Epidemiology, demographics, and outcomes of craniomaxillofacial gunshot wounds in a Level i trauma center

Sunil S. Tholpady, Patrick Demoss, Kariuki P. Murage, Robert J. Havlik, Roberto L. Flores

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background Gunshot injuries to the craniomaxillofacial region are a challenge to the trauma and reconstructive surgeon. Although management of these injuries has been standardized and early rather than late intervention is advocated, the patient characteristics before, during, and after have been poorly elucidated. Methods A prospectively maintained Level I trauma center database was queried as to gunshot wounds of the craniomaxillofacial skeleton. Over a five-year period (2007-2011), 168 patients were identified with these injuries. Charts were reviewed as to demographics, presentations, and outcomes and these were tested for significant relationships with hospital length of stay, numbers and types of procedures, morbidity, and mortality. Results Gunshot wounds to the craniofacial skeleton resulted in 71 deaths in this patient population. Those that died were significantly older, presented with a lower GCS, had a shorter LOS, and a higher INR than those that lived. Subgroup analysis of mechanism demonstrated mortality was more likely to occur as a result of self-inflicted injury in whites and due to assault in the African-American population. Conclusions Data gathered from this study disputes some commonly held beliefs regarding the epidemiology of gunshot injuries and should allow for better characterization of which outcomes are consistent with which presentations.

Original languageEnglish (US)
Pages (from-to)403-411
Number of pages9
JournalJournal of Cranio-Maxillofacial Surgery
Volume42
Issue number5
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Gunshot Wounds
Trauma Centers
Epidemiology
Demography
Wounds and Injuries
Skeleton
Length of Stay
Dissent and Disputes
International Normalized Ratio
Mortality
African Americans
Population
Databases
Morbidity

Keywords

  • Craniofacial trauma
  • Epidemiology
  • Gunshot wounds

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

Cite this

Epidemiology, demographics, and outcomes of craniomaxillofacial gunshot wounds in a Level i trauma center. / Tholpady, Sunil S.; Demoss, Patrick; Murage, Kariuki P.; Havlik, Robert J.; Flores, Roberto L.

In: Journal of Cranio-Maxillofacial Surgery, Vol. 42, No. 5, 2014, p. 403-411.

Research output: Contribution to journalArticle

Tholpady, Sunil S. ; Demoss, Patrick ; Murage, Kariuki P. ; Havlik, Robert J. ; Flores, Roberto L. / Epidemiology, demographics, and outcomes of craniomaxillofacial gunshot wounds in a Level i trauma center. In: Journal of Cranio-Maxillofacial Surgery. 2014 ; Vol. 42, No. 5. pp. 403-411.
@article{e9692f1d245542ffb065d8f9c8bc35f6,
title = "Epidemiology, demographics, and outcomes of craniomaxillofacial gunshot wounds in a Level i trauma center",
abstract = "Background Gunshot injuries to the craniomaxillofacial region are a challenge to the trauma and reconstructive surgeon. Although management of these injuries has been standardized and early rather than late intervention is advocated, the patient characteristics before, during, and after have been poorly elucidated. Methods A prospectively maintained Level I trauma center database was queried as to gunshot wounds of the craniomaxillofacial skeleton. Over a five-year period (2007-2011), 168 patients were identified with these injuries. Charts were reviewed as to demographics, presentations, and outcomes and these were tested for significant relationships with hospital length of stay, numbers and types of procedures, morbidity, and mortality. Results Gunshot wounds to the craniofacial skeleton resulted in 71 deaths in this patient population. Those that died were significantly older, presented with a lower GCS, had a shorter LOS, and a higher INR than those that lived. Subgroup analysis of mechanism demonstrated mortality was more likely to occur as a result of self-inflicted injury in whites and due to assault in the African-American population. Conclusions Data gathered from this study disputes some commonly held beliefs regarding the epidemiology of gunshot injuries and should allow for better characterization of which outcomes are consistent with which presentations.",
keywords = "Craniofacial trauma, Epidemiology, Gunshot wounds",
author = "Tholpady, {Sunil S.} and Patrick Demoss and Murage, {Kariuki P.} and Havlik, {Robert J.} and Flores, {Roberto L.}",
year = "2014",
doi = "10.1016/j.jcms.2013.06.004",
language = "English (US)",
volume = "42",
pages = "403--411",
journal = "Journal of Cranio-Maxillo-Facial Surgery",
issn = "1010-5182",
publisher = "Churchill Livingstone",
number = "5",

}

TY - JOUR

T1 - Epidemiology, demographics, and outcomes of craniomaxillofacial gunshot wounds in a Level i trauma center

AU - Tholpady, Sunil S.

AU - Demoss, Patrick

AU - Murage, Kariuki P.

AU - Havlik, Robert J.

AU - Flores, Roberto L.

PY - 2014

Y1 - 2014

N2 - Background Gunshot injuries to the craniomaxillofacial region are a challenge to the trauma and reconstructive surgeon. Although management of these injuries has been standardized and early rather than late intervention is advocated, the patient characteristics before, during, and after have been poorly elucidated. Methods A prospectively maintained Level I trauma center database was queried as to gunshot wounds of the craniomaxillofacial skeleton. Over a five-year period (2007-2011), 168 patients were identified with these injuries. Charts were reviewed as to demographics, presentations, and outcomes and these were tested for significant relationships with hospital length of stay, numbers and types of procedures, morbidity, and mortality. Results Gunshot wounds to the craniofacial skeleton resulted in 71 deaths in this patient population. Those that died were significantly older, presented with a lower GCS, had a shorter LOS, and a higher INR than those that lived. Subgroup analysis of mechanism demonstrated mortality was more likely to occur as a result of self-inflicted injury in whites and due to assault in the African-American population. Conclusions Data gathered from this study disputes some commonly held beliefs regarding the epidemiology of gunshot injuries and should allow for better characterization of which outcomes are consistent with which presentations.

AB - Background Gunshot injuries to the craniomaxillofacial region are a challenge to the trauma and reconstructive surgeon. Although management of these injuries has been standardized and early rather than late intervention is advocated, the patient characteristics before, during, and after have been poorly elucidated. Methods A prospectively maintained Level I trauma center database was queried as to gunshot wounds of the craniomaxillofacial skeleton. Over a five-year period (2007-2011), 168 patients were identified with these injuries. Charts were reviewed as to demographics, presentations, and outcomes and these were tested for significant relationships with hospital length of stay, numbers and types of procedures, morbidity, and mortality. Results Gunshot wounds to the craniofacial skeleton resulted in 71 deaths in this patient population. Those that died were significantly older, presented with a lower GCS, had a shorter LOS, and a higher INR than those that lived. Subgroup analysis of mechanism demonstrated mortality was more likely to occur as a result of self-inflicted injury in whites and due to assault in the African-American population. Conclusions Data gathered from this study disputes some commonly held beliefs regarding the epidemiology of gunshot injuries and should allow for better characterization of which outcomes are consistent with which presentations.

KW - Craniofacial trauma

KW - Epidemiology

KW - Gunshot wounds

UR - http://www.scopus.com/inward/record.url?scp=84902165847&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84902165847&partnerID=8YFLogxK

U2 - 10.1016/j.jcms.2013.06.004

DO - 10.1016/j.jcms.2013.06.004

M3 - Article

VL - 42

SP - 403

EP - 411

JO - Journal of Cranio-Maxillo-Facial Surgery

JF - Journal of Cranio-Maxillo-Facial Surgery

SN - 1010-5182

IS - 5

ER -