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Terrorism-Related Injuries Versus Road Traffic Accident–Related Trauma: 5 Years of Experience in Israel

Published online by Cambridge University Press:  08 April 2013

Kobi Peleg ,
Bella Savitsky  and
Israeli Trauma Group
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Abstract

Background: Terrorism victims comprise the minority among trauma injured people, but this small population imposes a burden on the health care system. Thirty percent of the population injured in terrorist activities experienced severe trauma (injury severity score ≥16), more than half of them need a surgical procedure, and 25% of the population affected by terrorism had been admitted to intensive care. Furthermore, compared with patients with non–terrorism-related trauma, victims of terrorism often arrive in bulk, as part of a mass casualty event. This poses a sudden load on hospital resources and requires special organization and preparedness. The present study compared terrorism-related and road accident–related injuries and examined clinical characteristics of both groups of patients.

Methods: This study is a retrospective study of all patients injured through terrorist acts and road traffic accidents from September 29, 2000 to December 31, 2005, and recorded in the Israel Trauma Registry. Data on the nature of injuries, treatment, and outcome were obtained from the registry. Medical diagnoses were extracted from the registry and classified based on International Classification of Diseases coding. Diagnoses were grouped to body regions, based on the Barell Injury Diagnosis Matrix.

Results: The study includes 2197 patients with terrorism-related injuries and 30,176 patients injured in road traffic accidents. All in all, 27% of terrorism-related casualties suffered severe to critical injuries, comparing to 17% among road traffic accident–related victims. Glasgow Coma Scale scores ≤8, measured in the emergency department, were among 12.3% of terrorism victims, in contrast with 7.4% among people injured on the roads. The terrorism victims had a significantly higher rate of use of intensive care facilities (24.2% vs 12.4%). The overall inpatient death rate was 6.0% among terrorism victims and 2.4% among those injured in road traffic accidents.

Conclusions: Casualties from terrorist events are more severely injured and require more resources relative to casualties from road traffic accidents. (Disaster Med Public Health Preparedness. 2009;3:196–200)

Keywords

trauma injuriesterrorismroad traffic accidentmortalityintensive care unitmass casualty event
Type
Original Research and Critical Analysis
Information
Disaster Medicine and Public Health Preparedness , Volume 3 , Issue 4 , December 2009 , pp. 196 - 200
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2009

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References

REFERENCES

1.World Report on Road Traffic Injury Prevention. Geneva: World Health Organization; 2004.Google Scholar
2.Bogen, K, Jones, E. Risks of mortality and morbidity from worldwide terrorism: 1968–2004. Risk Anal. 2006;26:45–59.CrossRefGoogle ScholarPubMed
3.Noji E. Conventional Weapons Terrorism: Challenges for Preparedness and Response. Center for Health Transformation Web site. http://www.healthtransformation.net.Google Scholar
4.Bella, K. Ending in a crash. Isr Med Assoc J. 2005;7:41–42.Google Scholar
5.Victims of Palestinian Violence and Terrorism Since September 2000. Ministry of Foreign Affairs. http://www.mfa.gov.il/mfa.Google Scholar
6.Details of Security Forces and Israeli Civilians Killed. Israel Defense Forces Web site. http://dover.idf.il/IDF.Google Scholar
7.Police Report on Road Traffic Accidents, 2004. http://www.police.gov.il/statistica_umipui/statistica/xx012004abd_stat.asp.Google Scholar
8.Peleg, K, Aharonson-Daniel, L, Michael, M, et alPatterns of injury in hospitalized terrorist victims. Am J Emerg Med. 2003;21:258–262.CrossRefGoogle ScholarPubMed
9.Aharonson-Daniel, L, Waisman, Y, Dannon, YL, et alEpidemiology of terror-related versus non–terror-related traumatic injury in children. Pediatrics. 2003 112 e280.Google Scholar
10.Barell, V, Aharonson-Daniel, L, Fingerhut, LA, et alAn introduction to the Barell body region by nature of injury diagnosis matrix. Inj Prev. 2002;8:91–96.Google Scholar
11.Singer, A, Halperin, P, Kaspi, G, et alMedical lessons from terror attacks in Israel. J Emerg Med. 2007;32:87–92.Google Scholar
12.Peleg, K, Aharonson-Daniel, L, Stein, M, et alGunshot and explosion injuries: characteristics, outcomes, and implications for care of terror-related injuries in Israel. Ann Surg. 2004;239:311–318.Google Scholar
13.Einav, S, Aharonson-Daniel, L, Weissman, C, et alIn-hospital resource utilization during multiple casualty incidents. Ann Surg. 2006;243:533–540.Google Scholar
14.Feliciano, D, Moore, E, Mattox, K. Trauma, 3rd ed. Stamford, CT: Appleton & Lange; 1995.Google Scholar