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The pattern of the Syrian refugee’s injuries managed in King Abdullah University Hospital (Jordan)

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Objective

This study was conducted to assess the pattern, the magnitude, the severity, the distribution, and the results of the management of the injured Syrian refugees at King Abdullah University Hospital (KAUH).

Methods

The medical records of 90 consecutive injured Syrian patients admitted to KAUH at the beginning of the Syrian conflict in 2012–2013 were reviewed. Information regarding the age, the sex, the antomical regions, the organs injured, the operations performed, the complications, and the weapons used were recorded.

Results

Of the 90 cases, 86 (95.6%) were males and 4 (4.4%) were females. The age of patients ranged between 6 and 64 years with: 8 children (6–18) years old, 81 young adults (18–48) years old, and only 1elderly patient (64) years old. The distributions of the injuries were: 54.5% in extremities, 47.8% head and neck, 15.5% chest, and 14.4% abdomen with involvement of more than one injured region in several patients. The injuries were inflected by explosives in 49 cases, bullets in 45 cases, and both in 4 cases. The most frequently performed operations were: fractures fixations, fasciotomies, laparotomies, and craniotomies. Musculoskeletal and neurological deficits occurred in 11.1 and 8.8% of cases, respectively. The mortality rate was 2.2%. The average hospital stay was 19 days. The overall management costs were more than half million US Dollars.

Conclusions

Extremities and head and neck were the most injured regions. The referral from the forward centers and the procedures performed in our hospital improved the management outcomes. The management required long hospital stay and was costly.

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References

  1. Gosselin RA. War injuries, trauma, and disaster relief. Tech Orthop. 2005;20(2):97–108 (View Record in Scopus Full Text via CrossRef Citing articles (10)).

    Article  Google Scholar 

  2. Garfield RM, Neugut AI. Epidemiologic analysis of warfare. A historical review. JAMA. 1991; 266(5):688–92.

    Article  CAS  PubMed  Google Scholar 

  3. Medding DR. Civilians and war: a review and historical overview of the involvement of non-combatant populations in conflict situations. Med Confl Surv. 2001; 17(1):6–16.

    Article  Google Scholar 

  4. Atiyeh BS, Hayek SN. Management of war-related burn injuries: lessons learned from recent ongoing conflicts providing exceptional care in unusual places. J Craniofac Surg. 2010;21(5):1529–37. doi:10.1097/scs.obo13e3181f3ed9c

    Article  PubMed  Google Scholar 

  5. Aboutanos MB, Baker SP. Wartime civilian injuries: epidemiology and intervention strategies. J Trauma. 1997;43(4):719–26 (Review).

    Article  CAS  PubMed  Google Scholar 

  6. Smith JE. The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003–2009. Philos Trans R Soc Lond B Biol Sci. 2011; 366(1562):291–4. doi:10.1098/rstb.2010.0251.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Atiyeh BS, Gunn SW, Hayek SN. Military and civilian burn injuries during armed conflicts. Ann Burns Fire Disasters. 2007; 20(4):203–15.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Owens BD, Kragh JF Jr, Wenke JC, Macaitis J, Wade CE, Holcomb JB. Combat wounds in operation Iraqi freedom and operation enduring freedom. J Trauma. 2008;64(2):295–9. doi:10.1097/TA.obo.13e318163b875

    Article  PubMed  Google Scholar 

  9. Lind. William S. Understanding Fourth Generation Warfare. antiwar.com 15 Jan 2004.

  10. World Health Organization (WHO): Regional response to the crisis in the Syrian Arab Republic 2013: World Health Organization. Geneva: World Health Organization; 2013.

    Google Scholar 

  11. Murshidi MM, Hijjawi MQB, Jeriesat S, Eltom A. Syrian refugees and Jordan’s health sector. Lancet. 2013;382:206–7.

    Article  PubMed  Google Scholar 

  12. Murshidi MM. Syrian refugees constitute 20% of Jordan’s population. Am J Public Health. 2016; 106(5):e 18. doi:10.2105/AJPH.2016.303117.

    Article  Google Scholar 

  13. Hornez E, Ramiara P, Mocellin N, Bajard X, Legoudeveze S, Charpail C, Ollat D. Surgical management of Syria’s war causalities: experience from a French surgical team deployed in the Zaatari refugee camp (Jordan). Eur J Trauma Emerg Surg. 2015;41(2):143–7. doi:10.1007/s00068-014-0424-5 (Epub 2014 June 21).

    Article  CAS  PubMed  Google Scholar 

  14. Aras M, Atlas M, Yilmaz A, Seraslan Y, Yilmaz N, Yengil E, Urfali B. Being a neighbor to Syria: a retrospective analysis of patients brought to our clinic for cranial gunshot wounds in the Syrian civil war. Clin Neurol Neurosurg. 2014;125:222–8. doi:10.1016/j.clineuro.2014.08.019 (Epub 2014 Aug 20).

    Article  CAS  PubMed  Google Scholar 

  15. Champion HR, Holcomb JB, Young LA. Injuries from explosion: physics, biophysics, pathology, and required research focus. J Trauma 2009; 66(5):1468–77. doi:10.1097/TA.0b013e3181a27e7f (discussion 1477)

    Article  PubMed  Google Scholar 

  16. Rozen N, Dudkiewicz I. In: Lerner A, Soudary M, editors. Wound ballistics and tissue damage in armed conflict injuries to the extremities. Berlin Heidelberg: Springer;2011. pp. 21–33.

  17. Mathews ZR, Koyfman A. Blast injuries. J Emerg Med. 2015;49(4):573–87. doi:10.1016/j.jemermed.2015.03.013 (Epub 2015 June 10. Review).

    Article  PubMed  Google Scholar 

  18. Lakstein D, Blumenfeld A. Israeli army casualties in the second Palestinian uprising. Mil Med. 2005;170:427–30.

    Article  PubMed  Google Scholar 

  19. Hakimoglu S, Karcioglu M, Tuzcu K, Davarci I, Koyuncu O. Dikey I, Turhanoglu S, Sari A, Acipayam M, Karatepe C. [Assessment of the perioperative period in civilians injured in the Syrian Civil War]. Rev Bras Anestesiol. 2015;65(6):445–9. doi:10.1016/j.bjan.2014.03.003. (Epub 2014 Sep 30).

    Article  PubMed  Google Scholar 

  20. Carey ME. Analysis of wounds incurred by U.S. Army Seventh Corps personnel treated in Corps hospitals during Operation Desert Storm, February 20 to March 10, 1991. J Trauma. 1996;40(3 Suppl.):S165–9.

    Article  CAS  PubMed  Google Scholar 

  21. Ojo EO, Ozoilo KN, Sule AZ, Ugwu BT, Misauno MA, Ismaila BO, Peter SD, Adejumo AA. Abdominal injuries in communal crises: the Jos experience. J Emerg Trauma Shock. 2016;9(1):3–9. doi:10.4103/0974-2700.173867.

    Article  PubMed  PubMed Central  Google Scholar 

  22. VanRooyen MJ, Sloan EP, Radvany AE, Peric T, Kulis B, Tabak V. The incidence and outcome of penetrating and blunt trauma in central Bosnia: the Nova Bila Hospital for War Wounded. J Trauma. 1995;38(6):863–6.

    Article  CAS  PubMed  Google Scholar 

  23. Schoenfeld AJ, Dunn JC, Belmont PJ. Pelvic, spinal and extremity wounds among combat-specific personnel serving in Iraq and Afghanistan (2003–2011): a new paradigm in military musculoskeletal medicine. Injury. 2013;44(12):1866–70. doi:10.1016/j.injury.2013.08.001 (Epub 2013 Aug 11).

    Article  PubMed  Google Scholar 

  24. Marshall TJ. Combat casualty care: the Alpha Surgical Company experience during operation Iraqi Freedom. Mil Med. 2005;170(6):469–72.

    Article  PubMed  Google Scholar 

  25. Bartlett CS. Clinical update: gunshot wound ballistics. Clin Orthop Relat Res 2003; (408): 28–57.

  26. Deitch EA, Grimas WR. Experience with 112 shotgun wounds of extremities. J Trauma. 1984;24:600–3.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, King Abdullah University Hospital (KAUH), Jordan University of Science and Technology, JUST, P. O Box 30300, Irbid, 22110, Jordan

    G. R. Qasaimeh & M. G. Qasaimeh

  2. Department of Forensic Medicine - Faculty of Medicine, JUST, Irbid, Jordan

    A. M. Shotar & S. J. A. Alkhail

  3. Department of General Surgery, KAUH, JUST, Irbid, Jordan

    G. R. Qasaimeh

Authors
  1. G. R. Qasaimeh
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  2. A. M. Shotar
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  3. S. J. A. Alkhail
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  4. M. G. Qasaimeh
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Corresponding author

Correspondence to G. R. Qasaimeh.

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Conflict of interest

Dr. Ghazi R. Qasaimeh, Dr. Ali M. Shotar, Mrs. Sara J. Aba Alkhail, and Dr. Motaz G. Qasaimeh declare that they have no conflict of interest.

Compliance with ethical requirements

The study was performed according to the ethical requirements; this article does not contain any experiments with human or animal subjects performed by any of the authors.

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Qasaimeh, G.R., Shotar, A.M., Alkhail, S.J.A. et al. The pattern of the Syrian refugee’s injuries managed in King Abdullah University Hospital (Jordan). Eur J Trauma Emerg Surg 43, 587–594 (2017). https://doi.org/10.1007/s00068-017-0761-2

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  • DOI: https://doi.org/10.1007/s00068-017-0761-2

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