Syria civil war pediatric casualties treated at a single medical center

Naaman, Oriyan; Yulevich, Alon; Sweed, Yechiel

doi:10.1016/j.jpedsurg.2019.02.022

Cited by 18 publications

(20 citation statements)

References 11 publications

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“…CT scans must be the most preferred imaging modality for patients with complex and multisystemic injuries. 9 The majority of our study population was male and the mean age of the girls was similar. Most of patients are male and adolescent age group has more extreme injuries.…”

Section: Discussionmentioning

confidence: 88%

“…8 Since the outbreak of the war, approximately 500,000 Syrians have been killed, and more than 2 million have been injured. 9 According to the Office of the UN High Commissioner for Human Rights, 85.1% of the dead civilians were male, and 9.3% were female. No gender was specified in 5.6% of the medical records, and no age was specified for 83.8% of those who died.…”

Section: Introductionmentioning

confidence: 99%

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Innocent Children in the Syrian Civil War

Çelikkaya

Atıcı

et al. 2019

Eur J Pediatr Surg

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Introduction Our aim is to present the clinical and surgical characteristics of the children affected by the Syrian civil war. Materials and Methods Medical records were reviewed retrospectively for Syrian war victims between the ages of 0 and 18 who were brought to the emergency department of the Education and Research Hospital between March 2011 and March 2019. Each patient was evaluated with respect to demographic data (gender, age), type of injury, history of operations in Syria, injured organ(s), accompanying traumas and the mortality and trauma score. Results The majority of our study population of 147 patients were male (108/147, 73.46%), and 39 of the total were girls (26.53%). The mean age of the patients was 9 (7.5 ± 4). The mean age of the girls was 8.5 (range: 7 months to 16 years), and the mean age of the boys was 9.2 (4 months to 17 years). Seventeen patients who had abdominal surgery in Syria were operated on again after clinical and radiological observations. A total of 83 patients were operated on in Turkey. For 66 of those patients, the operation in Turkey was their first surgery on their war injuries. Seventeen patients were operated on in Syria but needed surgery again in Turkey. Conclusion War affects not only the battlefield, but also the neighboring countries in many aspects such as medical, social, and economic. Hollow organ injuries are the most common intraabdominal pathologies. Delayed intervention is associated with increase mortality and morbidity.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Innocent Children in the Syrian Civil War

Çelikkaya

Atıcı

et al. 2019

Eur J Pediatr Surg

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“…One study described that injury mechanism were most often penetrating injuries, followed by blunt trauma and blast injuries, caused by fragments, blasts, and gunshot wounds. Most common injuries were head trauma and lower extremities injuries ( 19 ). Setting up coordinated military-civilian retrieval of severe pediatric warzone trauma in the neighboring countries might improve outcomes ( 20 ).…”

Section: Traumamentioning

confidence: 99%

Update on the Coordinated Efforts of Looking After the Health Care Needs of Children and Young People Fleeing the Conflict Zone of Ukraine Presenting to European Emergency Departments—A Joint Statement of the European Society for Emergency Paediatrics and the European Academy of Paediatrics

et al. 2022

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This joint statement by the European Society for Emergency Paediatrics and European Academy of Paediatrics aims to highlight recommendations for dealing with refugee children and young people fleeing the Ukrainian war when presenting to emergency departments (EDs) across Europe. Children and young people might present, sometimes unaccompanied, with either ongoing complex health needs or illnesses, mental health issues, and injuries related to the war itself and the flight from it. Obstacles to providing urgent and emergency care include lack of clinical guidelines, language barriers, and lack of insight in previous medical history. Children with complex health needs are at high risk for complications and their continued access to specialist healthcare should be prioritized in resettlements programs. Ukraine has one of the lowest vaccination coverages in the Europe, and outbreaks of cholera, measles, diphtheria, poliomyelitis, and COVID-19 should be anticipated. In Ukraine, rates of multidrug resistant tuberculosis are high, making screening for this important. Urgent and emergency care facilities should also prepare for dealing with children with war-related injuries and mental health issues. Ukrainian refugee children and young people should be included in local educational systems and social activities at the earliest opportunity.

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“…With respect to anatomic injury patterns in blast-injured children, reports are highly variable 23 27 33–37. Injury patterns differ by age, with head injury reported to be more prevalent in infants (<3 years) in whom surface area and proportion of body weight are skewed towards the head.…”

Section: Injury Epidemiologymentioning

confidence: 99%

Strengthening the emergency health response to children wounded by explosive weapons in conflict

Wild

Reavley

Mayhew

et al. 2022

World Jnl Ped Surgery

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The 2022 war in Ukraine has highlighted the unacceptable consequences wrought on civilians and health infrastructure by conflict. Children are among the most vulnerable of those affected and constitute an increasing percentage of non-combatants injured in conflicts globally. A disproportionate number of these injuries are caused by blast mechanisms from munitions including ‘conventional’ landmines and indiscriminate explosive weapons such as barrel bombs and improvised explosive devices. In 21st century conflict, children are no longer only accidental casualties of war, but are increasingly targeted by parties through acts such as bombing of school buses and playgrounds, conscription as child soldiers, and use as human shields. In the present viewpoint article, we review the state of pediatric blast injury studies, synthesizing current understandings of injury epidemiology and identifying gaps in research to advance the field towards a concrete agenda to improve care for this vulnerable population.

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Syria civil war pediatric casualties treated at a single medical center

Cited by 18 publications

References 11 publications

Innocent Children in the Syrian Civil War

Innocent Children in the Syrian Civil War

Update on the Coordinated Efforts of Looking After the Health Care Needs of Children and Young People Fleeing the Conflict Zone of Ukraine Presenting to European Emergency Departments—A Joint Statement of the European Society for Emergency Paediatrics and the European Academy of Paediatrics

Strengthening the emergency health response to children wounded by explosive weapons in conflict

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