Severe extremity amputations in surviving Palestinian civilians caused by explosives fired from drones during the Gaza War

Heszlein-Lossius, Hanne; Al-Borno, Yahya; Shaqoura, Samar; Skaik, Nashwa; Giil, Lasse Melvær; Gilbert, Mads

doi:10.1016/s0140-6736(18)30381-7

Cited by 2 publications

(1 citation statement)

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“…Six additional publications identified from the reference list of a previous systematic review and three grey literature publications also met our eligibility criteria. A total of 81 publications19–99 reporting on interventions delivered in 26 countries were ultimately included in our review (figure 2). Delivery characteristics of the included studies are provided in online supplementary appendix A.…”

Section: Resultsmentioning

confidence: 99%

Delivering trauma and rehabilitation interventions to women and children in conflict settings: a systematic review

et al. 2020

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BackgroundIn recent years, more than 120 million people each year have needed urgent humanitarian assistance and protection. Armed conflict has profoundly negative consequences in communities. Destruction of civilian infrastructure impacts access to basic health services and complicates widespread emergency responses. The number of conflicts occurring is increasing, lasting longer and affecting more people today than a decade ago. The number of children living in conflict zones has been steadily increasing since the year 2000, increasing the need for health services and resources. This review systematically synthesised the indexed and grey literature reporting on the delivery of trauma and rehabilitation interventions for conflict-affected populations.MethodsA systematic search of literature published from 1 January 1990 to 31 March 2018 was conducted across several databases. Eligible publications reported on women and children in low and middle-income countries. Included publications provided information on the delivery of interventions for trauma, sustained injuries or rehabilitation in conflict-affected populations.ResultsA total of 81 publications met the inclusion criteria, and were included in our review. Nearly all of the included publications were observational in nature, employing retrospective chart reviews of surgical procedures delivered in a hospital setting to conflict-affected individuals. The majority of publications reported injuries due to explosive devices and remnants of war. Injuries requiring orthopaedic/reconstructive surgeries were the most commonly reported interventions. Barriers to health services centred on the distance and availability from the site of injury to health facilities.ConclusionsTraumatic injuries require an array of medical and surgical interventions, and their effective treatment largely depends on prompt and timely management and referral, with appropriate rehabilitation services and post-treatment follow-up. Further work to evaluate intervention delivery in this domain is needed, particularly among children given their specialised needs, and in different population displacement contexts.PROSPERO registration numberCRD42019125221.

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Section: Resultsmentioning

confidence: 99%