School of Medicine and Health Sciences, George Washington University, Washington, DC.
Division of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, Maryland; Uniformed Services University of Health Sciences, Bethesda, Maryland.
World Neurosurg. 2021 Feb;146:308-314.e3. doi: 10.1016/j.wneu.2020.11.093. Epub 2020 Nov 25.
Mass casualty incidents (MCIs) due to bombing-related terrorism remain an omnipresent threat to our global society. The aim of this study was to elucidate differences in blast injury patterns between military and civilian victims affected by terrorist bombings.
An analysis of the Global Terrorism Database (GTD) and a PubMed literature search of casualty reports of bombing attacks from 2010-2020 was performed (main key words: blast injuries/therapy, terrorism, military personnel) with key epidemiological and injury pattern data extracted and statistically analyzed.
Demographic analysis of casualties revealed that military casualties tend to be younger and predominantly male (P < 0.05) compared with civilians. Military casualties also reported higher amounts of head/neck injury (P < 0.01) compared with civilians. The proportion of instantaneous fatalities along with injuries affecting the thoracoabdominal and extremity regions remained approximately equal across both groups.
Though the increased number of head/neck injuries was unexpected, we also found that the number of nonlethal head injuries also increased, predicating that more military blast neurotrauma patients survived their injuries. These data can be used to increase blast MCI preparation and education throughout the international neurosurgical community.
爆炸相关的恐怖主义事件导致的大规模伤亡事件仍然是我们全球社会普遍存在的威胁。本研究旨在阐明受恐怖袭击爆炸影响的军人和平民受害者之间的爆炸伤模式差异。
对全球恐怖主义数据库（GTD）进行分析，并对 2010 年至 2020 年期间爆炸袭击的伤员报告进行 PubMed 文献检索（主要关键词：爆炸伤/治疗、恐怖主义、军人），提取关键的流行病学和损伤模式数据并进行统计分析。
对伤员的人口统计学分析表明，与平民相比，军人伤员往往更年轻，且以男性为主（P<0.05）。与平民相比，军人伤员报告的头/颈部损伤也更多（P<0.01）。两组的即时死亡率以及胸部、腹部和四肢受伤的比例大致相同。
尽管头部/颈部受伤的人数增加出乎意料，但我们还发现非致命性头部受伤的人数也增加了，这表明更多的爆炸伤军人神经创伤患者幸存下来。这些数据可用于提高国际神经外科学会的爆炸大规模伤亡事件准备和教育。
