Evaluation of extremity injuries presented to emergency department

dc.authorscopusid48761630600
dc.authorscopusid14029956700
dc.authorscopusid57197747634
dc.contributor.authorKarakus, Ali
dc.contributor.authorKuvandik, Guven
dc.contributor.authorAtalay, Ezgi
dc.date.accessioned2024-09-19T15:46:57Z
dc.date.available2024-09-19T15:46:57Z
dc.date.issued2017
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: In this study, we aimed to review cases with firearms injury of extremities presented to our hospital. Methods: After approval by Institutional Board, electronic database was retrospectively screened for firearms injury of extremities between 2012 and 2015. Overall, 600 cases with firearms injury of extremities were included in the study. Cases were assessed fordemographicand clinical characteristics, Mangled extremity severity score (MESS), Glasgow Coma Scale (GCS), costs and outcomes. Results: Totally, 552 (92.0%) cases were men and 48 (8.0%) were women. Mean age was 29.97 ± 10.40 years (range: 5-64 years). A significant difference was detected in gender distribution. Of the cases, 96.6% (n = 580) were Syrian war casualties. Lower extremity injury was the most frequently seen injury (n = 312; 52.0%). Mean MESS score was 4.71 ±1.32 (range: 2-9). GCS score was <8 in 3 fatal cases (0.5%) whereas it was 15 in 597 cases (99.5%). It was found that 66 cases (11.0%) underwent amputation after they arrived in the hospital as a result of crush injury due to mine and blast. In cases who underwent amputation, a positive correlation was detected in MESS scores (P = 0.00). Mean cost was estimated to be 6,936 TL (280-32,232 TL). Conclusion: Young male and lower extremity injuries were most commonly encountered. Amputation was performed in the early period in cases with highest MESS scores. It was seen that amputation was common in crush injuries due to mine and blast. It was found that patient volume at emergency department and hospital and costs were increased due to war. © 2017, Academy of Medical Sciences of I.R. Iran. All rights reserved.en_US
dc.identifier.endpage648en_US
dc.identifier.issn1029-2977
dc.identifier.issue10en_US
dc.identifier.pmid29137466en_US
dc.identifier.scopus2-s2.0-85034417395en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage646en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14849
dc.identifier.volume20en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAcademy of Medical Sciences of I.R. Iranen_US
dc.relation.ispartofArchives of Iranian Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCosten_US
dc.subjectExtremity injuryen_US
dc.subjectFirearmen_US
dc.subjectIntensityen_US
dc.subjectMangled extremity severity score (MESS)en_US
dc.titleEvaluation of extremity injuries presented to emergency departmenten_US
dc.typeArticleen_US

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