Significant Pediatric Morbidity and Mortality from Intracranial Ballistic Injuries Caused by Nonpowder Gunshot Wounds

2009 ◽  
Vol 45 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Patrick J. O’Neill ◽  
Mary Foster Lumpkin ◽  
Benjamin Clapp ◽  
Tammy R. Kopelman ◽  
Marc R. Matthews ◽  
...  
Keyword(s):  
Gunshot Wounds ◽  
Morbidity And Mortality ◽  
Pediatric Morbidity

Perioperative Pediatric Morbidity and Mortality

2018 ◽  
pp. 258-262
Keyword(s):  
Adverse Event ◽  
Adverse Events ◽  
Large Study ◽  
Age Groups ◽  
Morbidity And Mortality ◽  
Different Ages ◽  
Pediatric Morbidity

This case focuses on complications during a child’s surgery by asking the question: What are the rates of perioperative adverse events among children of different ages? This was a large study that provided estimates of the rates for adverse perioperative events among children. The study used data from 29,220 anesthetics collected from 1982 to 1987 and analyzed the rate of perioperative adverse events for children in five age groups. Overall, approximately 40% of children experienced at least one perioperative adverse event. Over the 6 years of the study, there was a decrease in the rate of postoperative events. Despite the number of perioperative adverse events, there was little parental dissatisfaction with the anesthetic experience.

Is the Morbidity and Mortality of Gunshot Wounds Increased with Involvement of the Head and Neck?

2014 ◽  
Vol 117 (4) ◽  
pp. e299
Author(s):  
Kevin Wright ◽  
Din Lam ◽  
Michael Aboutanos ◽  
Stephanie Goldberg ◽  
Charlie Boxx
Keyword(s):  
Head And Neck ◽  
Gunshot Wounds ◽  
Morbidity And Mortality

scholarly journals COVID-19 Infection in Children: Estimating Pediatric Morbidity and Mortality

2020 ◽  
Author(s):  
Michelle Barton ◽  
Kayur Mehta ◽  
Kriti Kumar ◽  
Jielin Lu ◽  
Nicole Le Saux ◽  
...  
Keyword(s):  
Admission Rate ◽  
Morbidity And Mortality ◽  
True Incidence ◽  
Icu Admission ◽  
Admission Rates ◽  
Combining Data ◽  
Adults And Children ◽  
Government Websites ◽  
Age Range ◽  
Pediatric Morbidity

ABSTRACTBACKGROUNDEstimates of pediatric morbidity and mortality from COVID-19 are vital for planning optimal use of human and material resources throughout this pandemic.METHODSGovernment websites from countries with minimum 1000 cases in adults and children on April 13, 2020 were searched to find the number of cases confirmed in children, the age range, and the number leading to hospitalization, intensive care unit (ICU) admission or death. A systematic literature search was performed April 13, 2020 to find additional data from cases series.RESULTSData on pediatric cases were available from government websites for 23 of the 70 countries with minimum 1000 cases by April 13, 2020. Of 424 978 cases in these 23 countries, 8113 (1.9%) occurred in children. Nine publications provided data from 4251 cases in 4 additional countries. Combining data from the websites and the publications, 330 of 2361 cases required admission (14%). The ICU admission rate was 2.2 % of confirmed cases (44 of 2031) and 7.2% of admitted children (23 of 318). Death was reported for 15 cases.CONCLUSIONChildren accounted for 1.9% of confirmed cases. The true incidence of pediatric infection and disease will only be known once testing is expanded to individuals with less severe or no symptoms. Admission rates vary from 0.3 to 10% of confirmed cases (presumably varying with the threshold for testing) with about 7% of admitted children requiring ICU care. Death is rare in middle and high income countries.

Iron Packaging Regulations in the United States and Pediatric Morbidity: A Retrospective Cohort Study

2020 ◽  
Vol 59 (4-5) ◽  
pp. 375-379 ◽  
Author(s):  
James B. Leonard ◽  
Elizabeth Quaal Hines ◽  
Wendy Klein-Schwartz
Keyword(s):  
United States ◽  
Cohort Study ◽  
Confidence Interval ◽  
Retrospective Cohort Study ◽  
Odds Ratio ◽  
Retrospective Cohort ◽  
Early Time ◽  
The United States ◽  
Morbidity And Mortality ◽  
Pediatric Morbidity

Iron poisoning was a leading cause of pediatric morbidity and mortality. We sought to assess whether the removal of strict iron packaging requirements in 2003 resulted in an increase in iron-related morbidity and mortality in pediatric exposures. We performed a retrospective cohort study utilizing the National Poison Data System from 2000 to 2017. A total of 4110 exposures met inclusion criteria: 847 from before (2000-2003) and 3263 after removal of unit-dose package regulations (2004-2017). The incidence of any marker of severity (7.2% vs 3.8%; odds ratio = 0.51, 95% confidence interval = 0.37-0.69) and frequency of deferoxamine use were both higher in the early time period (2.6% vs 1.0%; odds ratio = 0.38, 95% confidence interval = 0.22-0.66). There was no difference in the frequency of key serious effects (acidosis, elevated transaminases, hypotension). Despite removal of iron packaging regulations in the United States, there continues to be a decrease in the incidence of severe iron exposures in children.

scholarly journals Intracranial Ricocheting of Bullet from Anterior Clinoid Process

2008 ◽  
Vol 47 (171) ◽  
Author(s):  
Amit Agrawal ◽  
A Pratap ◽  
RK Rauniar ◽  
A Kumar ◽  
U Nepal
Keyword(s):  
Gunshot Wounds ◽  
Morbidity And Mortality ◽  
Neurological Deficits ◽  
Occipital Region ◽  
Unique Case ◽  
Anterior Clinoid Process ◽  
X Ray ◽  
Left Behind

Gunshot wounds to the head are usually mortal injuries. We present a unique case of intracranial ricocheting of bullet without neurological deficits. Patient was treated conservatively with antibiotics for one week and prophylactic anticonvulsants for six weeks. Patient is doing well at six months follow up. Repeat X-ray skull showed that bullet was lying in the occipital region. It is recommended that deep seated bullets should be left behind as any attempt to remove that bullet may increase the morbidity and mortality. However close follow up of these patients is very important as these patients may come back with brain abscess.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):145-146.

Gunshot wounds and blast injuries to the face are associated with significant morbidity and mortality

2014 ◽  
Vol 76 (2) ◽  
pp. 347-352 ◽  
Author(s):  
Steven R. Shackford ◽  
Jessica E. Kahl ◽  
Richard Y. Calvo ◽  
Rosemary A. Kozar ◽  
Christine E. Haugen ◽  
...  
Keyword(s):  
Gunshot Wounds ◽  
Morbidity And Mortality ◽  
Blast Injuries ◽  
Significant Morbidity ◽  
The Face

Morbidity and Mortality of the Confederate Generals during the American Civil War

2007 ◽  
Vol 73 (8) ◽  
pp. 760-764
Author(s):  
Theodore J. Saclarides
Keyword(s):  
Civil War ◽  
Gunshot Wounds ◽  
Military Education ◽  
American Civil War ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Union Army ◽  
Age At Death

During the American Civil War (1861–1865), 426 men were commissioned generals by Jefferson Davis and the Confederate Congress. Eighty (19%) died of battle wounds (versus 8% in the Union army) and 3 per cent died of disease.1 During the war, 211 (49%) were wounded; of these, each was wounded a mean 1.9 times. When noncombatants are excluded, 52 per cent sustained wounds. Of those who served in five or more major engagements, 62 per cent were wounded; of those who fought in more than 10, 71 per cent sustained wounds. Sixty-five per cent of battlefield deaths were immediate and 85 per cent were from gunshot wounds. Mortality did not vary by state of birth, age group, rank (brigadier, major, lieutenant, full), formal military education, or prewar profession. Professional soldiers fared no better or worse than prewar civilians appointed to the rank of general. Of those who survived the war, mean age at death was 68.0 years.

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