Therapeutic Interventions and Outcomes in Civilian and Military Isolated Gunshot Wounds to the Head: A Department of Defense Trauma Registry and American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP)-matched Study
Authors' conclusion
Military patients are more likely to receive blood products, have intracranial pressure monitoring and undergo craniectomy or craniotomy than their civilian counterparts after isolated head gunshot wounds. Mortality is significantly lower in the military population.
Study context
- Population
- Patients with isolated gunshot wounds to the head, 2013 to 2016; excluding dead on arrival, civilian transfers, and major extracranial injuries (body area Abbreviated Injury Scale >3)cohort-matched
- Participants
- 136 vs 408
- Exposure
- Military vs civilian patients
- Militaryn = 136
- Civiliann = 408reference
- Outcome
- Mortality
Methodological detailspropensity score-matched 1:3, registry-based, Level III-therapeutic
- Propensity score-matched 1:3
- Registry-based
- Level III-therapeutic
Main finding
As reported in the abstract
P = 0.013
Observational data: associations, not effects.
Further findings
ICP monitoring
P < 0.001
Craniotomy or craniectomy
P < 0.001
| Outcome | P value |
|---|---|
| Blood product utilisationSignificantly higher in the military population | P < 0.001 |
Original publication
Therapeutic Interventions and Outcomes in Civilian and Military Isolated Gunshot Wounds to the Head: A Department of Defense Trauma Registry and ACS TQIP-matched Study. Ann Surg. Published 4 July 2022. doi:10.
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