Firearm-Related Fractures: Epidemiology and Infection Rate
Abstract Objective To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room. Methods A retrospective, observational, descriptive study that included all cases of fractures c...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2020-12-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/pdf/rbort/v55n5/1982-4378-rbort-55-05-0625.pdf |
| _version_ | 1797332580724375552 |
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| author | Daniel Baumfeld Auro Sérgio Perdigão de Brito Maíra Soares Torres Kassio Lohner Prado Marco Antonio Percope de Andrade Tulio Vinicius de Oliveira Campos |
| author_facet | Daniel Baumfeld Auro Sérgio Perdigão de Brito Maíra Soares Torres Kassio Lohner Prado Marco Antonio Percope de Andrade Tulio Vinicius de Oliveira Campos |
| author_sort | Daniel Baumfeld |
| collection | DOAJ |
| description | Abstract Objective To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room. Methods A retrospective, observational, descriptive study that included all cases of fractures caused by firearms between January 2010 and December 2014; 245 fractures in 223 patients were included. Results There was surgical-site infection in 8.5% of the fractures, and the mean number of debridements required to control the infectious process was of 1.273 ± 0.608. A correlation was identified between the surgical treatment chosen and the affected body segment (p< 0.001). The surgical treatment in the emergency room had a correlation with the occurrence of infection (p< 0.001; Chi-squared test). Conclusion Patients with gunshot injuries treated non-operatively presented less severe and stable lesions; thus, the incidence of complications in this group was found to be lower. On the other hand, those patients with complex lesions underwent debridement and external fixation. Therefore, a greater number of infectious complications in patients submitted to external fixation was found, as expected. |
| first_indexed | 2024-03-08T07:51:56Z |
| format | Article |
| id | doaj.art-8b728499993e46c8b32aa73835e4624a |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:51:56Z |
| publishDate | 2020-12-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-8b728499993e46c8b32aa73835e4624a2024-02-02T14:44:45ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782020-12-0155562562810.1055/s-0040-1702960Firearm-Related Fractures: Epidemiology and Infection RateDaniel Baumfeldhttps://orcid.org/0000-0001-5404-2132Auro Sérgio Perdigão de BritoMaíra Soares TorresKassio Lohner PradoMarco Antonio Percope de AndradeTulio Vinicius de Oliveira CamposAbstract Objective To investigate the incidence of infection in patients with gunshot-related fractures, and to correlate this finding with the occurrence of surgical debridement in the emergency room. Methods A retrospective, observational, descriptive study that included all cases of fractures caused by firearms between January 2010 and December 2014; 245 fractures in 223 patients were included. Results There was surgical-site infection in 8.5% of the fractures, and the mean number of debridements required to control the infectious process was of 1.273 ± 0.608. A correlation was identified between the surgical treatment chosen and the affected body segment (p< 0.001). The surgical treatment in the emergency room had a correlation with the occurrence of infection (p< 0.001; Chi-squared test). Conclusion Patients with gunshot injuries treated non-operatively presented less severe and stable lesions; thus, the incidence of complications in this group was found to be lower. On the other hand, those patients with complex lesions underwent debridement and external fixation. Therefore, a greater number of infectious complications in patients submitted to external fixation was found, as expected.http://www.scielo.br/pdf/rbort/v55n5/1982-4378-rbort-55-05-0625.pdfWound infection/epidemiologywounds, gunshot/epidemiologyfractures, bone |
| spellingShingle | Daniel Baumfeld Auro Sérgio Perdigão de Brito Maíra Soares Torres Kassio Lohner Prado Marco Antonio Percope de Andrade Tulio Vinicius de Oliveira Campos Firearm-Related Fractures: Epidemiology and Infection Rate Revista Brasileira de Ortopedia Wound infection/epidemiology wounds, gunshot/epidemiology fractures, bone |
| title | Firearm-Related Fractures: Epidemiology and Infection Rate |
| title_full | Firearm-Related Fractures: Epidemiology and Infection Rate |
| title_fullStr | Firearm-Related Fractures: Epidemiology and Infection Rate |
| title_full_unstemmed | Firearm-Related Fractures: Epidemiology and Infection Rate |
| title_short | Firearm-Related Fractures: Epidemiology and Infection Rate |
| title_sort | firearm related fractures epidemiology and infection rate |
| topic | Wound infection/epidemiology wounds, gunshot/epidemiology fractures, bone |
| url | http://www.scielo.br/pdf/rbort/v55n5/1982-4378-rbort-55-05-0625.pdf |
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