Evidence map›Paper›PMID 40597642›Full record

ArticleBMC emergency medicine2025

The establishment of a clinical protocol for hostages returning from captivity.

Daniel Trotzky, Idit Segal, Ronit Koren, Orna Tal, Gal Pachys, Galina Goltzman, Karen Or, Margarita Alpro, Ronit Zaidenstein, Maayan Bachar and 7 more

Abstract read
In one paragraph

Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Daniel TrotzkyMedical Management, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. danieltro@tlvmc.gov.il.
Idit SegalMedical Management, Shamir Medical Center (formerly Assaf-Harofeh), Zerifin, 70300, Israel.
Ronit KorenFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Orna TalMedical Management, Shamir Medical Center (formerly Assaf-Harofeh), Zerifin, 70300, Israel.
Gal PachysDepartment of Emergency Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.
Galina GoltzmanFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Karen OrFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Margarita AlproFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ronit ZaidensteinFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Maayan BacharFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Baruch BerzonFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Roni Enten VissokerShamir Medical Center (formerly Assaf-Harofeh), Zerifin, Israel.
Inbar HartmannFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Miri AvrahamNursing Administration, Shamir Medical Center (formerly Assaf-Harofeh), Zerifin, Israel.
Vered ShinarDepartment of Social Work, Shamir Medical Center (formerly Assaf-Harofeh), Zerifin, Israel.
Ada AzarDepartment of Nutrition, Shamir Medical Center (formerly Assaf-Harofeh), Zerifin, Israel.
Osnat Levtzion KorachMedical Management, Shamir Medical Center (formerly Assaf-Harofeh), Zerifin, 70300, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs part of a hostage-prisoner exchange negotiation, 105 hostages were released to hospitals throughout Israel for treatment after being taken into captivity by Hamas to the Gaza Strip on October 7, 2023. The aim of this study is to describe the establishment of a clinical protocol for hostages returning from captivity.

methodThe process of the creation of procedures for implementation of and the clinical protocol itself is described.

resultsA total of 24 returning hostages arrived at Shamir Medical Center (SMC); all were foreign workers and all but one were from the same nationality. The majority group of 23 returning hostages from the same nationality received testing for Q-fever, Hepatitis B, and human immunodeficiency virus (HIV). Orthopedic, dermatological, and ear nose and throat (ENT) consultation, chest and limb X-rays, head and abdominal CT scans, and antibiotics were also utilized by the 23 returning hostages of the same nationality. The returning hostage from a different nationality of origin utilized consults with an ENT, underwent a hearing test, and tests for Q-fever, urine toxicology, Hepatitis B and HIV. Among the group of 23 hostages from the same nationality of origin, the mean percentage loss of body weight was 10%±10%. No correlation was found between age and change in weight (rho = -0.227; p = 0.350). In addition, 17.4% tested positive for Q fever, 30.4% tested positive for Hepatitis B and 13% tested positive for a sexually transmitted disease. They spent a mean of 5 ± 1 days hospitalized. The sole hostage of different nationality of origin lost 15% of his body weight, tested positive for Q fever and spent 3 days hospitalized. Consults with social workers and dietitians, translators and COVID-19 tests were used by all returning hostages.

conclusionIn this study, no significant correlation was found between age and change in weight among returning hostages. This novel clinical protocol was successfully utilized in real-time and may serve as a framework for the complex and sensitive clinical management of returning hostages, in case of need. CLINICAL TRIAL NUMBER: Not Applicable.

Indexed as

Clinical ProtocolsAdultCOVID-19FemaleHumansIsraelMaleMiddle AgedCaptivesCaptivityHostagePOWTerror attack

Identifiers

PMID40597642
PMCPMC12220378

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.