Evidence map›Paper›PMID 34175970›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Injuries from civilian under-vehicle improvised explosive devices: an analysis of the Israeli National Trauma Registry during the years 2006-2020.

Asaf Miller, Danny Epstein, Adi Givon, Yaniv Steinfeld, Alexander Korin, Moran Bodas, Israeli Trauma Group, Ari Moshe Lipsky, Hany Bahouth

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% of its field
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 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pattern of blast injuries. A Systematic Review: Part 1-Improvised, multiple and unspecified explosive devices.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Article
  3. Article
  4. Review
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

9 authors at 3 institutions in 1 country.

Asaf Miller *Medical Intensive Care Unit, Rambam Health Care Campus, Haifa, Israel.
Danny Epstein *Critical Care Division, Rambam Health Care Campus, HaAliya HaShniya St. 8, 3109601, Haifa, Israel. danyep@gmail.com.ORCID http://orcid.org/0000-0001-7032-7007
Adi GivonIsrael National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Health Policy Research, Ramat Gan, Israel.
Yaniv SteinfeldOrthopedic Surgery Division, Hillel Yaffe Medical Center, Hadera, Israel.
Alexander KorinTrauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.
Moran BodasIsrael National Center for Trauma and Emergency Medicine, Gertner Institute for Epidemiology and Health Policy Research, Ramat Gan, Israel.
Israeli Trauma Group
Ari Moshe Lipsky *Department of Emergency Medicine, Rambam Health Care Campus, Haifa, Israel.
Hany Bahouth *Trauma and Emergency Surgery, Rambam Health Care Campus, Haifa, Israel.
Rambam Health Care Campus · ILHillel Yaffe Medical Center · ILIsrael National Institute for Health Policy Research · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUnder-vehicle explosions caused by improvised explosive devices (IED) came to the public's attention during armed conflicts. However, IEDs are also used by criminals in the civilian setting. This study aimed to determine the pattern of injury, medical management, and outcomes of civilians injured during under-vehicle explosions caused by IEDs.

methodsThis is a retrospective cohort study based on the Israeli National Trauma Registry of patients injured from under vehicle explosions caused by IEDs during 2006-2020. Injuries resulting from terror attacks and war were excluded. Descriptive statistics were used for data analysis.

resultsDuring the study period, 58 incidents were recorded, resulting in 74 patients who arrived alive to the hospitals and 17 who died on scene. Seventy-one (95.9%) were male with a median age of 32 years (IQR 24-42). 42% were severely injured (ISS ≥ 16). There was an average of 2.4 injured regions per patient, with extremity injuries being the most common (70.3%). Face (34%), abdomen (28%), and chest (22%) injuries were frequent. 45% were immediately transferred to the operating theatre, and 72% underwent at least one operation. Orthopedic surgeries were the most common interventions. 27 amputations were performed.

conclusionsInjuries caused by under-vehicle IEDs in civilian settings differ from those caused by IEDs used during military conflicts or acts of terrorism: they are associated with fewer victims per incident, more severe injuries, more truncal injuries, and more lower extremity injuries requiring amputations. This can be attributed to the lack of personal and vehicle protection, and the different explosive types.

Indexed as

Blast InjuriesExplosive AgentsMilitary PersonnelAdultFemaleHumansIsraelMaleRegistriesRetrospective StudiesYoung AdultExplosive AgentsBlast injuryCivilian traumaCrimeImprovised explosive deviceInterpersonal violence

Identifiers

PMID34175970
OpenAlexW3176666620

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.