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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 1, 2014, pp. 83-89
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Bioline Code: js14014
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 1, 2014, pp. 83-89
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Spectrum of Gunshot Injuries in Civilian Practice at a Tertiary Hospital in a Semi-rural Community in Nigeria
Etonyeaku, A.C.; Ogundipe, K.O.; Omotola, C.A.; Ishola, O.J.; Olasehinde, O. & Obonna, G.C.
Abstract
Background: Gunshot injuries are common. Political and ethno-religious conflicts have made
injuries from ballistics now commonplace in Nigeria. Data was collected prospectively at Federal
Medical Centre Owo, South Western Nigeria from September 2007 to August 2011. The objective
was to highlight the nature of gunshot wounds, patients’ and gun characteristics, and document
the outcome of treatment upon discharge.
Methods: All patients with gunshot injuries (GSI) admitted via the emergency room (ER) of the
hospital. Outcome measures included the status upon leaving the hospital: Alive and discharged
home without disability; alive and discharged home with some disability; discharged against
medical advice; referral to another hospital and death. Data was analyzed using SPSS17 program
for frequencies, measure of central tendencies and relationships.
Results: A total of 139 patients were seen. Males accounted for 94.2% of the victims. The ages
ranged from 12 to 70 years (mean = 33.14 years); modal age group was 21-40 years (76.3%). High
velocity injuries were common (59%). Armed robbery (56.1%), accidental discharge (20.1%) and
assault (11.5%) were major sources. Injuries involved the limbs (54.7%), trunk (10.1%), and > one
region (22.3%). About 62% of cases presented within 8hours of injury. The mortality and limb
deformity rates were 5.8% and 14.4% respectively. Outcome of treatment depended on promptness
of definitive care and the nature of injuries at presentation (p= 0.001 and p=0.026 respectively).
Conclusion: Injuries from high velocity guns were common. Armed robbery, assault and
accidental discharge from law enforcement agents were the major sources. Outcome was dependent
on the nature of injuries and the promptness of intervention.
Keywords
Injuries; Civilian; Gunshot
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© Copyright 2014 - East and Central African Journal of Surgery
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