hig.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Incidence, demographics, and outcomes of penetrating trauma in Sweden during the past decade
Karolinska institutet.
Karolinska institutet.
University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Criminology, Criminology. Institute for Future Studies, Stockholm.ORCID iD: 0000-0003-0973-3481
Uppsala universitet.
Show others and affiliations
2021 (English)In: Frontiers in Neurology, E-ISSN 1664-2295, Vol. 12, article id 730405Article in journal (Refereed) Published
Abstract [en]

Trauma injury is the sixth leading cause of death worldwide, and interpersonal violence is one of the major contributors in particular regarding injuries to the head and neck. The incidence, demographics, and outcomes of penetrating trauma reaching hospitals in Sweden are not known. We report the largest, nationwide epidemiological study of penetrating injuries in Sweden, using the Swedish Trauma Registry (SweTrau). A multi-center retrospective descriptive study of 4,776 patients was conducted with penetrating injuries in Sweden, between 2012 and 2018. Due to the increase in coverage of the SweTrau registry during the same period, we chose to analyze the average number of cases for the time intervals 2013–2015 and 2016–2018 and compare those trends to the reports of the Swedish National Council for Crime Prevention (Brå) as well. A total of 663 patients had Injury Severity Score (ISS) ≥ 15 at admission and were included in the study. Three hundred and sixty-eight (55.5%) were stab wounds (SW), 245 (37.0%) gunshot wounds (GSW), and 50 (7.5%) other traumas. A majority of the cases involved injuries to the head, neck, and face. SW increased from 145 during 2013–2015 to 184 during the second period of 2016–2018. The increase was greater for GSW from 92 to 141 during the same respective periods. This trend of increase over time was also seen in head, neck, and face injuries. The 30-day mortality was unaffected (48–47%) in GSW and trended toward lower in SW (24–21%) when comparing 2013–2015 with 2016–2018. Patients with head trauma had 45% mortality compared to 18% for non-head trauma patients. Head trauma also resulted in worse outcomes, only 13% had Glasgow outcome score (GOS) 5 compared to 27% in non-head trauma. The increasing number of cases of both SW and GSW corresponded well with reports from Brå although further studies also are needed to address deaths outside of hospitals and not registered at the SweTrau. The majority of cases had injuries to the head, neck, and face and were associated with higher mortality and poor outcomes. Further studies are needed to understand the contributing factors to these worse outcomes in Sweden and whether more targeted trauma care of these patients can improve outcomes.

Place, publisher, year, edition, pages
Frontiers , 2021. Vol. 12, article id 730405
Keywords [en]
penetrating head trauma, penetrating trauma, epidemiology, head and neck injury, gunshot trauma, stab wound
National Category
Health Sciences
Research subject
Health-Promoting Work
Identifiers
URN: urn:nbn:se:hig:diva-37501DOI: 10.3389/fneur.2021.730405ISI: 000725580200001PubMedID: 34867718Scopus ID: 2-s2.0-85120538709OAI: oai:DiVA.org:hig-37501DiVA, id: diva2:1618253
Available from: 2021-12-09 Created: 2021-12-09 Last updated: 2023-08-28Bibliographically approved

Open Access in DiVA

fulltext(895 kB)231 downloads
File information
File name FULLTEXT01.pdfFile size 895 kBChecksum SHA-512
4dadaaf3ce103ac16c3af4c3fc57833cced8ae2a713a0ba27c2ad9af7bb043a1f825e8ab79a22347b80996b3289a9a18e86b01ce686896b3be034788bceca207
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Rostami, Amir

Search in DiVA

By author/editor
Rostami, Amir
By organisation
Criminology
In the same journal
Frontiers in Neurology
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 231 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 247 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf