Civilian cerebral gunshot wounds in rural South African patients are associated with significantly higher mortality rates than in urban patients.
V Y KongJ L BruceB SartoriusG L LaingJ OdendaalP BrysiewiczDamian Luiz ClarkePublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2017)
Cerebral GSWs are highly lethal injuries associated with significant mortality. Rural patients have a significantly longer transfer time, lower GCS on arrival and higher mortality than urban patients. Efforts should be directed at improving the pre-hospital EMS system in order to reduce delay to definitive care so that patient outcome can be optimised.
Keyphrases
- end stage renal disease
- chronic kidney disease
- ejection fraction
- newly diagnosed
- prognostic factors
- healthcare
- peritoneal dialysis
- type diabetes
- squamous cell carcinoma
- south africa
- patient reported outcomes
- cardiovascular disease
- cardiovascular events
- quality improvement
- chronic pain
- blood brain barrier
- electronic health record
- drug induced