Skip to main content

Main menu

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
  • BMJ Journals

User menu

  • Login

Search

  • Advanced search
  • BMJ Journals
  • Login
  • Facebook
  • Twitter
TSACO

Advanced Search

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
Open Access

Outcomes in patients with gunshot wounds to the brain

Leigh Anna Robinson, Lauren M Turco, Bryce Robinson, Joshua G Corsa, Michael Mount, Amy V Hamrick, John Berne, Dalier R Mederos, Allison G McNickle, Paul J Chestovich, Jason Weinberger, Areg Grigorian, Jeffry Nahmias, Jane K Lee, Kevin L Chow, Erik J Olson, Jose L Pascual, Rachele Solomon, Danielle A Pigneri, Husayn A Ladhani, Joanne Fraifogl, Jeffrey Claridge, Terry Curry, Todd W Costantini, Manasnun Kongwibulwut, Haytham Kaafarani, Janika San Roman, Craig Schreiber, Anna Goldenberg-Sandau, Parker Hu, Patrick Bosarge, Rindi Uhlich, Nicole Lunardi, Farooq Usmani, Joseph Victor Sakran, Jessica M Babcock, Juan Carlos Quispe, Lawrence Lottenberg, Donna Cabral, Grace Chang, Jhoanna Gulmatico, Jonathan J Parks, Rishi Rattan, Jennifer Massetti, Onaona Gurney, Brandon Bruns, Alison A Smith, Chrissy Guidry, Matthew E Kutcher, Melissa S Logan, Michelle Y Kincaid, Chance Spalding, Matthew Noorbaksh, Frances H Philp, Benjamin Cragun, Robert D Winfield
DOI: 10.1136/tsaco-2019-000351 Published 17 November 2019
Leigh Anna Robinson
1 Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lauren M Turco
2 Emergency Medicine, Spectrum Health Butterworth Hospital, Grand Rapids, Michigan, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Lauren M Turco
Bryce Robinson
3 Department of Surgery, Harborview Medical Center, Seattle, Washington, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joshua G Corsa
3 Department of Surgery, Harborview Medical Center, Seattle, Washington, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael Mount
4 Division of Surgery, Spartanburg Regional Healthcare System, Spartanburg, South Carolina, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Amy V Hamrick
4 Division of Surgery, Spartanburg Regional Healthcare System, Spartanburg, South Carolina, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Berne
5 Division of Trauma and Critical Care, Broward Health, Fort Lauderdale, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dalier R Mederos
5 Division of Trauma and Critical Care, Broward Health, Fort Lauderdale, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Allison G McNickle
6 Department of Surgery, UNLV School of Medicine, Las Vegas, Nevada, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Allison G McNickle
Paul J Chestovich
6 Department of Surgery, UNLV School of Medicine, Las Vegas, Nevada, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jason Weinberger
7 Christiana Care Health System, Wilmington, Delaware, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Areg Grigorian
8 Department of Surgery, University of California Irvine School of Medicine, Irvine, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Areg Grigorian
Jeffry Nahmias
8 Department of Surgery, University of California Irvine School of Medicine, Irvine, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jane K Lee
9 Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kevin L Chow
9 Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Erik J Olson
10 Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jose L Pascual
10 Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rachele Solomon
11 Memorial Regional Hospital, Hollywood, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Danielle A Pigneri
11 Memorial Regional Hospital, Hollywood, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Husayn A Ladhani
12 Department of Surgery, Case Western Reserve University Hospital, Cleveland, Ohio, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joanne Fraifogl
12 Department of Surgery, Case Western Reserve University Hospital, Cleveland, Ohio, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeffrey Claridge
12 Department of Surgery, Case Western Reserve University Hospital, Cleveland, Ohio, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Terry Curry
13 Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, UC San Diego Health, San Diego, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Todd W Costantini
13 Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, UC San Diego Health, San Diego, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Manasnun Kongwibulwut
14 Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Haytham Kaafarani
14 Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Janika San Roman
15 Division of Trauma, Surgical Critical Care & Acute Care Surgery, Cooper University Hospital, Camden, New Jersey, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Craig Schreiber
15 Division of Trauma, Surgical Critical Care & Acute Care Surgery, Cooper University Hospital, Camden, New Jersey, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anna Goldenberg-Sandau
15 Division of Trauma, Surgical Critical Care & Acute Care Surgery, Cooper University Hospital, Camden, New Jersey, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Parker Hu
16 Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Parker Hu
Patrick Bosarge
16 Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rindi Uhlich
16 Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nicole Lunardi
17 Department of Surgery, The Johns Hopkins University, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Farooq Usmani
17 Department of Surgery, The Johns Hopkins University, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joseph Victor Sakran
17 Department of Surgery, The Johns Hopkins University, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jessica M Babcock
18 Department of Surgery, Loma Linda University, Loma Linda, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Juan Carlos Quispe
18 Department of Surgery, Loma Linda University, Loma Linda, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lawrence Lottenberg
19 St. Mary's Medical Center, Boca Raton, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Donna Cabral
19 St. Mary's Medical Center, Boca Raton, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Grace Chang
20 Department of Surgery, Mount Sinai Hospital, Chicago, Illinois, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jhoanna Gulmatico
20 Department of Surgery, Mount Sinai Hospital, Chicago, Illinois, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jonathan J Parks
21 Department of Surgery, University of Miami School of Medicine, Miami, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rishi Rattan
21 Department of Surgery, University of Miami School of Medicine, Miami, Florida, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jennifer Massetti
22 Department of Surgery, University of Maryland Medical System, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Onaona Gurney
22 Department of Surgery, University of Maryland Medical System, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brandon Bruns
22 Department of Surgery, University of Maryland Medical System, Baltimore, Maryland, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alison A Smith
23 Department of Surgery, Tulane Medical Center, New Orleans, Louisiana, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chrissy Guidry
23 Department of Surgery, Tulane Medical Center, New Orleans, Louisiana, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew E Kutcher
24 Department of Surgery, University of Mississippi, University Park, Mississippi, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Melissa S Logan
24 Department of Surgery, University of Mississippi, University Park, Mississippi, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michelle Y Kincaid
25 Trauma and Acute Care Surgery, Grant Medical Center, Columbus, Ohio, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chance Spalding
25 Trauma and Acute Care Surgery, Grant Medical Center, Columbus, Ohio, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew Noorbaksh
26 Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Frances H Philp
26 Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Frances H Philp
Benjamin Cragun
26 Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert D Winfield
1 Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

  • Table 1

    Patients contributed by participating institutions

    Trauma centerEligible patients
    University of Maryland100
    University Medical Center Las Vegas76
    University of Alabama72
    Johns Hopkins University60
    Tulane Medical Center60
    Harborview Medical Center52
    University of California-Irvine50
    St Mary’s Medical Center35
    MetroHealth35
    Cooper Health32
    University of Illinois-Chicago32
    Allegheny Health26
    Mount Sinai Hospital-Chicago24
    Jackson Memorial Hospital-Miami22
    University of Mississippi19
    Grant Medical Center18
    Christiana Healthcare System17
    Memorial Regional Hospital16
    Broward Health14
    University of Kansas14
    University of Pennsylvania13
    Loma Linda University11
    Mass General Hospital10
    University of California-San Diego10
    Spartanburg Medical Center7
  • Table 2

    Patient demographics

    TotalSurvivorsNon-survivors
    Age31 (23–46)32 (23–44)31 (23–46)
    Male gender723 (88)14/17 (82)709/808 (88)
    Race
     Black362 (44)9 (56)353 (47)
     White340 (41)5 (31)335 (45)
     Other123 (15)2 (13)57 (8)
    Injury Severity Score26 (25–41)25 (17–26)26 (25–75)
    Abbreviated Injury Scale-Head5 (5–6)5 (4–5)5 (5–6)
    Injury intent
     Assault355 (50)11 (65)344 (50)
     Suicide294 (41)6 (35)288 (42)
     Accident54 (8)054 (8)
     Legal intervention6 (1)06 (1)
  • Table 3

    Predictors of survival to hospital discharge

    PredictorSample sizeOR95% CIP value
    Signs of life at trauma center8248.302.32 to 52.910.001
    Receipt of tranexamic acid (TXA)7937.901.71 to 27.150.0001
    Transfer to level I/II trauma center7936.612.02 to 18.940.000
    Replacement of ≥1 hormone(s)8193.821.32 to 10.790.01
    Units of platelets8011.661.16 to 2.210.001
    Units of packed red blood cells8031.141.05 to 1.220.000
    Systolic blood pressure7451.021.01 to 1.030.000
    Injury Severity Score7690.550.23 to 0.760.01
    Abbreviated Injury Scale6090.480.28 to 0.870.01
  • Table 4

    Predictors of successful organ donation

    PredictorSample sizeOR95% CIP value
    Volume (L) of crystalloid4531.151.06 to 1.260.001
    Replacement of ≥1 hormone(s)45310.035.19 to 20.130.000
PreviousNext
Back to top
Email

Thank you for your interest in spreading the word on TSACO.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Outcomes in patients with gunshot wounds to the brain
(Your Name) has sent you a message from TSACO
(Your Name) thought you would like to see the TSACO web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Outcomes in patients with gunshot wounds to the brain
Leigh Anna Robinson, Lauren M Turco, Bryce Robinson, Joshua G Corsa, Michael Mount, Amy V Hamrick, John Berne, Dalier R Mederos, Allison G McNickle, Paul J Chestovich, Jason Weinberger, Areg Grigorian, Jeffry Nahmias, Jane K Lee, Kevin L Chow, Erik J Olson, Jose L Pascual, Rachele Solomon, Danielle A Pigneri, Husayn A Ladhani, Joanne Fraifogl, Jeffrey Claridge, Terry Curry, Todd W Costantini, Manasnun Kongwibulwut, Haytham Kaafarani, Janika San Roman, Craig Schreiber, Anna Goldenberg-Sandau, Parker Hu, Patrick Bosarge, Rindi Uhlich, Nicole Lunardi, Farooq Usmani, Joseph Victor Sakran, Jessica M Babcock, Juan Carlos Quispe, Lawrence Lottenberg, Donna Cabral, Grace Chang, Jhoanna Gulmatico, Jonathan J Parks, Rishi Rattan, Jennifer Massetti, Onaona Gurney, Brandon Bruns, Alison A Smith, Chrissy Guidry, Matthew E Kutcher, Melissa S Logan, Michelle Y Kincaid, Chance Spalding, Matthew Noorbaksh, Frances H Philp, Benjamin Cragun, Robert D Winfield
Trauma Surg Acute Care Open Nov 2019, 4 (1) e000351; DOI: 10.1136/tsaco-2019-000351

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Cite This
  • APA
  • Chicago
  • Endnote
  • MLA
Loading
Outcomes in patients with gunshot wounds to the brain
Leigh Anna Robinson, Lauren M Turco, Bryce Robinson, Joshua G Corsa, Michael Mount, Amy V Hamrick, John Berne, Dalier R Mederos, Allison G McNickle, Paul J Chestovich, Jason Weinberger, Areg Grigorian, Jeffry Nahmias, Jane K Lee, Kevin L Chow, Erik J Olson, Jose L Pascual, Rachele Solomon, Danielle A Pigneri, Husayn A Ladhani, Joanne Fraifogl, Jeffrey Claridge, Terry Curry, Todd W Costantini, Manasnun Kongwibulwut, Haytham Kaafarani, Janika San Roman, Craig Schreiber, Anna Goldenberg-Sandau, Parker Hu, Patrick Bosarge, Rindi Uhlich, Nicole Lunardi, Farooq Usmani, Joseph Victor Sakran, Jessica M Babcock, Juan Carlos Quispe, Lawrence Lottenberg, Donna Cabral, Grace Chang, Jhoanna Gulmatico, Jonathan J Parks, Rishi Rattan, Jennifer Massetti, Onaona Gurney, Brandon Bruns, Alison A Smith, Chrissy Guidry, Matthew E Kutcher, Melissa S Logan, Michelle Y Kincaid, Chance Spalding, Matthew Noorbaksh, Frances H Philp, Benjamin Cragun, Robert D Winfield
Trauma Surg Acute Care Open Nov 2019, 4 (1) e000351; DOI: 10.1136/tsaco-2019-000351
Download PDF

Share
Outcomes in patients with gunshot wounds to the brain
Leigh Anna Robinson, Lauren M Turco, Bryce Robinson, Joshua G Corsa, Michael Mount, Amy V Hamrick, John Berne, Dalier R Mederos, Allison G McNickle, Paul J Chestovich, Jason Weinberger, Areg Grigorian, Jeffry Nahmias, Jane K Lee, Kevin L Chow, Erik J Olson, Jose L Pascual, Rachele Solomon, Danielle A Pigneri, Husayn A Ladhani, Joanne Fraifogl, Jeffrey Claridge, Terry Curry, Todd W Costantini, Manasnun Kongwibulwut, Haytham Kaafarani, Janika San Roman, Craig Schreiber, Anna Goldenberg-Sandau, Parker Hu, Patrick Bosarge, Rindi Uhlich, Nicole Lunardi, Farooq Usmani, Joseph Victor Sakran, Jessica M Babcock, Juan Carlos Quispe, Lawrence Lottenberg, Donna Cabral, Grace Chang, Jhoanna Gulmatico, Jonathan J Parks, Rishi Rattan, Jennifer Massetti, Onaona Gurney, Brandon Bruns, Alison A Smith, Chrissy Guidry, Matthew E Kutcher, Melissa S Logan, Michelle Y Kincaid, Chance Spalding, Matthew Noorbaksh, Frances H Philp, Benjamin Cragun, Robert D Winfield
Trauma Surgery & Acute Care Open Nov 2019, 4 (1) e000351; DOI: 10.1136/tsaco-2019-000351
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Respond to this article
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Abstract
    • Background
    • Methods
    • Results
    • Discussion
    • Limitations
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Raising the bar on fibrinogen: a retrospective assessment of critical hypofibrinogenemia in severely injured trauma patients
  • Win or lose, nighttime transcystic laparoscopic common bile duct exploration is a win
  • Racial and ethnic variation in emergent surgical care and outcomes during the COVID-19 pandemic: post hoc analysis of an EAST MCT
Show more Original research

Similar Articles

 
 

CONTENT

  • Latest content
  • Archive
  • eLetters
  • Sign up for email alerts
  • RSS

JOURNAL

  • About the journal
  • Editorial board
  • Thank you to our reviewers
  • The American Association for the Surgery of Trauma

AUTHORS

  • Information for authors
  • Submit a paper
  • Track your article
  • Open Access at BMJ

HELP

  • Contact us
  • Reprints
  • Permissions
  • Advertising
  • Feedback form

©Copyright 2023 The American Association for the Surgery of Trauma