Epidemiological characteristics of shock-producing injuries of chriminal nature in arctic zone of arkhangelsk region: descriptive study

INTRODUCTION. To specify organizational and therapeutic-tactical issues at the stages of treating shock-producing injuries of a criminal nature, it is necessary to take into account their epidemiological features in a particular sector of the country.

OBJECTIVE. Determine epidemiological features of shock-producing injuries of a criminal nature in the Arkhangelsk region.

MATERIALS AND METHODS. According to the criteria of the retrospective case reports, there was the analysis of accounting form of medical records in 31 patients with shock-producing injuries in a criminal situation and 109 patients – in a non-criminal one. Quantitative (presented by simple arithmetic mean with 95 % of confidence interval) and categorial variables (presented as a percentages) are used in a statistical analysis of the results obtained. Statistical software package STATA ver.12 was applied.

RESULTS. It was found that men of the most active working age get criminal shock-producing injuries in the vast majority of cases (approximately 90%) and 7 times more often, compared to women. About 60 % of the injured are unimployed. More than 50 % were in a state of intoxication. The highest risk of criminal shock-producing injuries occurred in summer and autumn, and the lowest one (about 15 %) – in winter. The peak of criminal shock-producing injuries accounted for Saturdays and Sundays (almost 40 %) as well as during the evening and night from 22.00 to 02.00 (about 45 %), and the lowest (about 10 %) number of cases (6,4 %) was stated on Monday and from 04.00 to 08.00 a.m.

DISCUSSION. The main burden in preventing shock-producing injuries of a criminal nature is not in the medical, but in the social and economic sphere: legislative and executive authorities, law enforcement, employment service, educational authorities and institutions, mass media. The specifics of the health system response to shock-producing injuries of a criminal nature will focus primarily on the pre-hospital stage.

CONCLUSION. The social-hygienic portrait of the injured with shock-producing trauma of a criminal nature is as follows: these are men of working age, more than half of them do not work, received a knife wound mainly in summer or autumn, usually on weekends, late in the evening or early in the night, more often indoors, the severity of the shock is mainly II degree.

marine medicine, Arctic territory, injury of a criminal nature, shock

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