Clinical characteristics of firearm-related injuries in children in Turkey

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dc.contributor.authorVatansever, G.
dc.contributor.authorYılmaz, H.L.
dc.contributor.authorNalbant, T.
dc.contributor.authorKanğin, M.
dc.contributor.authorAlmış, H.
dc.contributor.authorKöker, A.
dc.contributor.authorÇeleğen M.
dc.date.accessioned2024-05-19T14:33:51Z
dc.date.available2024-05-19T14:33:51Z
dc.date.issued2022
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground. A significant number of children are injured by or die from firearm-related incidents every year, although there is a lack of global data on the number of children admitted to pediatric emergency departments (PEDs) and pediatric intensive care units (PICU) with firearm injuries. This study is the most comprehensive analysis of firearm injuries sustained by children in Turkey to date. Methods. This multicenter, retrospective, cohort study was conducted between 2010 and 2020 with the contributions of the PEDs, PICUs, intensive care units, and surgery departments of university hospitals and research hospitals. Results. A total of 508 children were admitted to hospital with firearm-related injuries in the research period, although the medical records of only 489 could be obtained. Of the total admissions to hospitals, 55.0% were identified as unintentional, 8.2% as homicide, 4.5% as self-harm, and 32.3% as undetermined. The Glasgow Coma Scale (GCS) and ventilation support were found to be the most significant predictors of mortality, while head/neck injury, length of stay (LOS) in the hospital and surgical interventions were found to be the most significant predictors of disability. The overall mortality of firearm-related injuries was 6.3%, and the mortality for children admitted to the PICU was 19.8%. The probability of disability was calculated as 96.0% for children hospitalized with firearm injuries for longer than 75 days. Conclusions. Head/neck injury, LOS in the hospital, and surgical interventions were found to be the most significant parameters for the prediction of disability. Hospitalization exceeding 6 days was found to be related to disability. © 2022, Turkish National Pediatric Society. All rights reserved.en_US
dc.identifier.doi10.24953/turkjped.2021.4564
dc.identifier.endpage984en_US
dc.identifier.issn0041-4301
dc.identifier.issue6en_US
dc.identifier.pmid36583879en_US
dc.identifier.scopus2-s2.0-85145425894en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage971en_US
dc.identifier.urihttps://doi.org/10.24953/turkjped.2021.4564
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4354
dc.identifier.volume64en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish National Pediatric Societyen_US
dc.relation.ispartofTurkish Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectDisabilityen_US
dc.subjectFirearm İnjuriesen_US
dc.subjectMortalityen_US
dc.subjectPediatric Emergency Medicineen_US
dc.subjectPediatric İntensive Careen_US
dc.titleClinical characteristics of firearm-related injuries in children in Turkeyen_US
dc.typeArticleen_US

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