title: [Epidemiology of gunshot wounds in the University Hospital "Dr. José Eleuterio González" of the Autonomous University of Nuevo León].
abstract: BACKGROUND
  The incidence of deaths and injuries associated with gunshot wounds deserves special attention, mainly because of its repercussions on hospital resources and the diagnosis and treatment protocols.
  
  
  OBJECTIVE
  To perform an analysis on the epidemiological factors associated with gunshot wounds.
  
  
  METHODS
  An analysis was made of multiple variables of all patients diagnosed with gunshot wounds during the period between 2005 and 2015.
  
  
  RESULTS
  A total of 605 cases were found, and an additional sub-group of 314 cases was obtained for a deeper analysis. The overall mortality rate was 7.9%. The main anatomical region was the abdomen, with 44%. A total of 324 laparotomies were performed, 124 incisions of the thoracic wall, and 72 vascular examinations. In the sub-group of 314 cases, a 16.9% and 42% of laparotomies and vascular examinations, respectably, were reported without evidence of injury to internal organs.
  
  
  CONCLUSIONS
  Morbidity and mortality increases when 2 or more wounds are present with multiple organ injuries, in patients with multiple transfusions, or in those transferred to the intensive care unit.
  
  
  CONCLUSIONS
  The incorporation of a physical evaluation format by all the departments involved is suggested for patients that are attended with gunshot wounds, in order to obtain more epidemiological information of these injuries for further studies.
authors.affiliation: Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México.
authors.forename: José
authors.initials: J
authors.lastname: Canseco Cavazos
authors.affiliation: Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México.
authors.forename: Jorge
authors.initials: J
authors.lastname: Palacios-Zertuche
authors.affiliation: Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México.
authors.forename: Francisco
authors.initials: F
authors.lastname: Reyna-Sepúlveda
authors.affiliation: Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México.
authors.forename: Neri
authors.initials: N
authors.lastname: Álvarez-Villalobos
authors.affiliation: Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México.
authors.forename: Louisiana
authors.initials: L
authors.lastname: Alatorre-López
authors.affiliation: Departamento de Cirugía General, Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, México. Electronic address: jcansecouanl@gmail.com.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Muñoz-Maldonado
mesh_terms: D000007:Abdominal Injuries / Q000453:epidemiology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001803:Blood Transfusion / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007813:Laparotomy / Q000706:statistics & numerical data; D008297:Male; D008499:Medical Records; D009104:Multiple Trauma / Q000453:epidemiology / Q000601:surgery; D012189:Retrospective Studies; D012621:Seasons; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D013898:Thoracic Injuries / Q000453:epidemiology / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000706:statistics & numerical data; D014656:Vascular Surgical Procedures / Q000706:statistics & numerical data; D014948:Wounds, Gunshot / Q000453:epidemiology* / Q000601:surgery; D055815:Young Adult
keywords: Arma de fuego; Epidemiology; Epidemiología; Gunshot; Heridas; Wound