ABS TRACT Ob jec ti ve: A num ber of pa ti ents with guns hot wo unds co me to Tur key be ca u se of the on go ing ci vil war in Syri a. In this study, pa ti ents who ad mit ted our hos pi tal, di ag no sed with vascu lar tra u ma du e to gun shot or shell frag ments in the ci vil war in Syri a we re eva lu a ted, and the fac tors as so ci a ted with mor ta lity we re iden ti fi ed. Ma te ri al and Met hods: The study inc lu ded 28 pati ents who ad mit ted our hos pi tal bet we en Ju ne 2012 and Oc to ber 2013. Re sults: The re we re 24 (85.7%) ma le and 4 (14.3%) fe ma le pa ti ents with a me an age of 28.05±6.28 ye ars. The me an ti me from tra u ma to ad mit tan ce was 16.32±15.21 ho urs (ran ge 4 to 48 ho urs). Fi ve (17.9%) pa ti ents we re in tu ba ted be fo re ad mis si on. Ni ne pa ti ents (32.1%) re ce i ved fas ci o tomy af ter ope ra ti on. Am pu ta ti on ra te was 7.1% in 2 pa ti ents. The in hos pi tal mor ta lity was se en in 4 (14.2%) pa ti ents. The most im por tant fac tor as so ci a ted with mor ta lity was pre sen ce of pre o pe ra ti ve shock and in tu ba ti on (p=0.001). Conc lu si on: Our study sho wed that pre o pe ra ti ve cli ni cal fin dings af fec ted the morta lity as so ci a ted with vas cu lar tra u ma. A cor rect ba sic me di cal in ter ven ti on wo uld help to furt her re du ce mor ta lity ra tes.