539f22daccf343bd9e9fe87f255c1c0b2023-01-22T12:19:55ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-01-011811710.1186/s13018-023-03527-9Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in SomaliaAbdullahi Yusuf Mohamed0Hassan Salad Ibrahim1Hüseyin Taşkoparan2Yasin Barkhad Ibrahim3Department of Orthopedics and Traumatology, Mogadishu Somali Turkish Training and Research HospitalDepartment of Orthopedics and Traumatology, Mogadishu Somali Turkish Training and Research HospitalDepartment of Orthopedics and Traumatology, Mogadishu Somali Turkish Training and Research HospitalDepartment of Orthopedics and Traumatology, Mogadishu Somali Turkish Training and Research HospitalAbstract Background War conflicts and terror-related injuries constitute a significant public health problem in Somalia. We aim to characterize and compare the injury characteristics of gunshot and blast injuries of the extremities. Methods The data of 333 patients with gunshot and blast injuries of the extremities over three years were retrospectively reviewed. The demographics, injury characteristics, and outcomes were analyzed. Results Most of the patients had injuries due to gunshot casualties compared with blast victims (n = 222, 66.7% vs. n = 111, 33.3%). Patients with gunshot wounds (GSW) had a more significant proportion of males than those with blast wounds (BW) (95.5% vs. 85.6%, P < 0.001). There were more open extremity fractures in GSW casualties (96.4% vs. 81.1%). The BW victims had significantly higher associated injuries (52.3% vs. 18.5%, P < 0.001). The BW group had a higher injury severity score (ISS ≥ 16 in 55%, P < 0.001). The need for an intensive care unit (ICU) admission was significantly higher in the BW patients (18% vs. 6.3%, P < 0.001); as well as the length of hospital stay (LOS) was higher in the BW group compared with the GW patients (> 2-week hospital stay in 31% vs. 19%, P < 0.04). About a 2.7% mortality rate was observed in BW (P < 0.014). Conclusion Gunshot and explosion injuries comprise the majority of war and terror-related trauma of the extremities. These injury mechanisms differ in the body regions involved, the severity of the injury, duration of hospital stay, need for ICU admission, and mortality. Assessment and management of such devastating casualties require a complex and multidisciplinary approach.https://doi.org/10.1186/s13018-023-03527-9BlastGunshotTraumaExtremitySomalia |
| spellingShingle | Abdullahi Yusuf Mohamed Hassan Salad Ibrahim Hüseyin Taşkoparan Yasin Barkhad Ibrahim Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia Journal of Orthopaedic Surgery and Research Blast Gunshot Trauma Extremity Somalia |
| title | Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia |
| title_full | Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia |
| title_fullStr | Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia |
| title_full_unstemmed | Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia |
| title_short | Epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in Somalia |
| title_sort | epidemiological characteristics and comparative outcome of blast versus gunshot injuries of the extremities in somalia |
| topic | Blast Gunshot Trauma Extremity Somalia |
| url | https://doi.org/10.1186/s13018-023-03527-9 |
| work_keys_str_mv | AT abdullahiyusufmohamed epidemiologicalcharacteristicsandcomparativeoutcomeofblastversusgunshotinjuriesoftheextremitiesinsomalia AT hassansaladibrahim epidemiologicalcharacteristicsandcomparativeoutcomeofblastversusgunshotinjuriesoftheextremitiesinsomalia AT huseyintaskoparan epidemiologicalcharacteristicsandcomparativeoutcomeofblastversusgunshotinjuriesoftheextremitiesinsomalia AT yasinbarkhadibrahim epidemiologicalcharacteristicsandcomparativeoutcomeofblastversusgunshotinjuriesoftheextremitiesinsomalia |