Evidence map›Paper›PMID 30813959›Full record

ArticleMilitary Medical Research2019

Description of trauma among French service members in the Department of Defense Trauma Registry: understanding the nature of trauma and the care provided.

Marc A Schweizer, Jud C Janak, Zsolt T Stockinger, Tristan Monchal

Erratum issuedAbstract read
In one paragraph

Article in Military Medical Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Torso hemorrhage: noncompressible? never say never.European journal of medical research · 2024
    Review
  3. Profile of injuries in recent warfare.The journal of trauma and acute care surgery · 2023
    Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Marc A SchweizerUnited States Department of Defense Joint Trauma System, Joint Base San Antonio Fort Sam Houston, Houston, TX, 78234, USA. marc.a.schweizer2.ctr@mail.mil.ORCID http://orcid.org/0000-0002-3459-6477
Jud C JanakUnited States Department of Defense Joint Trauma System, Joint Base San Antonio Fort Sam Houston, Houston, TX, 78234, USA.
Zsolt T StockingerNaval Medical Readiness Training Command Jacksonville, Jacksonville, FL, 32212, USA.
Tristan MonchalSainte Anne Military Hospital, 600-83800, Toulon Cedex 9, BP, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince 2001, the French Armed Forces have sustained many casualties during the Global War on Terror; however, even today, there is no French Military trauma registry. Some French service members (SMs) were treated in US Military Medical Treatment Facilities (MTFs) and were recorded in the US Department of Defense Trauma Registry (DoDTR). Our objective was to conduct a descriptive analysis of the injuries sustained by French SMs reported in the DoDTR and subsequent care provided to them to assist in understanding the importance of building a French Military trauma registry.

methodsUsing DoDTR data collected from 2001 to 2017, a retrospective descriptive analysis was conducted. We identified 59 French SMs treated in US MTFs. The characteristics of the SMs' demographics, injuries, care provided to them, and discharge outcomes were summarized.

resultsAmong the 59 French SMs identified, 46 (78%) sustained battle injuries (BIs) and 13 (22%) sustained nonbattle injuries (NBIs). There were 47 (80%) SMs injured in Afghanistan (Opération Pamir), while 12 (20%) were injured in Opération Chammal in Iraq and Syria. Explosives accounted for 52.5% of injuries, while 25.4% were due to gunshot wounds; all were BIs. The majority of reported injuries were penetrating (59.3%), most of which were BIs (71.7%). The mean Injury Severity Score for BIs was 12 (SD = 8.9) compared to 6 (SD = 1.7) for NBIs. Around half of SMs (n = 30; 51%) were injured in Afghanistan between the years 2008-2010. Among a total of 246 injuries sustained by 59 patients, extremities were the body part most prone to BIs followed by the head and face. Four SMs died after admission (6.8%).

conclusionsThe DoDTR provides extensive data on trauma injuries that can be used to inform injury prevention and clinical care. The majority of injuries sustained by French SMs were BIs, caused by explosives, and predominantly occurring to the extremities; these findings are similar to those of other studies conducted in combat zones. There is a need to establish a French Military trauma registry to improve the combat casualty care provided to French SMs, and its creation may benefit from the DoDTR model.

Indexed as

AdultAfghan Campaign 2001-FemaleFranceHumansIraq War, 2003-2011MaleMiddle AgedMilitary PersonnelRegistriesUnited StatesUnited States Department of DefenseWounds and InjuriesFrench service membersTrauma registryU.S. military treatment facility

Identifiers

PMID30813959
PMCPMC6391821

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.