Characteristics and survival of hospitalized combat casualties during two major conflicts between Israel and Hamas: 2023 versus 2014

Dublin Core

Title

Characteristics and survival of hospitalized combat casualties during two major conflicts between Israel and Hamas: 2023 versus 2014

Subject

In the complex landscape of modern warfare, understanding combat-related injuries leading to hospitalization is crucial for optimizing injury treatment. This study aims to compare combat casualty characteristics and outcomes during the major conflicts between Israel and Hamas in 2023 and 2014 as a basis for understanding the effectiveness of trauma care practices for wounded soldiers.

Description

Of the 1,198 study subjects, 67.8% belonged to the 2023 cohort and 32.2% to the 2014 cohort. The percentage of casualties with severe and critical injuries (Injury Severity Score [ISS] 16–75) was higher among the 2023 cohort (18.6% vs. 13.7%, p = 0.036), as was the percentage of casualties with multiple severe injuries (≥ 2 regions with Abbreviated Injury Score ≥ 3: 11.5% vs. 7.5%, p = 0.035) and firearm injuries (19.6% vs. 14.5%, p = 0.081). Injuries to the torso and extremities were more frequent among the 2023 cohort. Among the critically injured casualties (ISS 25–75), the mortality rates were 17.3% vs. 28.6%, respectively, for the 2023 and 2014 cohorts (p = 0.351); adjusted HR (95% CI): 0.56 (0.21–1.49). The 2023 cohort had higher rates for treatment in the trauma bay (61.5% vs. 47.9%, p < 0.001), ICU utilization (admission: 16.3% vs 11.7%, p = 0.036), surgical intervention (51.5% vs. 42.7%, p = 0.005), longer duration from arrival to surgery (median [interquartile range]: 4.6 (1.2–18.5) vs. 2.6 (1.1–10.1) hours, p = 0.037), and longer hospital stays (> 14 days: 15.5% vs. 8.8%, p < 0.001).

Creator

Abebe Tiruneh, Ari M. Lipsky, Gilad Twig, Adi Givon, Shachar Shapira, Sharon Goldman, Irina Radomislensky, Israel Trauma Group, Avi Benov & Eldad Katorza

Source

https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01149-w

Publisher

BMC Emergency Medicine

Date

18 december 2024

Contributor

Fajar bagus W

Format

PDF

Language

English

Type

Text

Files

Collection

Citation

Abebe Tiruneh, Ari M. Lipsky, Gilad Twig, Adi Givon, Shachar Shapira, Sharon Goldman, Irina Radomislensky, Israel Trauma Group, Avi Benov & Eldad Katorza , “Characteristics and survival of hospitalized combat casualties during two major conflicts between Israel and Hamas: 2023 versus 2014,” Repository Horizon University Indonesia, accessed June 15, 2025, https://repository.horizon.ac.id/items/show/9400.