Usefulness of routine computed tomography in the evaluation of penetrating war injuries to the chest

Darwish, Bassam; Mahfouz, Mohammad Z; Izzat, Mohammad Bashar

doi:10.1093/icvts/ivy152

Cited by 2 publications

(4 citation statements)

References 20 publications

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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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“…A significant number of lung injuries are also associated with trauma to other thoracic structures. 3,4 Different degrees of severity of pulmonary laceration and hernia are examples of trauma to the pulmonary parenchyma. 4,5 Injuries of the pleural space (pneumothorax and hemothorax) are frequently associated complications.…”

Section: Introductionmentioning

confidence: 99%

“…Rupture of the diaphragm, sternum fracture, sternoclavicular luxation, scapula fracturs and an unstable thorax are manifestations of contusive trauma to the thoracic wall. 3 Two-thirds of patients with multiple injuries have internal chest injuries and severe chest trauma is associated with polytrauma in 70 to 90% of cases. 1,6 The aim of the present study was to compare open and closed treatment for chest injuries according to mortality, hospitalization, trauma indices and physiological data.…”

Section: Introductionmentioning

confidence: 99%

Open and closed treatment of chest injuries: mortality, hospitalization, trauma indices and physiological data

Godoy¹,

Cury²,

Godoy³

et al. 2021

MOJBM

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Background: In more than half of cases of chest trauma, patients also have head injuries, abdominal injuries or polytrauma. Aim: The aim of the present study was to compare open and closed treatment for chest injuries according to mortality, hospitalization, trauma indices and physiological data. Method: Three hundred sixty-seven patients (293 males and 74 females) with an Anatomic Injury Scale (AIS) score of 2 or more for thoracic trauma were evaluated. The following aspects were evaluated associations between treatment (open and closed) for chest injury, discharge from hospital, hospitalization and death, Trauma indices Revised Trauma Score (RTS), Injury Severity Score (ISS) and TRISS, Blood pressure, diastolic pressure, respiratory rate and pulse. Results: No significant associations were found between the type of treatment (open or closed procedure) and discharge from hospital, hospitalization or death (p = 0.3).No significant associations were found between the type of treatment (open or closed procedure) and the trauma indices, blood pressure, pulse or respiratory rate.

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Usefulness of routine computed tomography in the evaluation of penetrating war injuries to the chest

Cited by 2 publications

References 20 publications

Syrian Civil War: a systematic review of trauma casualty epidemiology

Syrian Civil War: a systematic review of trauma casualty epidemiology

Open and closed treatment of chest injuries: mortality, hospitalization, trauma indices and physiological data

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