SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026
Pattern of blast injuries. A systematic review: Part 2 - Landmines, unexploded ordnance and terrorism.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. 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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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 · 2026Pooled it
- Emergency Care Needs in an Asymmetric Conflict: A Facility-Based Cohort Study From Israel on October 7, 2023.World journal of surgery · 2026Article
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Abstract
purposeThis systematic review analyzes the patterns and distribution of blast injuries from landmine explosions, UXOs and terror attacks including suicide bombing, in civilians and military personnel.
methodsA search was conducted in two databases on 26. March 2025 for observational studies reporting blast injuries in civilian and military populations of all ages. Studies were clustered by explosion typ. A narrative data synthesis was performed. The JBI tool for case series was used. PROSPERO: CRD42023391736.
results126 studies were included in the overall systematic review. 45 studies on terror & suicide bombings and 12 studies on landmines & UXOs are analyzed in the present paper. Studies on landmines from 1980 to 2006 included 13,270 individuals (age: 24.0 years (Range 8.2 years - 32.2 years); mainly male (88.9%)) in post-conflict low- and middle-income countries. Lower extremity injuries including amputations were most frequent, followed by eye injuries. Studies on terrorist attacks with a total of 12,518 mainly civilian victims (average age: 33,1 years; 61.6% males) reported on incidents in post-conflict regions and high-income cities mainly from the early 2000s. The injury pattern was multidimensional, with extremity injuries most frequent (28%-30%), including fractures, lacerations, and traumatic amputations (18%-20%).
conclusionThis Systematic Review Part 2 on landmines and terror attacks found that extremity injuries, including traumatic amputations, are the most frequent and dominate injury. However, the injury pattern varies depending on the explosion mechanism. Landmines primarily cause lower extremity injuries, as well as eye injuries. Terror and suicide explosions exhibit multidimensional injury pattern depending on the distance and location of the explosion.
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