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. 2022 May 27;5(5):e2213737. doi: 10.1001/jamanetworkopen.2022.13737

Table 2. Injury Characteristics of 364 Patientsa .

Injury type No./total No. (%) of patients No. of injuries (No. per patient)
Musculoskeletal trauma by GSW
Total 97/252 (38.5) 177 (1.82)
Any fracture 83/252 (32.9) 163 (1.96)
Open fractureb 58/83 (63.0) 94 (1.62)
Tendon laceration 12/252 (4.8) 12 (1.00)
Finger amputation 2/252 (0.8) 2 (1.00)
Neurological trauma by GSW
Total 29/252 (11.5) 36 (1.24)
Peripheral nerve injury 22/252 (8.7) 22 (1.00)
Intracranial traumatic brain injury 6/252 (2.4) 13 (2.17)c
Spinal cord injury 1/252 (0.4) 1 (1.00)
Musculoskeletal/neurological trauma by non-GSW injury
Total 28/112 (25.0) 30 (1.07)
Fracture 9/112 (8.0) 11 (1.22)
Dislocation 5/112 (4.5) 5 (1.00)
Closed head injury or concussion 14/112 (12.5) 14 (1.00)

Abbreviation: GSW, gunshot wound.

a

Includes 252 with GSWs and 112 with only nonballistic trauma (fall, stampede, trampling, blunt, or external). Injury Severity Scores (ISS) are calculated as the sum of squares of the 3 most injured Abbreviated Injury Score body regions. Major trauma (or multiple trauma) is defined as ISS greater than 15. A total of 153 patients with ISS available had major trauma, including 24 of 97 (24.7%) with GSWs and 1 of 56 (1.8%) with non-GSW injuries. Median ISS for all GSW injuries was 4 (IQR, 1-9 [range, 1-48]); for all non-GSW injuries, 1 (IQR, 1-4 [range, 0-19]).

b

Fifty-eight of 81 patients with GSWs and any fracture (71.6%) had open fractures. There were no recorded open fractures in patients with non-GSW injuries. Given that open fracture is a subtype of total fractures, these were counted only once in the calculation of total musculoskeletal trauma.

c

Includes 13 intracranial (epidural, subdural, subarachnoid, intraparenchymal, and cerebral hemorrhage/laceration) injuries by GSWs.