Rukewe Ambrose, Alonge Temitope Oluwagbenga, Akande Abayomi, Fatiregun Akinola Ayoola
Anaesthesiology Division, School of Medicine, University of Namibia, Windhoek, Namibia.
Department of Anaesthesia, University College Hospital, Ibadan, Nigeria.
Pan Afr Med J. 2024 Oct 3;49:27. doi: 10.11604/pamj.2024.49.27.45070. eCollection 2024.
Gunshot injuries (GSI) are a major global public health problem. Our objective was to determine the patient characteristics, pattern and outcome of civilian gunshot wounds at the University College Hospital, Ibadan, Nigeria, from 2014-2018. The data of 232 patients with a diagnosis of GSI during the study period were collected and analyzed using descriptive and inferential statistics. The victims were mostly males (86.6%) and the night shifts had the highest presentations (56%). Majority of the patients (61.2%) were in the age range of 21-40 years. Armed robbery attacks were the most frequent cause of the wounds (78.9%) affecting mostly the upper and lower limbs. Eighteen (7.8%) patients died from injuries to the head, chest, abdomen and multiple parts of the body. There was a significant association between the anatomical location of the gunshot wound and mortality, p=0.017. We recommend the rigorous implementation of the Firearm Control Act and a national surveillance system for all fatal and non-fatal GSIs. There should be concerted efforts by Government and non-governmental organizations to create jobs and wealth thereby making crime less attractive.
枪伤是一个重大的全球公共卫生问题。我们的目的是确定2014年至2018年期间尼日利亚伊巴丹大学学院医院平民枪伤的患者特征、模式及结局。收集了研究期间232例诊断为枪伤患者的数据，并使用描述性和推断性统计方法进行分析。受害者大多为男性（86.6%），夜班时就诊人数最多（56%）。大多数患者（61.2%）年龄在21至40岁之间。武装抢劫袭击是造成伤口的最常见原因（78.9%），主要影响上肢和下肢。18例（7.8%）患者因头部、胸部、腹部及身体多个部位受伤死亡。枪伤的解剖位置与死亡率之间存在显著关联，p = 0.017。我们建议严格执行《枪支管制法》，并建立一个针对所有致命和非致命枪伤的国家监测系统。政府和非政府组织应共同努力创造就业机会和财富，从而降低犯罪的吸引力。
