Outcomes of stab wounds presenting to Kamuzu Central Hospital in Malawi.
adult
global surgery
stab
stab injury
Journal
Malawi medical journal : the journal of Medical Association of Malawi
ISSN: 1995-7270
Titre abrégé: Malawi Med J
Pays: Malawi
ID NLM: 9500170
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
entrez:
23
8
2021
pubmed:
24
8
2021
medline:
11
9
2021
Statut:
ppublish
Résumé
Injuries are a leading cause of morbidity and mortality worldwide, necessitating that we understand the local burden of injury to improve injury-related trauma care and patient outcomes. The characteristics, outcomes, and risk factors for mortality following stab wounds in Malawi are poorly delineated. This is a retrospective, descriptive analysis of patients presenting to Kamuzu Central Hospital in Lilongwe, Malawi, with stab wounds from February 2008 to May 2018. Univariate and bivariate analyses were performed to compare patient and injury characteristics based on mortality. We performed Poisson multivariate regression to predict the factors that increase the relative risk of mortality. During the study, 32,297 patients presented with assault. Of those patients, 2,352 (7.3%) presented with stab wounds resulting in a 3.2% (n=74) overall mortality. The majority of wounds were to the head or cervical spine (n=1,043, 44.6%), while injuries to the chest (n=319, 13.7%) were less frequent. We found an increased relative risk of mortality in patients who presented with an injury to the chest (RR 3.95, 95% CI 1.79-8.72, p=0.001) and who were brought in by the police (RR 33.24, 95% CI 11.23-98.35, p<0.001). In this study, stab wounds accounted for 7.3% of all assault cases, with a 3.2% mortality. Though the commonest site of stab was the head, wounds to the chest conferred the highest relative risk of mortality. A multifaceted approach to reducing mortality is needed. Incorporating training of first responders in basic life support, including the police, may reduce stab-related mortality.
Identifiants
pubmed: 34422227
doi: 10.4314/mmj.v33i1.1
pmc: PMC8360291
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-6Informations de copyright
© 2021 The College of Medicine and the Medical Association of Malawi.
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