Ellaban Manar M, Afifi Eman, El Houssinie Moustafa, Hirshon Jon Mark, El-Shinawi Mohamed, El-Setouhy Maged
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Open Access Emerg Med. 2021 Dec 16;13:561-567. doi: 10.2147/OAEM.S338245. eCollection 2021.
For knife-related injuries (KRI), a comprehensive understanding of the incidence, mechanism, and pattern of injury is required for the development of prevention strategies. Unfortunately, reliable data on knife-related injuries are difficult to obtain. In Egypt, there is no national routine surveillance system for all knife injuries. The aim was to examine the epidemiologic characteristics of knife-related injuries at the Ain Shams University Hospital (ASUH) emergency department (ED).
A cross-sectional study was conducted on 140 patients who presented with knife injuries at the ASUH ED. Data collection was done during a randomly selected period of seven days each month from October 2018 to September 2019. The sociodemographic characteristics, injury-related variables, and outcomes of the injury were recorded on a structured worksheet.
Knife-related injuries represented 22.9% of all injury cases that presented to the ED. Majority of the knife-related injuries (87.86%) were accidental, 7.9% were assault, and 4.3% were self-inflicted. Home was the most reported place of injury. Most of the victims were discharged from the ED (87.1%), and 84.3% recovered completely. The mean hospital stay was 3.6 ± 1.3 days.
Majority of the knife-related injuries were accidental, and the most common pattern was isolated chest injury with contusions. Cases that were not severe and had favorable prognosis (ie, complete recovery) comprised the largest proportion. Recommendations include development of a surveillance system may result in the effective control and prevention of this growing problem of knife-related injuries.
对于刀伤,要制定预防策略,就需要全面了解其发生率、机制和损伤模式。不幸的是,难以获得关于刀伤的可靠数据。在埃及,没有针对所有刀伤的国家常规监测系统。本研究旨在调查艾因夏姆斯大学医院(ASUH)急诊科(ED)刀伤的流行病学特征。
对140例在ASUH急诊科因刀伤就诊的患者进行了横断面研究。数据收集于2018年10月至2019年9月期间每月随机抽取的7天内进行。社会人口学特征、损伤相关变量以及损伤结局记录在结构化工作表上。
刀伤占所有到急诊科就诊的损伤病例的22.9%。大多数刀伤(87.86%)是意外伤,7.9%是袭击伤,4.3%是自残伤。家中是报告最多的受伤地点。大多数受害者从急诊科出院(87.1%),84.3%完全康复。平均住院时间为3.6±1.3天。
大多数刀伤是意外伤,最常见的模式是孤立性胸部挫伤。病情不严重且预后良好(即完全康复)的病例占比最大。建议包括建立一个监测系统,这可能会有效控制和预防这一日益严重的刀伤问题。