Syria War, Outcomes and Management of Traumatic Brain Injury: A Comparative Analysis of Two Neighboring Populations
Ali Muhittin Taşdoğan, Ebru Tarıkçı Kılıç,
Hasan Kalyoncu Üniversitesi, Gaziantep, AnesteziyolojiSbü, Ümraniye Eğitim Ve Araştırma Hastanesi, Anesteziyoloji
Objective As a direct consequence of the ongoing civil war, Syrian patients with severe traumatic brain injury (TBI) have been receiving neurosurgical intervention in Turkey. The aim of this study was to analyze the outcomes of Syrian patients with serious TBI admitted alive in intensive care units (ICUs) and to compare their results with Turkish patients. Materials and Methods The study was approved by the Institutional Review Board, and written informed consent was obtained from patients families prior to participation. The study sample consisted of 42 Turkish and 44 Syrian TBI patients in ICUs in Gaziantep that hosts the most Syrian refugees. Medical records of Syrian patients were compared with those of Turkish patients in terms of age, gender, American Society of Anesthesiologist (ASA) scores, mechanism of injury, neurological status (Glasgow Coma Score) [GCS] on admission, surgical methods, postoperative complications and morbidity and mortality rates. Results 25% of Syrian patients were admitted to ICUs for gunshot wounds while 59.5% of Turkish patients were admitted to ICUs due to traffic accident traumas. During hospitalization, factors associated with mortality were low on admission (GCS
|