A 10-year retrospective study in Japan examined penetrating injuries, their characteristics, and long-term mortality trends among 313,643 patients. The findings showed that while in-hospital mortality rates decreased over the study period, the severity-adjusted mortality trend didn’t significantly improve. Stab wounds remained the primary cause of penetrating injuries. Notably, patients with active bleeding who underwent urgent transcatheter arterial embolization had significantly lower mortality risk. However, surgical procedures for haemostasis didn’t reduce mortality risk for patients with stab wounds and active bleeding. This study emphasizes the need for targeted trauma care strategies.
Journal Article by Nagao T, Toida C and Morimura N in BMJ Open
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