Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries
Publisher's version (útgefin grein) Background: Studies on penetrating injuries in Europe are scarce and often represent data from single institutions. The aim of this study was to describe the incidence and demographic features of patients hospitalized for stab injury in a whole nation. Materi...
Published in: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
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Springer Science and Business Media LLC
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Online Access: | https://hdl.handle.net/20.500.11815/1844 https://doi.org/10.1186/s13049-018-0582-2 |
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ftopinvisindi:oai:opinvisindi.is:20.500.11815/1844 2023-05-15T16:48:02+02:00 Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries Johannesdottir, Una Jonsdottir, Gudrun Maria Johannesdottir, Bergros Heimisdottir, Alexandra Eyþórsson, Elías Gudbjartsson, Tomas Mogensen, Brynjólfur Læknadeild (HÍ) Faculty of Medicine (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Háskóli Íslands University of Iceland 2019-01-23 7 https://hdl.handle.net/20.500.11815/1844 https://doi.org/10.1186/s13049-018-0582-2 en eng Springer Science and Business Media LLC Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine;27(1) https://sjtrem.biomedcentral.com/articles/10.1186/s13049-018-0582-2 Johannesdottir, U., Jonsdottir, G.M., Johannesdottir, B.K. et al. Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 27, 7 (2019). https://doi.org/10.1186/s13049-018-0582-2 1757-7241 https://hdl.handle.net/20.500.11815/1844 Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine doi:10.1186/s13049-018-0582-2 info:eu-repo/semantics/openAccess Mortality Outcome Penetrating Stabbing injury Trauma Treatment Stungusár Dánartíðni Meðferð Áverkar info:eu-repo/semantics/article 2019 ftopinvisindi https://doi.org/20.500.11815/1844 https://doi.org/10.1186/s13049-018-0582-2 2022-11-18T06:51:56Z Publisher's version (útgefin grein) Background: Studies on penetrating injuries in Europe are scarce and often represent data from single institutions. The aim of this study was to describe the incidence and demographic features of patients hospitalized for stab injury in a whole nation. Materials and methods: This was a retrospective nationwide population-based study on all consecutive adult patients who were hospitalized in Iceland following knife and machete-related injuries, 2000-2015. Age-standardized incidence was calculated and Injury Severity Score (ISS) was used to assess severity of injury. Results: Altogether, 73 patients (mean age 32.6 years, 90.4% males) were admitted during the 16-year study period, giving an age-standardized incidence of 1.54/100,000 inhabitants. The incidence did not vary significantly during the study period (P = 0.826). Most cases were assaults (95.9%) occurring at home or in public streets, and involved the chest (n = 32), abdomen (n = 26), upper limbs (n = 26), head/neck/face (n = 21), lower limbs (n = 10), and the back (n = 6). Median ISS was 9, with 14 patients (19.2%) having severe injuries (defined as ISS > 15). The median length of hospital stay was 2 days (range 0-53). Forty-seven patients (64.4%) underwent surgery and 26 of them (35.6%) required admission to an intensive care unit (ICU), all with ISS scores above 15. Three patients did not survive for 30 days (4.1%); all of them had severe injuries (ISS 17, 25, and 75). Conclusion: Stab injuries that require hospital admission are rare in Iceland, and their incidence has remained relatively stable. One in every five patients sustained severe injuries, two-thirds of whom were treated with surgical interventions, and roughly one-third required ICU care. Although some patients were severely injured with high injury scores, their 30-day mortality was still low in comparison to other studies. Funding for this study was received from Landspitali University Hospital Research Fund and was used for work hours spent on ... Article in Journal/Newspaper Iceland Opin vísindi (Iceland) Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 27 1 |
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Open Polar |
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Opin vísindi (Iceland) |
op_collection_id |
ftopinvisindi |
language |
English |
topic |
Mortality Outcome Penetrating Stabbing injury Trauma Treatment Stungusár Dánartíðni Meðferð Áverkar |
spellingShingle |
Mortality Outcome Penetrating Stabbing injury Trauma Treatment Stungusár Dánartíðni Meðferð Áverkar Johannesdottir, Una Jonsdottir, Gudrun Maria Johannesdottir, Bergros Heimisdottir, Alexandra Eyþórsson, Elías Gudbjartsson, Tomas Mogensen, Brynjólfur Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
topic_facet |
Mortality Outcome Penetrating Stabbing injury Trauma Treatment Stungusár Dánartíðni Meðferð Áverkar |
description |
Publisher's version (útgefin grein) Background: Studies on penetrating injuries in Europe are scarce and often represent data from single institutions. The aim of this study was to describe the incidence and demographic features of patients hospitalized for stab injury in a whole nation. Materials and methods: This was a retrospective nationwide population-based study on all consecutive adult patients who were hospitalized in Iceland following knife and machete-related injuries, 2000-2015. Age-standardized incidence was calculated and Injury Severity Score (ISS) was used to assess severity of injury. Results: Altogether, 73 patients (mean age 32.6 years, 90.4% males) were admitted during the 16-year study period, giving an age-standardized incidence of 1.54/100,000 inhabitants. The incidence did not vary significantly during the study period (P = 0.826). Most cases were assaults (95.9%) occurring at home or in public streets, and involved the chest (n = 32), abdomen (n = 26), upper limbs (n = 26), head/neck/face (n = 21), lower limbs (n = 10), and the back (n = 6). Median ISS was 9, with 14 patients (19.2%) having severe injuries (defined as ISS > 15). The median length of hospital stay was 2 days (range 0-53). Forty-seven patients (64.4%) underwent surgery and 26 of them (35.6%) required admission to an intensive care unit (ICU), all with ISS scores above 15. Three patients did not survive for 30 days (4.1%); all of them had severe injuries (ISS 17, 25, and 75). Conclusion: Stab injuries that require hospital admission are rare in Iceland, and their incidence has remained relatively stable. One in every five patients sustained severe injuries, two-thirds of whom were treated with surgical interventions, and roughly one-third required ICU care. Although some patients were severely injured with high injury scores, their 30-day mortality was still low in comparison to other studies. Funding for this study was received from Landspitali University Hospital Research Fund and was used for work hours spent on ... |
author2 |
Læknadeild (HÍ) Faculty of Medicine (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Háskóli Íslands University of Iceland |
format |
Article in Journal/Newspaper |
author |
Johannesdottir, Una Jonsdottir, Gudrun Maria Johannesdottir, Bergros Heimisdottir, Alexandra Eyþórsson, Elías Gudbjartsson, Tomas Mogensen, Brynjólfur |
author_facet |
Johannesdottir, Una Jonsdottir, Gudrun Maria Johannesdottir, Bergros Heimisdottir, Alexandra Eyþórsson, Elías Gudbjartsson, Tomas Mogensen, Brynjólfur |
author_sort |
Johannesdottir, Una |
title |
Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
title_short |
Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
title_full |
Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
title_fullStr |
Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
title_full_unstemmed |
Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
title_sort |
penetrating stab injuries in iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries |
publisher |
Springer Science and Business Media LLC |
publishDate |
2019 |
url |
https://hdl.handle.net/20.500.11815/1844 https://doi.org/10.1186/s13049-018-0582-2 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine;27(1) https://sjtrem.biomedcentral.com/articles/10.1186/s13049-018-0582-2 Johannesdottir, U., Jonsdottir, G.M., Johannesdottir, B.K. et al. Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 27, 7 (2019). https://doi.org/10.1186/s13049-018-0582-2 1757-7241 https://hdl.handle.net/20.500.11815/1844 Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine doi:10.1186/s13049-018-0582-2 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/20.500.11815/1844 https://doi.org/10.1186/s13049-018-0582-2 |
container_title |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
container_volume |
27 |
container_issue |
1 |
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1766038122063200256 |