>Cirugía y Cirujanos
>Year 2000, Issue 5
Sotelo-Cruz N, Cordero-Olivares A, Woller-Vázquez R
Gunshot wounds in children and adolescents
Cir Cir 2000; 68 (5)
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Introduction: During the past 15 years, gunshots wounds in children and adolescents showed a increase woldwide. Risk factor relationships are family, troules, low socioeconomic level, age (adolescence), and ease of acquiring fire arms.
We report this retrospective study data conserning gunshot wounds in persons younger than 18 years of age.
Material and methods: We reviewed all reports on gunshot wounds and mortality of children and teenagers from Sonora State during 1988 to 1998. We excluded suicides and also reviewed the clinical records of patients with ages between 1 and 18 years of age who were attended at the hospital for gunshot injuries over 20 years. The variable studied age, sex, origin, neigborhood, socioeconomic level, type of action, (accidental or intentional), drug abuse, family troubles, body area injury, treatment, and evolution.
Results: In the first place, over the last 10 years the Justice Department of Sonora State has reported 344 cases of gunshot injuries in persons less than 18 years of age; 200 (58.0%) surwived and 144 died (42.9%). In both groups, the injury was intentional in 80% of the cases.
In the survivor groups the penetrating wounds were in chest and abdomen. In sixteen and 19%, respective of the patients who died, in only 2.7% was the action accidental. The most important number of gunshot injuries was in adolescents of 16 to 18 years of age and the principal body injury areas were head and chest.
In regard to the hospital group we reviewed the clinical records of 58 patients. In this group 84%, were male and a the predominant age group was between 10 to 15 years, the socioeconomic level was low in 79.3%, and three of each 10 patients had poor family integration.
Fifty-five percent of patients received the injury on the streets and 50% included conflicts between teenager gang; almost 30% were using drugs at the time.
The bodily injury areas in order were legs, abdomen, chest, and bons broken in 12 (20.6%) cases. Penetrating gunshot wounds ocurred in 32.7% of the cases and shock status was 13.7%. Treatment varied to acording wound type and body area.
In this paper it is possible show some factors relatives to gunshot wounds, including age, sex, gangs, poor family integration, and low socioconomic level.
Throughout mortality by gunshot injuries in some Cities Sonora State has ripen more than in other big cities the world.
We need to take action, and to form a collaborative and interdisciplinary group. The objective will be the creasing these important problems, and it is necessary to work and meet with the family, teachers, police, lawyers, the press, legislative officers, heath mental services, social workers and pediatricians.
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>Cirugía y Cirujanos
>Year 2000, Issue 5