Terror attacks increases the risk of vascular injuries
Objectives: Extensive literature exists about military trauma as opposed to the very limited literature regarding terror-related civilian trauma. However, terror-related vascular trauma (VT), as a unique type of injury, is yet to be addressed.Methods: A retrospective analysis of the Israeli National...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2014-05-01
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| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpubh.2014.00047/full |
| _version_ | 1819095404792250368 |
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| author | Eitan eHeldenberg Adi eGivon Daniel eSimon Arie eBass Gidon eAlmogy Kobi ePeleg Kobi ePeleg |
| author_facet | Eitan eHeldenberg Adi eGivon Daniel eSimon Arie eBass Gidon eAlmogy Kobi ePeleg Kobi ePeleg |
| author_sort | Eitan eHeldenberg |
| collection | DOAJ |
| description | Objectives: Extensive literature exists about military trauma as opposed to the very limited literature regarding terror-related civilian trauma. However, terror-related vascular trauma (VT), as a unique type of injury, is yet to be addressed.Methods: A retrospective analysis of the Israeli National Trauma Registry was performed. All patients in the registry from 09/2000 to 12/2005 were included. The subgroup of patients with documented vascular trauma (VT) (N=1,545) was analyzedand further subdivided into those suffering from Terror-related Vascular Trauma (TVT) and Non-Terror related Vascular Trauma (NTVT). Both groups were analyzed according to mechanism of trauma, type and severity of injury and treatment.Results: Out of 2,446 terror related trauma admissions 243 sustained TVT (9.9%) compared to 1302 VT patients from Non Terror trauma (1.1%). TVT injuries tend to be more complex and most patients were operated on. ICU admissions and hospitallength of stay was higher in the TVT group. Penetrating trauma was the prominent cause of injury among the TVT group. TVT group had a higher proportion of patients with severe injuries (ISS>16) and mortality. Thorax injuries were more frequent in the TVT group. Extremity injuries were the most prevalent vascular injuries in both groups; however NTVT group had more upper extremity injuries, while the TVT group had significantly more lower extremity injuries.Conclusion: Vascular injuries are remarkably more common among terror attack victims than among non-terror trauma victims and the injuries of terror casualties tend to be more complex. The presence of a vascular surgeon will ensure a comprehensive clinical care. |
| first_indexed | 2024-12-21T23:42:46Z |
| format | Article |
| id | doaj.art-7321807ae9694daf8c672af7245dfe4f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-21T23:42:46Z |
| publishDate | 2014-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-7321807ae9694daf8c672af7245dfe4f2022-12-21T18:46:11ZengFrontiers Media S.A.Frontiers in Public Health2296-25652014-05-01210.3389/fpubh.2014.0004797221Terror attacks increases the risk of vascular injuriesEitan eHeldenberg0Adi eGivon1Daniel eSimon2Arie eBass3Gidon eAlmogy4Kobi ePeleg5Kobi ePeleg6Assaf Harofeh Medical CenterThe Gertner Institute for Health Policy & EpidemiologySheba Medical Center, Sackler Faculty of Medicine, Tel Aviv UniversityAssaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv UniversityHebrew University, Hadassah Medical CenterSchool of Public Health, Tel Aviv UniversityThe Gertner Institute for Health Policy & EpidemiologyObjectives: Extensive literature exists about military trauma as opposed to the very limited literature regarding terror-related civilian trauma. However, terror-related vascular trauma (VT), as a unique type of injury, is yet to be addressed.Methods: A retrospective analysis of the Israeli National Trauma Registry was performed. All patients in the registry from 09/2000 to 12/2005 were included. The subgroup of patients with documented vascular trauma (VT) (N=1,545) was analyzedand further subdivided into those suffering from Terror-related Vascular Trauma (TVT) and Non-Terror related Vascular Trauma (NTVT). Both groups were analyzed according to mechanism of trauma, type and severity of injury and treatment.Results: Out of 2,446 terror related trauma admissions 243 sustained TVT (9.9%) compared to 1302 VT patients from Non Terror trauma (1.1%). TVT injuries tend to be more complex and most patients were operated on. ICU admissions and hospitallength of stay was higher in the TVT group. Penetrating trauma was the prominent cause of injury among the TVT group. TVT group had a higher proportion of patients with severe injuries (ISS>16) and mortality. Thorax injuries were more frequent in the TVT group. Extremity injuries were the most prevalent vascular injuries in both groups; however NTVT group had more upper extremity injuries, while the TVT group had significantly more lower extremity injuries.Conclusion: Vascular injuries are remarkably more common among terror attack victims than among non-terror trauma victims and the injuries of terror casualties tend to be more complex. The presence of a vascular surgeon will ensure a comprehensive clinical care.http://journal.frontiersin.org/Journal/10.3389/fpubh.2014.00047/fullblastTerror related traumaSuicide bombersGun Shot WoundsImprovised Explosive Device |
| spellingShingle | Eitan eHeldenberg Adi eGivon Daniel eSimon Arie eBass Gidon eAlmogy Kobi ePeleg Kobi ePeleg Terror attacks increases the risk of vascular injuries Frontiers in Public Health blast Terror related trauma Suicide bombers Gun Shot Wounds Improvised Explosive Device |
| title | Terror attacks increases the risk of vascular injuries |
| title_full | Terror attacks increases the risk of vascular injuries |
| title_fullStr | Terror attacks increases the risk of vascular injuries |
| title_full_unstemmed | Terror attacks increases the risk of vascular injuries |
| title_short | Terror attacks increases the risk of vascular injuries |
| title_sort | terror attacks increases the risk of vascular injuries |
| topic | blast Terror related trauma Suicide bombers Gun Shot Wounds Improvised Explosive Device |
| url | http://journal.frontiersin.org/Journal/10.3389/fpubh.2014.00047/full |
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