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dc.contributor.authorJohannesdottir, Una
dc.contributor.authorJonsdottir, Gudrun Maria
dc.contributor.authorJohannesdottir, Bergros K
dc.contributor.authorHeimisdottir, Alexandra Aldis
dc.contributor.authorEythorsson, Elias
dc.contributor.authorGudbjartsson, Tomas
dc.contributor.authorMogensen, Brynjolfur
dc.date.accessioned2019-04-05T13:58:06Z
dc.date.available2019-04-05T13:58:06Z
dc.date.issued2019-01-23
dc.date.submitted2019-04
dc.identifier.citationPenetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries. 2019, 27(1):7 Scand J Trauma Resusc Emerg Meden_US
dc.identifier.issn1757-7241
dc.identifier.pmid30674331
dc.identifier.doi10.1186/s13049-018-0582-2
dc.identifier.urihttp://hdl.handle.net/2336/620863
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Downloaden_US
dc.description.abstractStudies 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. 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. 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). 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.en_US
dc.description.sponsorshipLandspitali University Hospital Research Funden_US
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.relation.urlhttps://link.springer.com/article/10.1186/s13049-018-0582-2en_US
dc.subjectMortalityen_US
dc.subjectOutcomeen_US
dc.subjectPenetratingen_US
dc.subjectStabbing injuryen_US
dc.subjectTraumaen_US
dc.subjectTreatmenten_US
dc.subjectStungusáren_US
dc.subjectDánarmeinen_US
dc.subjectBatahorfuren_US
dc.subject.meshWounds, Staben_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshFatal Outcomeen_US
dc.titlePenetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries.en_US
dc.typeArticleen_US
dc.contributor.department1 Department of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland. 2 Department of Anesthesiology and Critical Care, Yale New Haven Hospital, New Haven, CT, USA. 3 Department of Surgery, Haukeland University Hospital, Bergen, Norway. 4 Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 5 Department of Internal Medicine, Landspitali University Hospital, Reykjavik, Iceland. 6 Faculty of Medicine, University of Iceland, Reykjavik, Iceland. brynmog@landspitali.is. 7 Department of Emergency Medicine, Landspitali University Hospital, Reykjavik, Iceland. brynmog@landspitali.is.en_US
dc.identifier.journalScandinavian journal of trauma, resuscitation and emergency medicineen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodeEAM12
dc.departmentcodeTAS12
dc.source.journaltitleScandinavian journal of trauma, resuscitation and emergency medicine
refterms.dateFOA2019-04-05T13:58:06Z


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