Prevalence of war vıctıms ın Madına Hospıtal Mogadıshu Somalıa


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Omar M. M. , Sönmez R. E. , Hassan M. Y. , Alimoğlu O.

Bangladesh Journal of Medical Science, cilt.19, ss.401-403, 2020 (ESCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 19 Konu: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.3329/bjms.v19i3.45855
  • Dergi Adı: Bangladesh Journal of Medical Science
  • Sayfa Sayıları: ss.401-403

Özet

Background: The resultant effect of a gunshot injury is mostly severe bleeding which leads to

hypovolemic shock;a condition that is characterized by inadequate delivery of oxygen to vital

organs. Objective: Present study had focused on the prevalence of gunshot wounds, alsoclinical

consequencesdepending on differences in anatomical sites, age, gender with management

strategies accordingly. Materials and Methods: The study design is retrospective in nature with

quantitative approach and the study reviewed the data in the registers beginning from January

to December 2017. Demographic data of the patients, anatomical sites of injuries, and findings

of clinical outcomes had been retrospectively evaluated. Results: 1145 patients having gunshot

wounds (GSW)had been included in the study (M/F= 1067 (93%)/78 (7%)). Average incidence

of head injuries had been found as 8,75% which had showed a peak rate during May with a

percentage of 11%. Thoracic injuries which had an average incidence of 11,3% had the highest

rates during May, January, February and June. Abdominal injuries had showed a steady decline

beginning from January (24%) till June (20%) with having least percentage of injury during

May (13%).Only 10% of healthcare workers were among educated first aiders who transported

the patients. Meanwhile,the majority had consisted of non-educatedones who took the patients

to the hospital at the largest proportion of the casualties which include families, friends and close

relatives. Mortalities (n=87 (8%)) were attributed mostlyto abdominaln=18 (21%), thoracic

n=16 (18%), lower limbn=16 (18%)) and head n=14 (16%) injuries withdecreasing frequency.

Conclusions: Deaths due to gunshot wounds (GSW) had been reported highestamong young

aged population who are between 21 and 40 years of age. Considering that only 10% of rescue

teams were among educated health care givers, this actual rate of mortality given in the present

study can be lowered much more if the state can provide more educated staff, and also more

fundamental first-care educations could be given for the public as well.