Frequency and Pattern of Firearm Injuries in Pediatric Population

Abstract

Objective: To look into frequency, pattern and outcome of firearm injuries in pediatric population.

Methodology: Observational descriptive study was conducted at Department of Pediatric Surgery KEMU/Mayo Hospital Lahore Pakistan from January 2020 to December 2020. After obtaining ethical approval, all patients admitted in pediatric surgery department with firearm injuries were included in this study. Data (age, sex, site of injury, mode of injury and management done) was recorded on a detailed Proforma. Results were analyzed and compared with national and international literature.

Results: A total of 121 cases presented in our department during one year. 85 (70.24%) were males and 36(29.75%) were females. Fifty two patients (43.3%) were admitted, 4(3.3%) refused admission, and 2(1.6%) were absconded. Sixty three patients(52%) with minor injuries were treated in emergency and discharged on the same day. Predominant age group was 7 to 10 years. Abdomen and limbs were common sites of firearm injuries followed by chest, back and other sites. Ninety seven(80.8%) patients got injury by stray bullets while 22(18.3%) got accidental injury. There were 2(1.2%) homicidal injuries in our series. 10(8.3%) patients needed chest intubations while 12(10%) patients required exploratory laparotomy. From exploratory laparotomy group 4(3.3%) patients expired.