Evidence map›Paper›PMID 39904535›Full record

ArticleBMJ military health2026

Qualitative assessment of combat-related injury patterns and injury prevention in Ukraine since the Russian invasion.

Lynn Lieberman Lawry, V Mani, T E Hamm, M Janvrin, L Juman, J Korona-Bailey, J Maddox, O Berezyuk, A J Schoenfeld, T P Koehlmoos

Abstract read
In one paragraph

Article in BMJ military health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  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
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  5. Histopathological Analysis of Adipose-Derived Mesenchymal Stem Cells and Their Osteogenic Derivatives in Promoting Bone Regeneration in a Model of Fracture Nonunion.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
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  11. 2024 international trauma care forum guest nation symposium: gunshot injuries.OTA international : the open access journal of orthopaedic trauma · 2025
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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

10 authors.

Lynn Lieberman LawryUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0001-8229-8768
V ManiUniformed Services University of the Health Sciences, Bethesda, Maryland, USA vivitha.mani.ctr@usuhs.edu.ORCID http://orcid.org/0000-0001-8827-5735
T E HammHenry M Jackson Foundation for the Advancement of Military Medicine Inc, Bethesda, Maryland, USA.
M JanvrinUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0002-3083-5581
L JumanUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
J Korona-BaileyUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0002-0314-5171
J MaddoxUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
O BerezyukLviv National Medical University, Lviv, Ukraine.
A J SchoenfeldBrigham and Women's Hospital, Boston, Massachusetts, USA.
T P KoehlmoosUniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe ongoing invasion of Ukraine by the Russian Federation represents one of the largest ongoing conventional military engagements in the last 20 years. Since the start of the war, an estimated 210 000 Ukrainian soldiers have been injured or killed as a result of combat. This experience could help prognosticate the nature of large-scale combat operations for modern militaries. The aim of this study was to assess current patterns of injuries among military combatants in Ukraine and identify prevention and mitigation methods.

methodsWe conducted a series of key informant interviews during the ongoing conflict using an expanded version of the global trauma system evaluation tool. We focused the analysis on injury patterns and prevention of combat-related injuries.

resultsWe interviewed 36 participants from June 2023 to February 2024. Respondents described complex polytrauma as representing the injury norm, with prominent battle injuries, including blast wounds to the extremities, traumatic brain injuries and spinal cord trauma. The primary source of injury prevention on the battlefield remains combat body armour. Military commanders and the Ministry of Defence were identified as principal bodies for the authorising equipment and tactical changes. Most respondents stated there was no formal process for using data to inform injury prevention initiatives.

conclusionThe current conflict in Ukraine is characterised by a high prevalence of devastating combat-related injury, with limited measures for battlefield injury prevention. We believe that the provision of additional protective gear could mitigate the severity of some combat-related injuries, while the creation of a trauma registry would provide greater insight into prevention, wounding patterns, treatment and outcomes.

Indexed as

Military PersonnelWar-Related InjuriesWounds and InjuriesAdultFemaleHumansMaleQualitative ResearchRussiaUkraineMilitary PersonnelQUALITATIVE RESEARCHTRAUMA MANAGEMENT

Identifiers

PMID39904535
PMCPMC13018771

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.