Better be prepared: the spectrum of neuropsychiatric impairment among Libyan war victims transferred to Germany for trauma rehabilitation
| Autor: | Christoph Mohs, Eva Maria Craemer, Otto-Magnus von Stackelberg, Christian Jacobi, Christoph Rangger, Joan Abaya, Uta Meyding-Lamadé, E. K. Lamadé, Felix Dootz |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Neurology medicine.medical_treatment Visual impairment Neurosciences. Biological psychiatry. Neuropsychiatry 03 medical and health sciences 0302 clinical medicine Interdisciplinary Medicine 030212 general & internal medicine War injuries RC346-429 Neuroradiology Psychiatry Rehabilitation business.industry Retrospective cohort study medicine.disease Polytrauma Trauma surgery Emergency medicine Neurosurgery Neurology. Diseases of the nervous system medicine.symptom business Injury patterns 030217 neurology & neurosurgery Research Article RC321-571 |
| Zdroj: | Neurological Research and Practice, Vol 3, Iss 1, Pp 1-9 (2021) Neurological Research and Practice |
| ISSN: | 2524-3489 |
| Popis: | Background The current Libyan civil war has originated many casualties, imposing medical challenges. War injuries are complex, requiring specialized knowledge and interdisciplinary assessment for adequate patient and intercultural management. Methods This retrospective study analyzed records of 78 Libyan patients admitted from July 2016 to November 2017 to neurological and trauma surgical departments of Krankenhaus Nordwest, Frankfurt, Germany. Issues of system preparation of the hospital, demographics, injury patterns and therapies were analyzed. The chi-squared test was used to analyze differences in injury patterns in explosion and gunshot injuries. Results Seventy-seven of seventy-eight patients were male (mean age 30.6 years). The patients received primary and secondary treatment in Tunisia (n = 39), Libya (n = 36) and Turkey (n = 23). Forty-eight patients had gunshot injuries, 37 explosion injuries, 11 both. Preparation for management of injuries included hygienic and isolation protocols, organization of interpreters and intercultural training. Patients presented with a broad variety of neurological, psychiatric and trauma surgical injuries. Fifty-six patients had sensory, 47 motor deficits. Nine reported headache, 5 vertigo, 13 visual impairment, 28 psychiatric symptoms. Eighteen patients had central nervous damage, 50 peripheral nervous damage. Central nervous damage was significantly more common in gunshot than explosion injuries (p = 0.015). Peripheral nervous damage was more common in explosion than gunshot injuries (p n = 56) and physiotherapy. Structured rehabilitation programs were often indicated. Conclusion Specialized knowledge about war injuries and their management including hospital preparation and planning regarding infrastructure may be required anytime. Injuries include a broad variety of neurological, psychiatric and trauma surgical injuries. Therefore, an interdisciplinary approach is crucial. |
| Databáze: | OpenAIRE |
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