Thoracic trauma in Iraq and Afghanistan

Keneally, Ryan; Szpisjak, Dale F.

doi:10.1097/01586154-201305000-00016

Cited by 18 publications

(19 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, we report the rate of thoracic injury is 3.2% among civilian casualties in Aden city during war. In compare to these reported in the former wars; 5% in Arab-Israeli war, 1973 (Israel [9] ); 5% in Lebanon, 1982 [9] ; 8% and 12% in the Gulf war II, (1990 -1991) (USA [4] ), (France [10] ) and (United Kingdom [UK [8] ]) respectively; 8 % in Somalia: Mogadishu, 1992 (USA [9] ); 6.5% and10 % in Gulf war III, 2003 (UK [11] ) and (USA [4] ) respectively; 3.3% in Syria, since 2011 to the time of writing (Turkey [1] ). Our figure of incidence is low; this attributed to our study involved only civilians whereas their figures reflect both combatants and civilians injuries.…”

Section: Discussionmentioning

confidence: 90%

“…Our figure of incidence is low; this attributed to our study involved only civilians whereas their figures reflect both combatants and civilians injuries. In urban war, civilians comprise 50 -90 % of injured individuals during armed conflicts [1,4,6,9] . In our study, the civilian populations are vulnerable to thoracic trauma than combatants; this may be attributed to the civilians not protected by body armor as combatants.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

Salem

Bux

Hudeel

2020

Electron. J. Univ. Aden Basic Appl. Sci.

View full text Add to dashboard Cite

Thoracic injury during warfare was associated with a high incidence of morbidity and mortality. In wartime, civilians have became a direct target and accounted for one-half to two-thirds of the casualties. We aimed to highlight the incidence and pattern of thoracic injury and its outcomes management among civilians during the war in Aden. This retrospective study was based on the data were prospectively recorded in Medical Registry. There were 84 civilian casualties identified during the study period. Of those, 97.6% of casualties were males and 2.4% were females. The overall mean age was 30.8 ± 9.8 years (range: 10 – 65 years). Of those, 73.8% of casualties were produced by rifle bullets, while 26.2% of casualties were due to fragmentation weapons. Hemopneumothorax was the most common injury patterns. Abdomen injury was the most common associated injuries. Of those, 91.7% of casualties were treated with chest tube insertion alone. Thoracotomy was performed for 7.1% of casualties. The overall complications were 54.8%. Wound infection was the most frequent complications. The overall mortality rate was 3.6%. The overall mean hospital stay was 8.3 ± 5.9 days. We concluded that chest drain is best option for treatment the majority penetrating chest wounds.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

Salem

Bux

Hudeel

2020

Electron. J. Univ. Aden Basic Appl. Sci.

View full text Add to dashboard Cite

show abstract

“…In the combat setting, PC is likely to result from the passage of projectiles through the parenchyma of the lungs [12,17,18]. The biological plausibility for the present study is that PC results in localized endothelial damage which is a potential source of coagulation disturbances following acute injury.…”

Section: Introductionmentioning

confidence: 78%

“…While the literature is extensive on both pathologies, there is little regarding a relationship between them. A literature review for PC and coagulopathy revealed no directed studies in humans, though previous studies identified weak associations [15,18]. There was a relevant experiment conducted by Batchinsky et al, [2] that induced PC in swine to elucidate the mechanism by which it led to hypoxemia.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2015

ETS

View full text Add to dashboard Cite

Introduction: Trauma patients presenting with coagulopathy are four times more likely to die. After observing patients presenting with isolated severe Pulmonary Contusion (PC) on admission Chest X-ray (CXR) who were also coagulopathic, we hypothesized that patients with PC on admission CXR were more likely to be coagulopathic than other trauma patients. Methods:This was an IRB approved, single-center, retrospective cohort study of patients admitted over an 18 month period. Data were obtained from the trauma registry and medical records including demographics, laboratory values, injury severity scores, coagulation parameters and PC diagnostic modality. Patients on anticoagulants were excluded. The PC group consisted of patients diagnosed with PC by admission CXR. The control group were those patients without a PC or those diagnosed only by CT. Coagulopathy was defined as INR>1.4 or PTT>35 seconds. The PC group was further stratified into mild, moderate or severe PC. Data were analyzed with univariate analyses followed by development of a logistic regression model. Significance was set at p<0.05. Results:The PC group contained 189 subjects and controls 333. As expected ISS was higher in the PC group (25 vs 21) as was AIS chest (3 vs 1); both p<0.001. The prevalence of coagulopathy was also greater in PC (31% vs. 17%, p<0.001). After adjusting for ISS, PC patients were more likely to be coagulopathic (OR=1.76, 95% CI: 1.12-2.75) and had higher 24 hour (7% vs 3%, p=0.04) and overall mortality rates (15% vs 7%, p=0.006). The prevalence of coagulopathy increased with severity of pulmonary contusion in PC patients (Mild

show abstract

“…In the civilian setting, lung contusion most often results from motor vehicle crashes or falls and is reported to be the most common injury resulting from blunt thoracic trauma [14][15][16]. In the combat setting, PC is likely to result from the passage of projectiles through the parenchyma of the lungs [12,17,18]. The biological plausibility for the present study is that PC results in localized endothelial damage which is a potential source of coagulation disturbances following acute injury.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary Contusion on Admission Chest X-ray is Associated with Coagulopathy and Mortality in Trauma Patients

Wade¹

2015

ETS

View full text Add to dashboard Cite

Introduction: Trauma patients presenting with coagulopathy are four times more likely to die. After observing patients presenting with isolated severe Pulmonary Contusion (PC) on admission Chest X-ray (CXR) who were also coagulopathic, we hypothesized that patients with PC on admission CXR were more likely to be coagulopathic than other trauma patients. Methods: This was an IRB approved, single-center, retrospective cohort study of patients admitted over an 18 month period. Data were obtained from the trauma registry and medical records including demographics, laboratory values, injury severity scores, coagulation parameters and PC diagnostic modality. Patients on anticoagulants were excluded. The PC group consisted of patients diagnosed with PC by admission CXR. The control group were those patients without a PC or those diagnosed only by CT. Coagulopathy was defined as INR>1.4 or PTT>35 seconds. The PC group was further stratified into mild, moderate or severe PC. Data were analyzed with univariate analyses followed by development of a logistic regression model. Significance was set at p<0.05. Results: The PC group contained 189 subjects and controls 333. As expected ISS was higher in the PC group (25 vs 21) as was AIS chest (3 vs 1); both p<0.001. The prevalence of coagulopathy was also greater in PC (31% vs. 17%, p<0.001). After adjusting for ISS, PC patients were more likely to be coagulopathic (OR=1.76, 95% CI: 1.12-2.75) and had higher 24 hour (7% vs 3%, p=0.04) and overall mortality rates (15% vs 7%, p=0.006). The prevalence of coagulopathy increased with severity of pulmonary contusion in PC patients (Mild

show abstract

Thoracic trauma in Iraq and Afghanistan

Cited by 18 publications

References 11 publications

War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

Untitled

Pulmonary Contusion on Admission Chest X-ray is Associated with Coagulopathy and Mortality in Trauma Patients

Contact Info

Product

Resources

About