Analysis of combat casualties admitted to the emergency department during the negotiation  of the comprehensive Colombian process of peace

Ordóñez, Carlos A.; Manzano, R. Villagrasa; Parra, Michael W.; Herrera, J.; Naranjo, María Paula; Badiel, Marisol; Morales, Mónica; Cevallos, Cecibel; Bayona, Juan Gabriel; Sánchez, Á.; Puyana, Juan Carlos

doi:10.25100/cm.v48i4.3389

Cited by 4 publications

(6 citation statements)

References 19 publications

(29 reference statements)

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“…In contrast, peaceful combat arenas during peace negotiation periods could have the opposite effect by allowing rapid evacuation to medical treatment facilities with the right capabilities to provide advanced life-saving surgical care. Consistent with previous descriptions (1,2), this research found that the number of anti-personnel landmine victims gradually decreased during the peace negotiations period. A recent single-center analysis of soldiers wounded in combat during the negotiation of the Colombian peace process found a considerable decline in emergency department admissions of hostile casualties during the peace negotiation period in the Colombian southwest (2).…”

Section: Discussionsupporting

confidence: 91%

“…Consistent with previous descriptions (1,2), this research found that the number of anti-personnel landmine victims gradually decreased during the peace negotiations period. A recent single-center analysis of soldiers wounded in combat during the negotiation of the Colombian peace process found a considerable decline in emergency department admissions of hostile casualties during the peace negotiation period in the Colombian southwest (2). Furthermore, they found that damage control surgery and resuscitation procedures also decreased during the same period.…”

Section: Discussionsupporting

confidence: 91%

“…After more than half a century of suffering the ravages of war, Colombian leaders and politicians decided to embark in a comprehensive process of peace negotiations with the left-wing guerrillas Fuerzas Armadas Revolucionarias de Colombia (FARC-EP), reaching a truce between both parties in November 2012 (1,2). The war in Colombia was one of the oldest low-intensity conflicts active in the twenty-first century (3).…”

Section: Introductionmentioning

confidence: 99%

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Mortality from anti-personnel mines before and during the Colombian peace process

Manzano-Núñez

Naranjo

Ariza

et al. 2020

Colomb. J. Anesthesiol.

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Introduction: Although the peace process in Colombia resulted in a significant reduction in the number of anti-personnel mines across the country, there are no reliable data on the effects of this phenomenon on outcomes for patients who were victims of these devices. Objective: The objective of this study was to assess mortality from landmine injuries before and during the Colombian peace process. Furthermore possible associations between peace negotiations and mortality were explored. Methods: For this study, we used the "Colombian Victims of Antipersonnel Mines Injuries registry" (MAP/MUSE database) data from 2002 to 2018. This registry was launched in 2001 by the government of Colombia with the aim of prospectively and systematically collect information on all the cases of anti-personnel mine injuries in the country. The period between 2002-2012 was classified as the pre-negotiation period (war period), and 2014-2018 as the peace negotiations period, with 2013 classified as a washout year. Multivariate logistic regression was used to explore the association between peace negotiations and mortality among anti-personnel landmine injured individuals. Results: A total of 10306 landmine injury cases were registered. Of these, 1180 (11.4%) occurred in the peace-negotiation period. Mortality was significantly lower during the period of peace negotiations. After adjusting for sex, age group, race, active duty soldier status, rural area, and geographic departments case volumes, the peace negotiation period was found to be associated with lower risk-adjusted odds of mortality after suffering a landmine injury (OR= 0.6, 95% CI, 0.5-0.7; p<0.001). Conclusion: Our findings suggest an association between the period of peace negotiation and a lower likelihood of mortality among victims of anti-personnel landmines.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mortality from anti-personnel mines before and during the Colombian peace process

Manzano-Núñez

Naranjo

Ariza

et al. 2020

Colomb. J. Anesthesiol.

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“…In our study, 37% of the patients had amputation of the dominant limb, which can significantly impact their quality of life. In this study, no laterality of the amputated limb predominated, which differs from other studies where amputation of the left upper limb predominates [8][9][10][11]. The most common anatomical level of amputation was the proximal third and distal third of the forearm.…”

Section: Discussioncontrasting

confidence: 85%

Descriptive Study of Patients With Upper Limb Amputation As Possible Candidates for a Hand Transplant in Medellín, Colombia

Cotes¹,

Rios²,

Sañudo³

et al. 2022

Cureus

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The amputation of the upper limb, especially of the hand, is a serious trauma with significant functional and psychological impact. Treatment options include adaptation to the stump, use of prostheses, and composite tissue transplantation. Unfortunately, in Colombia, to date, there are no epidemiological data that characterize the sociodemographic and clinical variables of patients with upper limb amputation. ResultsFrom a sample of 443 amputee patients, eight were selected that met the inclusion criteria. There were 7/8 men (87%) aged 43 years. A total of 75% came from rural areas. In 3/8 patients, there was amputation of the dominant limb. The most common mechanisms were shear trauma and crushing in the context of an occupational accident. A total of 50% had a complete extra-hospital amputation, and reimplantation was not attempted in any of the cases. The most frequent levels of amputation were the proximal and distal third of the forearm. The longest follow-up time was 12 months. Only two patients mentioned the possibility of using a prosthesis during rehabilitation. ConclusionsThree young patients were identified, without comorbidities, with amputation of the dominant limb in the context of an occupational accident and without the possibility of rehabilitation with prostheses who benefit from a possible future hand transplant. However, it is necessary to implement a composite tissue transplantation program and public health policies that allow this procedure to be performed in Colombia.

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“…Colombia sufrió, por décadas, un conflicto armado que dejó miles de víctimas, civiles y militares, y causó una crisis de seguridad de dimensiones catastróficas 1,2 . Durante los últimos 50 años del conflicto hubo aproximadamente 92.426 víctimas de acciones hostiles y, desde 1988, ocurrieron alrededor de 39.000 muertes debidas al conflicto armado 3 .…”

Section: Introductionunclassified

Disparidades por etnia en la mortalidad por minas antipersona: un análisis a nivel país

Rodríguez-Narváez¹,

Castillo²,

González³

et al. 2021

Rev Colomb Cir

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Introducción. El Registro Colombiano de Víctimas de Lesiones por Minas Antipersona fue lanzado por el gobierno de Colombia con el objetivo de recolectar información sobre los casos de heridos por minas antipersona en el país. El propósito de este estudio fue investigar las disparidades de mortalidad entre las víctimas de lesiones por minas antipersona, en función de la pertenencia a una minoría étnica. Métodos. Se hizo una regresión logística multivariable para examinar la asociación entre minorías étnicas y mortalidad en las personas heridas por minas antipersona. Resultados. Se registraron 10.306 casos de lesiones por minas antipersona, de los cuales 430 eran personas pertenecientes a grupos étnicos minoritarios (indígenas o afrodescendientes). De estos, 85 (19,7 %) eran mujeres, 156 (36,2 %) eran menores de 18 años y 427 (99,3%) vivían en áreas rurales. La mortalidad fue significativamente mayor (29,3 %) en comparación con la población mestiza (18,5 %; p < 0,001). Después de ajustar por sexo, edad, soldado en servicio activo, área rural y volumen de casos por departamento, encontramos que las minorías étnicas tenían mayores probabilidades de morir (OR = 2,03; IC95% 1,61- 2,56; p < 0,001). Discusión. Encontramos una asociación entre la pertenencia a una minoría étnica y una mayor probabilidad de mortalidad con lesiones causadas por minas antipersona. Estos hallazgos deberían alentar a los legisladores de las zonas rurales de Colombia a trabajar más diligentemente, para reducir las consecuencias nocivas de las lesiones causadas por estos artefactos en los grupos étnicos minoritarios.

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Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace

Cited by 4 publications

References 19 publications

Mortality from anti-personnel mines before and during the Colombian peace process

Mortality from anti-personnel mines before and during the Colombian peace process

Descriptive Study of Patients With Upper Limb Amputation As Possible Candidates for a Hand Transplant in Medellín, Colombia

Disparidades por etnia en la mortalidad por minas antipersona: un análisis a nivel país

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