PECULIARITIES OF MILITARY INJURY ACCOMPANYING ACUBAROTRAUMA IN MILITARY SERVICES PARTICIPATING IN MILITARY ACTION

  • A.N. Galushka
  • Yu.V Podolyan
  • A.V. Shvets
  • O.O. Gorshkov
Keywords: acubarotrauma, mine-explosive injury (MEI), explosive trauma, blast injury, mild traumatic brain injury (MTBI), military personnel - participants in hostilities.

Abstract

As experience in the world shows, sensory and neural injuries due to acubarotrauma affect the quality of life of former combatants, and their medical and social care costs are considerable and often these injuries can lead to disability. However, apart from the quality of the profile component of acubaro-trauma at the II-IV Roles, the degree of detection of CNS damage in a mineexplosive trauma at the stage of a military-mobile hospital is important, which affects the quality of the further medicalevacuation process and the period of long-term consequences.
Purpose: To analyze the structure of mine and explosive injuries (MEI) with taking into account the cases of acuba-traumas received in the context of armed conflict during 2014-2018, to organize the concept and diagnostic definitions of acuba-trauma in the structure of the MEI.
Materials and methods. A retrospective statistical analysis of 1108 mine-injury cases during 2014-2018 at different levels of medical support was conducted: military-mobile hospital (490 cases, 2014-2018, II Role) and military-medical clinical center (520 cases, 2014- 2017, III-IV Role), which are additionally
analyzed according to a specially designed questionnaire “Evaluation of the prevalence of symptoms characteristic of
acubarotrauma”. Research methods - descriptive and analytical statistics.

Results. Mine-explosive trauma (MEI) in military mobile hospitals (MMH) was 60.1% of all cases of combat trauma, 11.2% of all admissions to surgical departments of the MMH. At
Role IV (MMCH), 52.1% were isolated MEI, 24.9% were multiple, 21.9% were combined MEI, corresponding percentages in MMH were 45.9% isolated, 16.1% were multiple and 31%
were combined with MEI. Mental and behavioral disorders were detected in 21% of MMCH admissions; in 16.5% neurological complications were determined. The proportion of cases of MEI, acubarotraumas that were followed by the definition of closed traumatic brain injury in both groups was 16 and 25%, respectively. Acubarotrauma caused by explosion in combat conditions, at the Role II of medical support, was designated as a component of mine and explosive injury in about 75% of cases (in isolated and
multiple trauma); at the Role IV - about 90%.
Conclusions. The results show that the quality of diagnostics in the case of diagnosed acubarotrauma is determined by belonging to the MEI, determination of MTBI and neurological manifestations, determination of ENT complications, and several times higher in the institution of the Role III-IV in comparison with the MMH. The level of determination of MTBI (16.1%, compared with MMCH 25%, p <0.05), and the degree of detail of neurological complications differs by an order of magnitude
(1.85% and 16.5%, respectively, p <0.001). This is associated with both high-level capabilities and a longer time after injury to determine the long-term effects of the injury

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Published
2019-09-11
How to Cite
Galushka, A., Podolyan, Y., Shvets, A., & Gorshkov, O. (2019). PECULIARITIES OF MILITARY INJURY ACCOMPANYING ACUBAROTRAUMA IN MILITARY SERVICES PARTICIPATING IN MILITARY ACTION. Ukrainian Journal of Military Medicine, 19(3), 56-66. Retrieved from https://ujmm.org.ua/index.php/journal/article/view/54