Evidence map›Paper›PMID 34218812›Full record

ArticleNeurological research and practice2021

Better be prepared: the spectrum of neuropsychiatric impairment among Libyan war victims transferred to Germany for trauma rehabilitation.

Felix Dootz, Otto-Magnus von Stackelberg, Joan Abaya, Christian Jacobi, Christoph Mohs, Eva Maria Craemer, Christoph Rangger, Uta Meyding-Lamadé, Eva Kathrin Lamadé

Open access · diamondAbstract read
In one paragraph

Article in Neurological research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Observational
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.

Felix DootzBG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen am Rhein, Germany.
Otto-Magnus von StackelbergDepartment of Neurology, Krankenhaus Nordwest, Frankfurt/Main, Germany.
Joan AbayaLudwig-Maximilians-Universität, Munich, Germany.
Christian JacobiDepartment of Neurology, Krankenhaus Nordwest, Frankfurt/Main, Germany.
Christoph MohsDepartment of Neurology, Krankenhaus Nordwest, Frankfurt/Main, Germany.
Eva Maria CraemerDepartment of Neurology, Krankenhaus Nordwest, Frankfurt/Main, Germany.
Christoph RanggerOrthopedics and Trauma Surgery, Optimum Orthopädie, Frankfurt/Main, Germany.
Uta Meyding-LamadéDepartment of Neurology, Krankenhaus Nordwest, Frankfurt/Main, Germany.
Eva Kathrin LamadéLudwig-Maximilians-Universität, Munich, Germany. eva.lamade@zi-mannheim.de.ORCID http://orcid.org/0000-0001-6687-0488
Krankenhaus Nordwest · DELudwig-Maximilians-Universität München · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current Libyan civil war has originated many casualties, imposing medical challenges. War injuries are complex, requiring specialized knowledge and interdisciplinary assessment for adequate patient and intercultural management.

methodsThis retrospective study analyzed records of 78 Libyan patients admitted from July 2016 to November 2017 to neurological and trauma surgical departments of Krankenhaus Nordwest, Frankfurt, Germany. Issues of system preparation of the hospital, demographics, injury patterns and therapies were analyzed. The chi-squared test was used to analyze differences in injury patterns in explosion and gunshot injuries.

resultsSeventy-seven of seventy-eight patients were male (mean age 30.6 years). The patients received primary and secondary treatment in Tunisia (n = 39), Libya (n = 36) and Turkey (n = 23). Forty-eight patients had gunshot injuries, 37 explosion injuries, 11 both. Preparation for management of injuries included hygienic and isolation protocols, organization of interpreters and intercultural training. Patients presented with a broad variety of neurological, psychiatric and trauma surgical injuries. Fifty-six patients had sensory, 47 motor deficits. Nine reported headache, 5 vertigo, 13 visual impairment, 28 psychiatric symptoms. Eighteen patients had central nervous damage, 50 peripheral nervous damage. Central nervous damage was significantly more common in gunshot than explosion injuries (p = 0.015). Peripheral nervous damage was more common in explosion than gunshot injuries (p < 0.1). Fifty-one patients had polytrauma and 49 suffered from fractures. Therapy included surgical interventions (n = 56) and physiotherapy. Structured rehabilitation programs were often indicated.

conclusionSpecialized knowledge about war injuries and their management including hospital preparation and planning regarding infrastructure may be required anytime. Injuries include a broad variety of neurological, psychiatric and trauma surgical injuries. Therefore, an interdisciplinary approach is crucial.

Indexed as

Injury patternsInterdisciplinaryNeurologyPsychiatryTrauma surgeryWar injuries

Identifiers

PMID34218812
PMCPMC8256548
OpenAlexW3179518394

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.