Penetrating Abdominal Injuries From the Battle of Mosul
- Conditions
- Penetrating Abdominal TraumaWar Injury
- Interventions
- Procedure: Exploratory laparotomy
- Registration Number
- NCT03490305
- Lead Sponsor
- Vrinnevi Hospital
- Brief Summary
The battle of Mosul was characterized by the use of improvised explosive devices, human shields and suicide bombers in an urban setting. It is unclear whether this type of warfare cause more extensive abdominal injuries to civilians than combatants. All patients admitted with penetrating abdominal injury subjected to an exploratory laparotomy at Emergency Hospital, Erbil, between October 17, 2016 and July 16, 2017 will be included. Differences in demographics, injury mechanism, time since injury, clinical status on arrival, intraoperative findings, postoperative complications and outcome will be studied.
- Detailed Description
Study Rationale The battle of Mosul was characterized by the use of improvised explosive devices, human shields and suicide bombers in an urban setting. It is unclear whether this type of warfare cause more extensive abdominal injuries to civilians than combatants. Understanding of the correlation between the severity of abdominal injuries, type of warfare and population affected is of importance when planning for surgical care in a conflict setting.
Aim To assess whether civilians obtain more extensive abdominal injuries than combatants in an urban battle characterized by the use of indiscriminate weapons.
Study Design An observational retrospective cohort study with longitudinal data collection.
All patients admitted with penetrating abdominal injury subjected to an exploratory laparotomy at Emergency Hospital, Erbil, between October 17, 2016 and July 16, 2017 will be included. Differences in demographics, injury mechanism, time since injury, clinical status on arrival, intraoperative findings, postoperative complications and outcome will be analysed.
Primary Objective Differences in injury mechanism, organs injured, surgical treatment given, postoperative complications and outcome between civilians and combatants.
Secondary Objectives Differences in surgical treatment given, postoperative complications and outcome between patients with prior surgical treatment of their injury and patients without prior surgical treatment.
Differences in surgical treatment given, postoperative complications and outcome between patients who receive surgical treatment less than 24 hours from injury and patients who receive surgical treatment more than 24 hours from injury will be analysed.
Statistical methods Differences between groups will be analysed using t-test and regression models.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 77
Not provided
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Combatants Exploratory laparotomy Men 16-50 years old or combatants by own admission. Civilians Exploratory laparotomy Children \<16 years, all women and men ≥50 years.
- Primary Outcome Measures
Name Time Method Differences in injury mechanism, organs injured, surgical treatment given, postoperative complications and outcome between civilians and combatants. an average of 3 weeks
- Secondary Outcome Measures
Name Time Method Differences in surgical treatment given, postoperative complications and outcome between patients with prior surgical treatment of their injury and patients without prior surgical treatment. an average of 3 weeks Differences in surgical treatment given, postoperative complications and outcome between patients who receive surgical treatment less than 24 hours from injury and patients who receive surgical treatment more than 24 hours from injury will be analysed. an average of 3 weeks
Trial Locations
- Locations (1)
Emergency Hospital
🇮🇶Erbil, Kurdistan, Iraq