Evidence map›Paper›PMID 31249610›Full record

ArticleConflict and health2019

The blast wounded of Raqqa, Syria: observational results from an MSF-supported district hospital.

Jennifer OKeeffe, Larissa Vernier, Vanessa Cramond, Shazeer Majeed, Antonio Isidro Carrion Martin, Maartje Hoetjes, Mohana Amirtharajah

Abstract read
In one paragraph

Article in Conflict and health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jennifer OKeeffeMédecins Sans Frontières, Tal-Abyad, Syria.
Larissa VernierMédecins Sans Frontières, Tal-Abyad, Syria.
Vanessa CramondMédecins Sans Frontières, Tal-Abyad, Syria.
Shazeer MajeedMédecins Sans Frontières, Tal-Abyad, Syria.
Antonio Isidro Carrion Martin3Médecins sans Frontières, Lower Ground Floor, Chancery Exchange, 10 Furnival Street, London, EC4A 1AB UK.ORCID 0000-0002-8845-3447
Maartje Hoetjes2Médecins sans Frontières, Naritaweg 10, 1043 BX Amsterdam, the Netherlands.
Mohana Amirtharajah2Médecins sans Frontières, Naritaweg 10, 1043 BX Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn June 2017, the U.S.-backed Syrian Democratic Forces (SDF) launched a military operation to retake the city of Raqqa, Syria, from the so-called Islamic State. The city population incurred mass numbers of wounded. In the post-offensive period, the population returned to a city (Raqqa) contaminated with improvised explosive devices (IEDs) and explosive remnants of war (ERWs), resulting in a second wave of wounded patients. Médecins Sans Frontières (MSF) supported a hospital in Tal-Abyad (north of Raqqa) and scaled up operations in response to this crisis. We describe the cohort of blast-wounded cases admitted to this hospital in order help prepare future humanitarian responses.

methodsWe retrospectively extracted data from clinical charts in the MSF-supported hospital. We included all new admissions for blast-wounded patients with key data elements documented. We performed comparative analyses from the offensive period (June 6, 2017 to October 17, 2017) and the post-offensive period (October 18, 2017 to March 17, 2018).

resultsWe included 322 blast related injuries. There were more than twice the number of cases with blast injuries in the post-offensive period as the offensive period (225 vs. 97,

conclusionsIn the wake of the Raqqa offensive, the MSF-supported district hospital received an unpredicted second, larger and more complex wave of blast-wounded cases as the population returned to a city strewn with IEDs and ERWs. These findings indicate the high risk of traumatic injury to the population even after warring factions have vacated conflict zones. Medical humanitarian actors should be prepared for a continued and scaled up response in areas known to be highly contaminated with explosive ordnance.

Indexed as

BlastConflict settingsSurgerySyriaTraumaWound care

Identifiers

PMID31249610
PMCPMC6585105

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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.