School of Medical Education, King's College London, London, UK.
School of Law Enforcement and Criminal Justice, Metropolitan State University, Brooklyn Park, Minnesota, USA.
Int J Surg. 2017 May;41:65-69. doi: 10.1016/j.ijsu.2017.03.051. Epub 2017 Mar 23.
Penetrating injuries account for a significant number of deaths in the United Kingdom (UK) annually. Numerous articles have examined the epidemiology of penetrating trauma in various areas of the UK. This article aimed to systematically review the current literature and evaluate the incidence and mortality of penetrating injury according to region in the UK.
A systematic literature search was performed using MEDLINE (1946 to June 2016), EMBASE (1974 to June 2016), and PsycINFO (1806 to June 2016) databases. The following keywords were used in combination with Boolean operators: "epidemiology", "incidence", "frequency", "pattern", "distribution"; "penetrating"; "injuries", "injury", "trauma"; "United Kingdom", "UK", "England", "Scotland", "Wales", "London".
Eleven relevant studies were identified across five regions of the UK. Study periods ranged from 3 months to 16 years and encompassed between 343 and 127,191 patients. Relative incidence within individual studies ranged from 0.3% (Midlands) to 21.0% (London) and mortality ranged from 0.5% (London) to 15.4% (Midlands). The majority of patients were young males.
An extensive range of incidence and mortality rates were observed between studies in all regions. This was largely dependent on the study population under review. London was found to have the highest incidence of penetrating injuries, however these studies tended to focus on populations of trauma patients. The high proportion of male victims may reflect the risk of becoming involved in gangs and violence.
Our ambiguous results indicate the need for further work directed towards the epidemiology of penetrating injuries within regional trauma networks.
每年在英国（英国）有大量的穿透性损伤导致死亡。许多文章已经检查了英国各个地区穿透性创伤的流行病学。本文旨在系统地回顾目前的文献，并根据英国的地区评估穿透性损伤的发生率和死亡率。
使用 MEDLINE（1946 年至 2016 年 6 月）、EMBASE（1974 年至 2016 年 6 月）和 PsycINFO（1806 年至 2016 年 6 月）数据库进行系统的文献搜索。使用布尔运算符组合了以下关键字：“流行病学”、“发病率”、“频率”、“模式”、“分布”；“穿透”；“损伤”、“伤害”、“创伤”；“英国”、“英国”、“英格兰”、“苏格兰”、“威尔士”、“伦敦”。
在英国的五个地区共确定了 11 项相关研究。研究期从 3 个月到 16 年不等，包括 343 至 127,191 例患者。在个别研究中，相对发病率从 0.3%（中部地区）到 21.0%（伦敦）不等，死亡率从 0.5%（伦敦）到 15.4%（中部地区）不等。大多数患者是年轻男性。
在所有地区的研究中，观察到发病率和死亡率之间存在广泛的差异。这在很大程度上取决于所审查的研究人群。伦敦发现穿透性损伤的发生率最高，但这些研究往往侧重于创伤患者人群。男性受害者的比例较高可能反映了参与帮派和暴力的风险。
我们的结果模棱两可，表明需要进一步努力针对区域创伤网络中的穿透性损伤的流行病学。
