电邮这篇文章 
Factors associated with severity and health damage of injuries caused by less-lethal weapons
- 作者: Barachevsky Y.E.1, Yasheva S.Y.1, Mordovsky E.A.1, Baranov A.V.2
-
隶属关系:
- Northern State Medical University
- Syktyvkar State Federal University named after Pitirim Sorokin
- 期: 编号 1 (2025)
- 页面: 26-34
- 栏目: Медицинские проблемы
- URL: https://journal-vniispk.ru/1995-4441/article/view/289464
- DOI: https://doi.org/10.25016/2541-7487-2025-0-1-26-34
- ID: 289464
如何引用文章
全文:
详细
Relevance. Less-lethal weapons (LLW) are used by civilians for self-defense with no intention to cause fatal injuries. With increased weapon ownership among civilians, firearms are more often used in interpersonal conflict settings causing higher incidence of firearm injuries. Therefore, identification of factors associated with severity of LLW-caused injuries is essential for optimized allocation of healthcare resources and efficient medical response.
The study objective is to determine the factors associated with severity of LLW-caused injuries in the Arctic zone of the Arkhangelsk region.
Methods. Medical records from 248 patients were selected for clinical and statistical analysis; all patients received treatment in hospitals of Arkhangelsk and Severodvinsk (Arctic zone of the Arkhangelsk Oblast) for LLW-caused injuries between 2005 and 2022. Factors affecting the injury severity were identified using ordinal logistic regression to estimate the risk of injury severity and predict treatment outcomes.
Results and discussion. Patients with multiple LLW wounds (³3) and severe gunshot wounds (according to the wound severity scale developed by the Battlefield Surgery Department of the Kirov Military Medical Academy) required longer hospital stay with a higher risk of severe health damage. Patients admitted in critical condition were characterized by longer treatment timespan and worse health outcomes compared to patients presented with severe injuries.
Conclusion. The study results can be used to predict health damage severity in LLW-caused injuries to facilitate the decision-making and allocation of resources for healthcare professionals.
作者简介
Yurij Barachevsky
Northern State Medical University
编辑信件的主要联系方式.
Email: barje1@yandex.ru
ORCID iD: 0000-0002-5299-4786
Dr Med. Sci. Prof., Head of the Department of Mobilization Preparation of Public Health and Disaster Medicine
俄罗斯联邦, 51, Troitsky Ave, Arkhangelsk, 163069Sofya Yasheva
Northern State Medical University
Email: yashevasofi@mail.ru
ORCID iD: 0000-0001-7918-3580
Lecturer of the Department of Mobilization Preparation of Public Health and Disaster Medicine
俄罗斯联邦, 51, Troitsky Ave, Arkhangelsk, 163069Edgar Mordovsky
Northern State Medical University
Email: isphamea@yandex.ru
ORCID iD: 0000-0002-2346-9763
Dr Med. Sci. Associate Prof., Head of the Department of Public Health, Health Care and Social Work
俄罗斯联邦, 51, Troitsky Ave, Arkhangelsk, 163069Aleksandr Baranov
Syktyvkar State Federal University named after Pitirim Sorokin
Email: baranov.av1985@mail.ru
ORCID iD: 0000-0002-3543-1738
Dr Med. Sci., Director of the Medical Institute
俄罗斯联邦, 55, Oktyabrsky Ave., Syktyvkar, 167001参考
- Bagnenko S.F., Polushin Yu.S., Miroshnichenko A.G. [et al.]. Organizatsiya raboty statsionarnogo otdeleniya skoroi meditsinskoi pomoshchi [Organizing the operation an inpatient emergency department]. Moscow. 2018. 64 p. (In Russ.)
- Bagnenko S.F., Petrikov S.S., Minnullin I.P. [et al.]. Skoraya meditsinskaya pomoshch [Emergency medical care]. Moscow. 2025. 1032 p. (In Russ.)
- Golovko K.P., Tyurin M.V., Madai D.Yu., Tolmachev I.A. Osobennosti lechebnoi taktiki pri raneniyakh iz neletal’nogo kineticheskogo oruzhiya chelyustno-litsevoi oblasti i golovnogo mozga [Particulars of therapeutic management of maxillofacial and brain injuries from non-lethal kinetic weapons] Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiyakh [Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2009; (2):27–31. (In Russ.)
- Grebnev D.G. Kharakteristika ognestrel’nykh ranenii iz travmaticheskogo oruzhiya, osobennosti diagnostiki i khirurgicheskogo lecheniya [Characteristics of gunshot wounds from traumatic weapons, diagnosis and surgical treatment]. St. Petersburg. 2011. 146 p. (In Russ.)
- Dvoryanov I.B. Metodika rassledovaniya nezakonnoi peredelki grazhdanskogo oruzhiya [Methods to investigate illegal diversion of civil arms]. Moscow. 2019. 245 p. (In Russ.)
- Mordovsky E.A., Solov’ev A.G., Sannikov A.L., Kovalev O.V. Svoevremennost’ obrashcheniya za meditsinskoi pomoshch’yu patsientov, gospitalizirovannykh s priznakami alkogol’nogo op’yaneniya [Timeliness of care seeking by patients admitted with signs of alcohol intoxication]. Sotsial’nye aspekty zdorov’ya naseleniya [Social aspects of population health]. 2017; 54(2). (In Russ.)
- Parfenov V.E., Samokhvalov I.M. Raneniya neletal’nym kineticheskim oruzhiem: rukovodstvo dlya vrachei [Wounds caused bynon-lethal kinetic weapons: doctor’s guidelines]. St. Petersburg. 2013. 222 p. (In Russ.)
- Samokhvalov I.M., Tyurin M.V., Kucherenko A.D. [et al.]. Raneniya grudi ognestrel’nym oruzhiem ogranichennogo porazheniya [Injury chest of restricted firearms]. Vestnik Natsional’nogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova [Bulletin of Pirogov national medical & surgical center]. 2016; 11(2):25–35. (In Russ.)
- Yasheva S.Yu., Barachevsky Yu.E., Baranov A.V. [et al.]. Klinicheskaya otsenka ranenii, nanesennykh s primeneniem ognestrel’nogo oruzhiya ogranichennogo porazheniya zhitelyam Arkticheskoi zony Arkhangel’skoi oblasti, 2006–2022 gg. [Clinical assessment of injuries inflicted with the use of firearms of limited destruction to residents of the Arctic zone of the Arkhangelsk region, 2006–2022]. Meditsina katastrof [Disaster medicine]. 2024; (2):49–54. doi: 10.33266/2070-1004-2024-2-49-54. (In Russ.)
- Haar R.J., Iacopino V., Ranadive N. [et al.]. Death, injury and disability from kinetic impact projectiles in crowd-control settings: a systematic review. BMJ Open. 2017; 7(12):1–9. doi: 10.1136/bmjopen-2017-018154.
- Köksal O., Ozdemir F., Bulut M., Aydin S. [et al.]. Comparison of trauma scoring systems for predicting mortality in firearm injuries. Ulus Travma Acil. Cerrahi. Derg. 2009; 15(6):559–564.
- Tobon M., Ledgerwood A.M., Lucas C.E. The urban injury severity score (UISS) better predicts mortality following penetrating gunshot wounds (GSW). Am. J. Surg. 2019; 217(3):573–576. doi: 10.1016/j.amjsurg.2018.09.013.
补充文件
