The role of ambulances in morbidity and mortality of gunshot injuries

The Effect of transport modality on high kinetic energy wounded victims' mortality and morbidity

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN49138604

Enrollment

100

Registered

2015-10-15

Start date

2015-09-01

Completion date

Unknown

Last updated

2017-11-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

High kinetic energy weapons (gunshots and mine explosions) victims Injury, Occupational Diseases, Poisoning High kinetic energy weapons (gunshots and mine explosions) victims

Interventions

All victims who have been transported to the hospital by whether ambulance or other vehicles will asked to take a survey which is about details of injury and demographics after their informed constant

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Injured with any kind of high kinetic energy weapon during a conflict 2. Victims whose pre-hospital and post-hospital data is available 3. Patients able to provide informed consent

Exclusion criteria

Exclusion criteria: 1. Patients injured by other means (e.g. car accidents, stab wounds) 2. Victims who died before being admitted to hospital

Design outcomes

Primary

Measure	Time frame
1. Transport vehicle type will be observed when the patient arrives at hospital and will be confirmed in the survey 2. Injury Severity Score (ISS) will be calculated after the patients have arrived at hospital 3. Short term complications and mortality will be determined throughout the patients' hospitalisation through use of patient notes 4. Long term morbidity and mortality will be determined through monitoring patients for 6 months after discharge from hospital, any mortality or morbidity that is related to the primary injury will be noted	—

Measure

Time frame

1. Transport vehicle type will be observed when the patient arrives at hospital and will be confirmed in the survey 2. Injury Severity Score (ISS) will be calculated after the patients have arrived at hospital 3. Short term complications and mortality will be determined throughout the patients' hospitalisation through use of patient notes 4. Long term morbidity and mortality will be determined through monitoring patients for 6 months after discharge from hospital, any mortality or morbidity that is related to the primary injury will be noted

—

Secondary

Measure	Time frame
1. Time period that passed until patient arrived at hospital will be calculated in minutes by subtracting the event time from the hospital arrival time 2. Patient demographic (age and gender) will be determined from the patient or relatives during survey after hospitalisation 3. Type of weapon that caused the injury will be determined from the patient or relatives during survey after hospitalisation 4. Types of treatment required will be derived from patient notes after hospitalisation. Patients are divided into the following subgroups: 4.1. Support therapy: Patients who have been given IV fluid and antibiotics only 4.2. Support plus Blood Transfusion: Transfusion number will be noted 4.3. Surgery therapy: Surgery modality will be noted	—

Measure

Time frame

1. Time period that passed until patient arrived at hospital will be calculated in minutes by subtracting the event time from the hospital arrival time 2. Patient demographic (age and gender) will be determined from the patient or relatives during survey after hospitalisation 3. Type of weapon that caused the injury will be determined from the patient or relatives during survey after hospitalisation 4. Types of treatment required will be derived from patient notes after hospitalisation. Patients are divided into the following subgroups: 4.1. Support therapy: Patients who have been given IV fluid and antibiotics only 4.2. Support plus Blood Transfusion: Transfusion number will be noted 4.3. Surgery therapy: Surgery modality will be noted

—

Countries

Turkey

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026