Characteristics of the injuries of Syrian refugees sustained during the civil war

Basit Öğe Kaydı
dc.contributor.authorSimsek, Betul Kocamer
dc.contributor.authorDokur, Mehmet
dc.contributor.authorUysal, Erdal
dc.contributor.authorCaliker, Necdet
dc.contributor.authorGokce, Oruc Numan
dc.contributor.authorDeniz, Ibrahim Kursat
dc.contributor.authorUgur, Murat
dc.date.accessioned2024-04-24T17:27:47Z
dc.date.available2024-04-24T17:27:47Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: During a war, many civilians are severely injured by firearms, bombs, and shrapnel. The triage of war injuries involves difficult and complicated processes requiring surgical procedures and patient monitoring in the Intensive Care Unit (ICU) of hospitals. In this study, we examine the demographic, traumatic, and critical care characteristics of cases injured during the civil war in Syria and requiring emergency surgery. METHODS: Electronic data of the traumatic, surgical, and ICU monitoring features of 707 patients admitted to Kilis Public Hospital between March 2012 and January 2013 were analyzed retrospectively RESULTS: Most of the patients reported having been injured due to firearms (83.75%). Of the 707 cases studied in this work, 93.2% was male. Male patients reported a mean age of 26.1 +/- 12.1 years, while pediatric cases reported a mean age of 11.7 +/- 3.41 years. The most frequently injured region of the body was the head-neck region (52.7%). The New Injury Severity Score (NISS) of the cases was 42.5 +/- 11.2 and their American Society of Anesthesiologists (ASA) score was 3.2 +/- 0.7. The number of cases with intraoperative exitus was 7, while the number of cases who had undergone damage control surgery was 204. The number of cases hospitalized in the ICU during the postoperative period was 233, and the average hospitalization duration in the ICU was 4.67 +/- 1.32 days. Among survivor patients, the first 24-hour invasive measurements (i.e., pH, hemoglobin, body temperature, and mean arterial blood pressure) and international normalized ratio were found to be high. The number of blood products used for surviving patients was fewer relative to that used for non-surviving patients, and these NISS of these patients was 29.7 +/- 10.1. The mortality rate of all patients followed up in the ICU after emergency surgery was 45%, and neurosurgical cases showed the lowest level of survival (24.1%). CONCLUSION: The results of this study indicated that head-neck, chest-abdomen, and multiple body injuries are the most widely seen among civilians brought to Turkey because of gunshot injuries sustained during the Civil War in Syria. The number of emergency operations performed in the study sample was high, and critical care follow-up durations were long. In addition, the NISS and ASA scores of mortal cases were fairly high.en_US
dc.identifier.doi10.5505/tjtes.2016.95525
dc.identifier.endpage206en_US
dc.identifier.issn1306-696X
dc.identifier.issue3en_US
dc.identifier.pmid28530772
dc.identifier.scopus2-s2.0-85019944904
dc.identifier.scopusqualityQ3
dc.identifier.startpage199en_US
dc.identifier.trdizinid263372
dc.identifier.urihttps://doi.org/10.5505/tjtes.2016.95525
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/263372
dc.identifier.urihttps://hdl.handle.net/11468/20190
dc.identifier.volume23en_US
dc.identifier.wosWOS:000403589400005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectInjury Characteristicsen_US
dc.subjectRefugeesen_US
dc.subjectSyria's Civil Waren_US
dc.titleCharacteristics of the injuries of Syrian refugees sustained during the civil waren_US
dc.titleCharacteristics of the injuries of Syrian refugees sustained during the civil war
dc.typeArticleen_US

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