GUNSHOT INJURIES AS SEEN AT THE AGA KHAN HOSPITAL, NAIROBI, KENYA

Objective: To determine the prevalence, injury patterns, offender-victim characteristics,treatment and outcome of firearm-related injuries at the Aga Khan Hospital, Nairobi.Design: Retrospective descriptive study.Setting: The Aga Khan Hospital, a major private hospital in Nairobi.Subjects: One hundred and seven patients who presented at the Aga Khan Hospital Accidentand Emergency Department (January 1993- December 1998) with firearm injuries and weresubsequently hospitalised. There were 97 males and 10 females aged four to 94 years. Themean age was 39 years.Results: The peak incidence was in the 40-49 year age group. The male to female ratio was10:1. The victim offender was a thug, thief or robber in 74.7% of cases. Law enforcementofficers were responsible for 9.4% of the injuries. The Injury Severity Scores (ISS) rangedfrom one to 32 with mean score of 8.25. Injuries involving the extremities were the mostprevalent. There were 31 major operations performed. The complication rate was 35.5%. Six(6.5%) of these patients died.Conclusion: Gunshot injuries cause profound morbidity and significant mortality. A widerand larger study needs to be undertaken to elucidate the true nature of firearm injuries