Experience report of bladder injuries due to gunshot wounds in Syrian refugees

İnci, Melek; Karakuş, Ali; Rifaioğlu, Mehmet Murat; Yengil, Erhan; Atci, Nesrin; Akın, Ömer; Tuzcu, Kasım; Kıper, Ahmet; Demirbaş, Onur; Şahan, Mustafa

doi:10.5505/tjtes.2014.13693

Cited by 8 publications

(4 citation statements)

References 12 publications

(25 reference statements)

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“…In total, 38 publications met the inclusion criteria of this systematic review as shown in Figure 1 10–47. There was no other systematic review on this area of research found.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 30 papers which documented the site of injury, only three were not specific to the injured anatomical region, allowed subcategorisation according to the AIS regions and were not case studies 12 16 27. Eighteen papers were site specific 10 13 18–22 24–26 28 29 33 38 39 42 44 46. Four could not be categorised in relation to the AIS 14 31 43 45.…”

Section: Resultsmentioning

confidence: 99%

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Syrian Civil War: a systematic review of trauma casualty epidemiology

McIntyre¹

2020

BMJ Mil Health

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BackgroundThe Syrian Civil War has caused over 400 000 traumatic deaths. Understanding the nature of war casualties is crucial to deliver healthcare improvement. Historic regional conflicts and Syrian mortality data have been characterised by blast injuries. The aim of this novel review is to assess the trauma epidemiology of Syrian Civil War casualties from the perspective of healthcare facilities.MethodsThis review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Studies addressing Syria, trauma and war were investigated. Eligibility criteria included being conducted from a healthcare facility, published in English and peer reviewed. The outcomes were demography, mechanism of injury and anatomical injury site.Results38 papers satisfied the eligibility criteria. 13 842 casualties were reported across the entire data set. Casualties were 88.8% male (n=4035 of 4544). Children contributed to 16.1% of cases (n=398 of 2469). Mortality rate was 8.6% (n=412 of 4774). Gunshot wound was the most common mechanism of injury representing 66.3% (n=7825 of 11799). Head injury was the most common injured site at 26.6% (n=719 of 2701).ConclusionsThis conflict has a distinct trauma profile compared with regional modern wars. The prevalence of gunshot wounds represents a marked change in mechanism of injury. This may be related to higher mortality rate and proportion of head injuries identified. This review cannot correlate mechanism of injury, demographics or injuries sustained to outcomes. The quality of data from the included studies lacked standardisation; future research and consistent reporting tools are required to enable further analysis.

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“…In total, 38 publications met the inclusion criteria of this systematic review as shown in Figure 1 10–47. There was no other systematic review on this area of research found.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Syrian Civil War: a systematic review of trauma casualty epidemiology

McIntyre¹

2020

BMJ Mil Health

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“…Trauma is the first cause of mortality in young and healthy patients. [7][8][9][10] In literature review, individuals exposed to head trauma appear to be male under 40 years old. Men are 2-3 times more likely to suffer head trauma than women.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the necessity of whole body scan tomography in cases with head trauma

Yasaran

Karakuş

Kuvandık

et al. 2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: In our study, we have tried to find out how necessary whole-body computed tomography (WBCT) is to detect other body injuries that may accompany the patients, evaluating head trauma cases with WBCT. METHODS: In our study, we included 198 patients, who were referred to our hospital's emergency service after head trauma, had brain lesions detected in brain tomography (BT), had no additional examination findings and who underwent WBCT. In this retrospective study, patients' age, gender, type of lesion in brain CT, Glasgow Coma Scale (GCS) values and WBCT findings were examined. RESULTS: In this study, 85.4% of the patients were male and the average age was 25.7 years. The most common cranial CT findings were fracture, followed by parenchymal bleeding. 67% of the patients' GCS were below 8. Additional trauma was detected in 78 of the patients (39.4%). The most common additional lesion was the thoracic contusion. The mean age of the patients with cervical injuries determined in CT was significantly high (p<0.05). Statistical significance was determined between cranial fracture, foreign body incidence and thoracic injuries (p<0.05). The incidence of cervical injuries was significantly higher in patients with brain contusion detected in CT (p<0.05). Fracture frequency and presence of additional lesions in WBCT were significantly high (p<0.05). There was no correlation between other cranial lesions and additional injury areas (p>0.05). CONCLUSION: The number of studies evaluating WBCT is high in the literature. However, our study is important concerning that to our knowledge this study is the first study to evaluate the WBCT findings in the head trauma cases without the additional lesions on their bodies. WBCT scan should be recommended in patients whose clinical evaluation could not be completed. WBCT is an important diagnostic tool for the diagnosis of many pathologies, especially for intrathoracic lesions.

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“…[1][2][3][4] Firearms injuries are rarely seen in general, but the frequency increases in war, and they are often seen in young males. [5][6][7] When the injuries caused by the conflict in Syria are examined, which is taking place in our region, it can be seen that young males are the population often injured by bombs and shrapnel. Keller et al [8] in their study mentioned that 239 maxillofacial trauma patients who were assessed during the war were young men (99.2%).…”

Section: Discussionmentioning

confidence: 99%

Incidence, Etiology, and Patterns of Maxillofacial Traumas in Syrian patients in Hatay, Turkey: A 3 -Year Retrospective Study

Arlı¹

2018

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:This study aimed to assess the demographics, clinical features, and treatment costs of maxillofacial trauma cases referred to our hospital during the Syrian civil war. METHODS:The study included 80 cases of maxillofacial trauma. Patients with additional pathologies were excluded from the study. The patients were examined with respect to their demographics and clinical characteristics, Injury Severity Score (ISS), Glasgow Coma Score (GCS), treatments applied, costs, and outcomes. RESULTS:A total of 80 patients included 76 (95%) males and 4 (5%) females, with the mean age of 29.05±9.97 years (range, 13-56 years), and 72 (90%) of them were Syrians injured in the war. The most common mechanism of trauma was the firearms injury in 72 (90%) cases, and the most frequently seen lesion was the mandible fracture (n=48, 60%). The ISS of all the patients was <16, as a severe trauma score. The GCS value was 8-12 in 4 (5%) patients, and 15 in 76 (95%). The most common treatment applied were the reduction and fixation, and graft-flap following fracture (n=12, 15%). The mean duration of hospitalization was 15.27±13.0 days (range, 2-60 days). All patients were discharged from hospital. The mean cost per case was calculated as 5,581.55±56.3 Turkish Lira (range, 772-18,697 TL) or 1,251.24±14.2 US Dollars 192). There was a significant correlation between the costs and the length of hospitalization (p<0.001, r=+0.729) and trauma scores (p=0.004, r=−0.616). CONCLUSION:Firearms-injured young males with mandible fractures were the most common group of maxillofacial trauma cases seen during the Syrian war. The intensity of patients and the cost of the hospital stay have significantly increased because of the ongoing conflict in the neighboring country of Syria.

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Experience report of bladder injuries due to gunshot wounds in Syrian refugees

Cited by 8 publications

References 12 publications

Syrian Civil War: a systematic review of trauma casualty epidemiology

Syrian Civil War: a systematic review of trauma casualty epidemiology

Evaluation of the necessity of whole body scan tomography in cases with head trauma

Incidence, Etiology, and Patterns of Maxillofacial Traumas in Syrian patients in Hatay, Turkey: A 3 -Year Retrospective Study

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