Predicting early complications in patients with spinal gunshot wounds: A multicenter study

• DOI: 10.1016/j.bas.2024.102766
• Publication Date: 2024-02-28T11:39:24Z
• Authors: Guillermo A. Ricc...; Juan P. Cabrera; Oscar Martínez; Javier Matta; Hugo Vilchis; Jeasson Javier Pe...; Charles A. Carazzo; Michael Dittmar; Ratko Yurac
• Keywords: Gunshot wound; Univariate analysis

There is a wide variation in the clinical presentation of spinal gunshot wounds ranging from isolated minor stable fractures to extremely severe injuries with catastrophic neurological damage. we aim analyze risk factors for early complications and impact surgical treatment patients wounds. This multicentre retrospective case-control study compare who had those did not. The following matching criteria were used: sex (1:1), injury level (1:1) age (±5 years). Univariate multivariate analyses performed using logistic regression. Results: Among 387 patients, 36.9 % registered complications, being persistent pain (n = 32; 15 %), sepsis/septic shock 28; 13 pneumonia 27; %) neurogenic bladder 12 most frequently reported. After matched analysis, obtained 133 suffered (cases) not as control group, differing significantly (p 1000), 0,535) while 35 group required versus non-complication < 0.001). On multivariable significant predictors (OR 3.50, 95 CI 1.68–7.30), dirty wound (3.32, 1.50–7.34), GCS ≤8 (3.56, 1.17–10.79), hemodynamic instability (2.29, 1.07–4.88), multiple bullets (1.97, 1.05–3.67). Spinal are associated high especially when surgery required, among wound, low consciousness, instability, bullets.