The trimodal death distribution of trauma victims : Military experience from the Lebanon War.
Mortality in war is traditionally divided into two categories : killed in action and died of wounds.
Mortality in civilian trauma is generally divided into three categories : immediate death (50%), early death (30%), and late death (20%). Can we identify a trimodal death distribution among war victims ?
We analyzed data for casualties in the Lebanon War from June 6 to September 20,1982.
During this period a total of 1,950 soldiers were injured ; 351 (18%) of them died.
Time of injury and time of death of the victims was determined from real-time recordings during the battle and from hospital files.
Analyzing the time of death revealed that 329 of the soldiers (93.7%) died within the first hour after injury, 7 soldiers died 1 to 4 hours after injury (2%), and 15 soldiers died 24 hours to 75 days after injury (4.3%). The most common causes of death during the first hour after injury were central nervous system (CNS) injuries 31%, exsanguination 30%, incineration 21%, and combined CNS injury and exsanguination 10.9%. Exsanguination was the leading cause of death 1 to 4 hours after the injury (86%). CNS injury was the most common cause of late death (60%). Only 1.1% of the soldiers who reached the hospital alive died of their wounds.
A trimodal mortality distribution with different causes of death in each peak can be identified in the mortality pattern of Israeli soldiers during the Lebanon War. (...)
Mots-clés Pascal : Mortalité, Etiologie, Traumatisme, Guerre, Militaire, Etude comparative, Evaluation, Pronostic, Homme, Liban, Asie
Mots-clés Pascal anglais : Mortality, Etiology, Trauma, War, Military, Comparative study, Evaluation, Prognosis, Human, Lebanon, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0136529
Code Inist : 002B30A11. Création : 21/05/1997.