From the Department of Anesthesiology and Intensive Care (T.C., M.B., P.P.), Percy Military Teaching Hospital, Clamart; French Military Medical Service Academy (T.C., M.B., S.T., P.P.), École du Val-de-Grâce, Paris; Defense Health Department (S.D.), French Surgeon General Office, Arcueil; Military Medical Service Operational Center (K.B.); Paris Firefighters Brigade (S.T.), Paris; and French Special Operations Forces Medical Component Command (P.P.), Villacoublay, France.
J Trauma Acute Care Surg. 2023 Aug 1;95(2S Suppl 1):S79-S87. doi: 10.1097/TA.0000000000004034. Epub 2023 May 9.
The epidemiology of French military severe trauma patients injured during recent military operations remains poorly described, even if French operations, casualties sustained, and care rendered in a different trauma system are distinct from others. This study aimed at describing the characteristics of these patients upon arrival at hospital in France and during hospital stay.
This 5-year retrospective cohort study included all French military servicemen injured during military operations and admitted to the intensive care unit. Data on the characteristics upon arrival at the Percy hospital in France and during hospital stay were obtained from a national civilian trauma registry.
Of 1,990 military trauma patients injured in military operations, 39 were finally admitted to the intensive care unit of the Percy hospital and included in the analysis. Traumas were related to battle injuries and nonbattle injuries in 27 and 12 patients, respectively. Ninety-eight wounds were described: torso (n = 32), limbs (n = 32), head and neck (n = 25), and spine (n = 9). The mechanism of injury was explosion in 19 patients, gunshot wound in 8 patients, motor vehicular crash in 7 patients, or other mechanisms in 5 patients. The median Injury Severity Score was 25.5 (interquartile range, 14-34).
This study highlights the small number of military severe trauma patients injured in recent warfare and their characteristics. The use of dedicated systemic military trauma registries could improve the specific epidemiological knowledge on recent warfare and help better prepare for future conflicts that may include major engagements and large-scale combat operations.
Prognostic and Epidemiological; Level V.
最近军事行动中法国军事重伤患者的流行病学情况仍描述不足，即使法国的行动、伤亡情况和提供的治疗与其他国家不同，其创伤系统也有很大的区别。本研究旨在描述这些患者抵达法国医院时和住院期间的特征。
这是一项回顾性的 5 年队列研究，纳入了所有在军事行动中受伤并被送往法国重症监护室的法国军事人员。从一个国家性民用创伤登记处获得了关于抵达法国 Percy 医院时和住院期间的特征的数据。
在 1990 名在军事行动中受伤的军事创伤患者中，最终有 39 名被送往 Percy 医院的重症监护室并纳入分析。创伤与战斗伤和非战斗伤有关，分别为 27 例和 12 例。描述了 98 处伤口：躯干（n = 32）、四肢（n = 32）、头颈部（n = 25）和脊柱（n = 9）。损伤机制为 19 例爆炸伤、8 例枪伤、7 例机动车事故伤或 5 例其他机制伤。损伤严重程度评分中位数为 25.5（四分位距 14-34）。
本研究强调了在最近的战争中受伤的军事重伤患者人数较少及其特征。使用专门的系统军事创伤登记处可以提高对最近战争的特定流行病学知识，并有助于更好地为未来可能包括重大冲突和大规模作战行动的冲突做好准备。
预后和流行病学；等级 V。
