Evaluation of follow-up and long-term outcomes of gunshot and stab wounds in a French civilian population  

作　　者：Julie Fournier Laure Salou-Regis Ghislain Pauleau Geraldine Goin Bruno de La Villeon Yvain Goudard 

机构地区：[1]Emergency Department,Laveran Military Hospital,Boulevard Laveran,13013,Marseille,France [2]Visceral and Digestive Surgery Unit,Laveran Military Hospital,Boulevard Laveran,13013,Marseille,France

出　　处：《Chinese Journal of Traumatology》2022年第4期201-208,共8页中华创伤杂志（英文版）

基　　金：This study has been approved by the local ethics committee and have therefore been performed in accordance with the ethical standards;Data collection and analysis was carried out in accordance with MR004 reference methodology.

摘　　要：Purpose The data concerning long-term follow-up and outcomes of penetrating trauma are poorly detailed in the literature.The main objective of our study was to analyze the hospital and extra-hospital follow-up of penetrating trauma victims and to evaluate the late complications and long-term consequences of these traumas.Methods This work was a retrospective longitudinal monocentric observational study conducted at Laveran Military Hospital,from January 2007 to January 2017.All patients hospitalized for gunshot wound or stab wound management during this period were identified via a retrospective systematic query in the hospital information system using the ICD-10 codes.Epidemiological data,traumatism characteristics,hospital management,follow-up and traumatism consequences(i.e.,persistent disability)were analyzed.To improve evaluation of traumatism long-term consequences,extra-hospital follow-up data from general physicians(GP)were collected by phone call.During this interview,9 closed questions were asked to the GP.The survey evaluated:the date of the last consultation related to injury with the GP,the specific follow-up carried out by the GP,traumatism consequences,and recurrence of traumatism.Descriptive,univariate and multivariate with regression analysis were used for statistical analysis.Results A total number of 165 patients were included.Median(Q1,Q3)of hospital follow-up was 28(4,66)days.One hundred one patients(61.2%)went to their one-month consultation at hospital.GP follow-up was achieved for 76 patients(55.2%).Median(Q1,Q3)of GP follow-up was 47(21,75)months.Twenty-four patients(14.5%)have been totally lost to follow up.The overall follow-up identified 54 patients(32.7%)with long-term consequences,20 being psychiatric disorders and 30 organic injuries.Organic consequences were mainly peripheral nerve damages(n=20;12.1%).Most of the psychiatric consequences were diagnosed during GP follow-up(n=14;70%).Seventeen cases(10.3%)of recurrence were found and late mortality occurred in 4 patients(2.4%).High i

关 键 词：Stab wound Gunshot wound INJURY Consequences FOLLOW-UP OUTCOMES 

分 类 号：R826[医药卫生—临床医学]