Maxillofacial Injuries Related to the Syrian War in the Civilian Population
Maxillofacial Injuries Related to the Syrian War in the Civilian Population
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DOI：
10.1016/j.joms.2017.01.007
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发表时间：
2017-05-01
影响因子：
1.9
通讯作者：
Abu-Elnaaj, Imad
中科院分区：
文献类型：
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作者：
Bahouth, Hany;Ghantous, Yasmine;Abu-Elnaaj, Imad
目的：叙利亚受伤患者通常在受伤后立即被转移到当地医院和现场诊所。自2011年2月以来，已有2000多名叙利亚受伤患者被转移到以色列北部医疗中心接受治疗。本研究的目的是评估损伤的流行病学和一般性质，特别关注颌面（MF）损伤。 患者和方法：对 2012 年 12 月至 2015 年 12 月在以色列北部 2 个主要医疗中心接受治疗的所有叙利亚受伤患者的医疗档案进行了审查。根据受伤原因、解剖位置、入院时受伤严重程度评分 (ISS)、住院时间和重症监护室持续时间收集和分析计算机数据。 结果：研究队列包括 227 名患者（204 名男性 [90%]，23 名女性 [10%]；平均年龄，24.5 +/- 11 岁）。计算得出的 ISS 中位数为 20.6 +/- 13.9。从受伤到记录入院时间的平均间隔为 86.37 小时。 50 名患者有 MF 损伤（22%）。其中，45 名成人（44 名男性，6 名女性）。患者年龄从16岁到27.3岁不等。从受伤到入院的平均时间间隔为 24 小时，入院时的平均 ISS 为 24.5 +/- 12.7，显着高于总体 ISS（中位数，24.5 vs 16；P = .005）。结论：本研究中观察到的几个特征对治疗质量和成功有直接影响。这些特征包括从受伤到入院的延迟；缺乏防弹衣保护，包括头盔，这解释了 MF 伤害的高发生率；以及多处受伤。 (C) 2017年美国口腔颌面外科医师协会
Purpose: Injured Syrian patients are commonly transferred to local hospitals and field clinics immediately after being injured. Since February 2011, more than 2,000 injured Syrian patients have been transferred to and treated in northern Israeli medical centers. The aim of the present study was to evaluate the epidemiology and general nature of the injuries, with special attention to maxillofacial (MF) injuries.Patients and Methods: The medical files of all injured Syrian patients who were treated in 2 major medical centers in northern Israel from December 2012 through December 2015 were reviewed. Computerized data were collected and analyzed based on the cause of injury, anatomic location, Injury Severity Score (ISS) at admission, hospitalization duration, and duration in the intensive care unit.Results: The study cohort included 227 patients (204 male [90%], 23 female [10%]; mean age, 24.5 +/- 11 yr). The median calculated ISS was 20.6 +/- 13.9. The mean interval from injury to recorded admission time was 86.37 hours. Fifty patients had MF injuries (22%). Of these, 45 were adults (44 men, 6 women). Patients' age ranged from 16 to 27.3 years. The mean interval from injury to time of admission was 24 hours and the mean ISS on admission was 24.5 +/- 12.7, which was significantly higher than the overall ISS (median, 24.5 vs 16; P = .005).Conclusion: Several features observed in the present study had a direct effect on treatment quality and success. Those features included delay from injury to hospital admission; lack of body armor protection, including helmets, which explained the high prevalence of MF injuries; and the multiple sites of injury. (C) 2017 American Association of Oral and Maxillofacial Surgeons