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- Title
Neurotrauma in the Syrian War: analysis of 41,143 cases from July 2013-July 2015.
- Authors
Fatima, Nida; Mowafi, Hani; Hariri, Mahmoud; Alnahhas, Houssam; Al-Kassem, Anas; Saqqur, Maher
- Abstract
<bold>Introduction: </bold>Despite nearly a decade of conflict, little is known about trauma and injuries resulting from the Syrian war.<bold>Methods: </bold>Secondary analysis was conducted of an administrative dataset of patient presentations to a network of 95 war-affected hospitals in Syria from July 2013-July 2015. Logistic regression was performed to identify factors associated with mortality of neurotrauma patients.<bold>Results: </bold>Of 193,618 overall trauma presentations, 41,143 were for neurotrauma (37,410 head trauma, 1407 spinal trauma, and 3133 peripheral nervous system). There were 31,359 males (76.2%) and 9784 females (23.8%). Males aged 19-30 years (10,113; 24.6%) were the largest single demographic group. Presumed non-combatants including females, elders, and children under 13 years (16,214; 39.4%) were the largest group of patients overall. There were 16,881 (41.0%) presentations with blunt injuries (blunt/crush injuries) and 21,307 (51.8%) patients with penetrating injuries (shrapnel, cut, gunshot). A total of 36,589 patients (89.6%) were treated and discharged from the hospital, 2100 (5.1%) were transferred to another facility, 2050 patients (5.0%) died in-hospital, 26 remained in the hospital (0.1%), and 108 (0.3%) had unknown disposition. The median length of hospital stay was 1 day. There were 4034 (9.7%) neurosurgical procedures documented. Patients with combined neurotrauma and general trauma suffered 30 times higher mortality than neurotrauma alone (aOR: 30.4; 95% CI: 20.8-44.2, p < 0.0001).<bold>Conclusion: </bold>The Syrian War resulted in large volumes of neurotrauma patients. Presumed non-combatants comprised 39.4% of patients who survived to treatment at a facility. Further study is needed on long-term needs of neurotrauma victims of the Syrian war.
- Subjects
SYRIA; NERVOUS system injuries; CRUSH syndrome; BLUNT trauma; PENETRATING wounds; PERIPHERAL nervous system; HOSPITAL admission &; discharge; GUNSHOT wounds; LENGTH of stay in hospitals; RETROSPECTIVE studies; QUESTIONNAIRES; HEAD injuries
- Publication
Neurological Sciences, 2022, Vol 43, Issue 6, p3769
- ISSN
1590-1874
- Publication type
journal article
- DOI
10.1007/s10072-022-05878-3