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  1. The incidence and outcome of penetrating and blund trauma in Central Bosnia : the Noval Bila hospital for war wounded.

    Article - En anglais

    Objectives 

    Since February 1992, the civil war in the former Yugoslavia has left over 140,000 people dead.

    This study describes the injuries and outcome of patients treated at a provisional war hospital in Bosnia and compares mortality rates with war hospitals from prior armed conflicts.

    Design 

    This is a retrospective review of 1,703 trauma patients treated between March 1993 and October 1993 at the Nova Bila War Hospital.

    Results 

    In Bosnia, the overall mortality was 10.3% (5.0% dead on arrival and 5.3% inhospital deaths).

    Head injuries, seen in 19.2% of patients, had a mortality of 23.8%. The odds of sustaining a gunshot wound were 2.8 times greater in Bosnia than in Vietnam (p<0.05).

    The odds of sustaining a head injury were 1.1 to 1.6 times greater in Bosnia than in Lebanon and Afghanistan (p<0.05).

    The overall mortality odds in Bosnia were 3.1 times greater than in Vietnam (p<0.001), but were equal to those in Lebanon and Afghanistan.

    Conclusions 

    Despite limited personnel and supplies, the inhospital mortality rate was comparable with those found in other war hospitals.

    The Nova Bila Hospital represents a unique response to the great medical need brought about by the continued fighting in the former Yugoslavia.

    Mots-clés Pascal : Plaie pénétrante, Traumatisme, Homme, Pronostic, Mortalité, Morbidité, Etude comparative, Guerre, Bosnie Herzégovine, Europe, Epidémiologie, Yougoslavie

    Mots-clés Pascal anglais : Penetrating injury, Trauma, Human, Prognosis, Mortality, Morbidity, Comparative study, War, Bosnia Herzegovina, Europe, Epidemiology, Yugoslavia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0410057

    Code Inist : 002B16N. Création : 01/03/1996.