• Kadir Çınar, Mehmet Seçer, Fatih Alagöz, Murat Ulutaş, Özhan Merzuk Uçkun, Ali Erdem Yıldırım, Ahmet Gürhan Gürçay, Yahya Güvenç, Haydar Çelik, and Fırat Narin.
• Department of Neurosurgery, Şehitkamil State Hospital, Gaziantep, Turkey.
• Ulus Travma Acil Cer. 2015 Jul 1; 21 (4): 291-6.

BackgroundCranial firearm injuries (CFAI) are associated with significant morbidity and mortality.This study was aimed to determine the factors affecting mortality of CFAI cases managed in our institution by a retrospective analysis of CT scans and clinical data.MethodsThis multicenter retrospective study examined two hundred and nineteen patients presenting to neurosurgery clinics after CFAI between January 2012 and November 2014. Age, sex, Glasgow Coma Score (GCS), CT findings, and mortality and morbidity rates of the patients were analyzed to determine the factors affecting mortality.ResultsMean age of the study population was 24.19±12.25 years, 85.8% of them were male. The most common CT findings were fracture (100%), intracranial hemorrhage (61.2%), and an intracranially located foreign body (44.3%). A cranial operation was performed in 64.8% of the victims. Mean GCS on admission was 8±3.9, which increased in survivors (p<0.05).ConclusionCFAIs are associated with increased mortality and morbidity. We determined that many factors affected morbidity and mortality rates, and patient age, presence of intracranial hemorrhage, GCS, and treatment protocols were significantly associated with mortality.

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