More americans DOA from gun, knife wounds

May 8, 2018

(HealthDay)—Victims of gunshots or stabbings are much more likely to die before arriving at U.S. trauma centers than 10 years ago. This suggests the intensity of violence is increasing, a new study contends.

"The data we found suggest that a greater proportion of patients injured by penetrating trauma are dying in the prehospital setting compared to a decade ago," said senior author Dr. Joseph Sakran.

Sakran is director of emergency general surgery at the Johns Hopkins Hospital in Baltimore, and an expert in .

He and his team analyzed dead-on-arrival data from more than 750 hospitals nationwide. They found that between 2007 and 2014, the risk of dying before reaching a trauma center rose fourfold among people with and increased nearly ninefold among those with .

One must question whether this injury pattern is secondary to an increase in the intensity of violence, said Sakran.

"When looking at gun violence, the scientific community must approach this like any other public health crisis and develop a data-driven approach to combat these preventable deaths and injuries," he said in a hospital news release.

From 2007 to 2014, there were nearly 437,400 penetrating wound victims. The largest numbers of patients were ages 15 to 24.

Of nearly 36,300 patients who died, gunshot wounds accounted for 88 percent of deaths, while stab wounds accounted for 12 percent.

Although the overall rate remained the same, place of death (prehospital versus in-hospital) appears to have changed, the study noted.

Two-thirds of the patients had a penetrating wound to only one part of the body, while 20 percent had penetrating in two parts of the body, the researchers said. The most common locations of these injuries were the upper extremities, chest and abdomen.

The study was published recently in the Journal of Trauma and Acute Care Surgery.

Explore further: More prehospital deaths may mean increased intensity in violence

More information: The Brady Campaign to Prevent Gun Violence has more on gun violence.

Related Stories

More prehospital deaths may mean increased intensity in violence

April 16, 2018
A new Johns Hopkins Medicine analysis of national trauma data shows that trauma patients were four times more likely to die from gunshot wounds and nearly nine times more likely to die from stab wounds before getting to a ...

Hold the phone: An ambulance might lower your chances of surviving some injuries

September 20, 2017
Victims of gunshots and stabbings are significantly less likely to die if they're taken to the trauma center by a private vehicle than ground emergency medical services (EMS), according to results of a new analysis.

For gunshot and stab victims, on-scene spine immobilization may do more harm than good

January 11, 2010
Immobilizing the spines of shooting and stabbing victims before they are taken to the hospital -- standard procedure in Maryland and some other parts of the country -- appears to double the risk of death compared to transporting ...

Trauma centers increase use of non-surgical options for abdominal gunshot and stab wounds

January 5, 2012
An increasing number of abdominal gunshot and stab wounds are being treated without the need for unnecessary operations, according to a study in the January Trauma Supplement published by BJS, the British Journal of Surgery.

Survival rates similar for gunshot/stabbing victims whether brought to the hospital by police or EMS

January 2, 2014
A new study from the Perelman School of Medicine at the University of Pennsylvania has found no significant difference in adjusted overall survival rates between gunshot and stabbing (so-called penetrating trauma injuries) ...

High percentage of gunshot injuries in Chicagoland not treated at designated trauma centers

January 18, 2017
In Cook County, Illinois, which has 19 trauma centers, nearly one-third of gunshot wounds from 2009 to 2013 were treated outside of designated trauma centers, according to a study published online by JAMA Surgery.

Recommended for you

Surprise finding—for very sick elderly, lighter sedation won't drop risk of postoperative delirium, study suggests

August 13, 2018
Johns Hopkins Medicine researchers say a study designed to see if reducing the amount of anesthesia reduces the risk of postoperative delirium in older patients surprisingly found that lighter sedation failed to do so in ...

Kidney transplant chains more effective in saving lives

August 9, 2018
New research from the UBC Sauder School of the Business has found that transplant societies which prioritize kidney transplant chains over kidney exchanges can increase the total number of transplants, thereby saving more ...

Surgical mesh implants may cause autoimmune disorders

July 31, 2018
Surgical mesh implants, often used for hernia or gynecological repair, may be the reason so many patients report symptoms of an autoimmune disorder, according to a University of Alberta rheumatologist.

Surgeons discuss options when the risks of surgery may be too high

July 27, 2018
In an essay published July 26 in the New England Journal of Medicine, Ira Leeds, M.D., research fellow, and David Efron, M.D., professor of surgery, both of the Johns Hopkins University School of Medicine, along with their ...

Blood plasma during emergency air transport saves lives

July 25, 2018
Two units of plasma given in a medical helicopter on the way to the hospital could increase the odds of survival by 10 percent for traumatically injured patients with severe bleeding, according to the results of a national ...

The dark side of antibiotic ciprofloxacin

July 25, 2018
The use of ciprofloxacin and other antibiotics of the class of fluoroquinolones may be associated with disruption of the normal functions of connective tissue, including tendon rupture, tendonitis and retinal detachment. ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.