作者
Bellal Joseph, Hassan Aziz, Viraj Pandit, Narong Kulvatunyou, Terence O'Keeffe, Julie Wynne, Andrew Tang, Randall S Friese, Peter Rhee
发表日期
2014/1/1
期刊
Journal of the American College of Surgeons
卷号
218
期号
1
页码范围
58-65
出版商
No longer published by Elsevier
简介
Background
Gunshot wounds to the brain are the most lethal of all firearm injuries, with reported survival rates of 10% to 15%. The aim of this study was to determine outcomes in patients with gunshot wounds to the brain, presenting to our institution over time. We hypothesized that aggressive management can increase survival and the rate of organ donation in patients with gunshot wounds to the brain.
Study Design
We analyzed all patients with gunshot wounds to the brain presenting to our level 1 trauma center over a 5-year period. Aggressive management was defined as resuscitation with blood products, hyperosmolar therapy, and/or prothrombin complex concentrate (PCC). The primary outcome was survival and the secondary outcome was organ donation.
Results
There were 132 patients with gunshot wounds to the brain, and the survival rates increased incrementally every year, from 10% in 2008 to 46% in …
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B Joseph, H Aziz, V Pandit, N Kulvatunyou, T O'Keeffe… - Journal of the American College of Surgeons, 2014