10月7日以色列大规模伤亡袭击事件：住院伤员的伤情概况。

October 7th Mass Casualty Attack in Israel: Injury Profiles of Hospitalized Casualties.

作者信息

Goldman Sharon, Lipsky Ari M, Radimislensky Irina, Givon Adi, Almog Ofer, Benov Avi, Katorza Eldad

机构信息

From the Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Chaim Sheba Medical Center, Ramat Gan, Israel.

Department of Emergency Medicine, HaEmek Medical Center, Afula, Israel.

出版信息

Ann Surg Open. 2024 Aug 5;5(3):e481. doi: 10.1097/AS9.0000000000000481. eCollection 2024 Sep.

DOI:10.1097/AS9.0000000000000481

PMID:39310330

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11415105/

Abstract

BACKGROUND

On Saturday, October 7th, approximately 3000 Hamas-led terrorists infiltrated Israel's southern border and attacked civilians and soldiers. Terrorists murdered close to 1200 people, abducted hundreds, and injured thousands. This surprise attack involved an unprecedented number of casualties. This article describes the injuries and outcomes of the hospitalized casualties.

METHODS

Hospitalized trauma casualties with an injury date of October 7 to 8, 2023, and with ICD9 E-codes E979 and E990 through E999, were extracted from the Israel National Trauma Registry. Demographic, injury, and hospital resource-use data were analyzed.

RESULTS

A total of 630 hospitalized casualties (277 civilians and 353 soldiers) suffered from gunshot wounds (90%), explosion-related wounds (19%), and multiple injury mechanisms (16%). The median age for civilians was 33 years (ages <1-88) and 21 years for soldiers. The most frequently injured body regions were lower (49%) and upper (42%) extremities, abdominal (28%), and thoracic (23%) injuries. Four hundred thirty-one (68%) patients underwent surgery, of which 240 within 12 hours. Over half of the severe and critical (Injury Severity Score 16+) casualties were discharged to a rehabilitation center. In-hospital mortality rate was 2.5%.

CONCLUSION

Israel's hospitals faced many challenges following the mega mass casualty incident, including the absorption, diagnosis, treatment, and rehabilitation of a massive number of casualties. Hospitals needed to immediately repurpose to provide additional imaging equipment and operating rooms. Additionally, the huge demand for rehabilitation resources necessitated immediate reorganization and transformation of existing medical facilities to accommodate the many casualties requiring rehabilitation. The injury details and outcomes from this mega mass casualty incident provide important information for planning and preparedness at local, regional, and national levels.

摘要

背景

10月7日星期六，约3000名由哈马斯领导的恐怖分子潜入以色列南部边境，袭击平民和士兵。恐怖分子杀害了近1200人，绑架了数百人，并造成数千人受伤。这次突袭造成了前所未有的伤亡人数。本文描述了住院伤员的伤情和治疗结果。

方法

从以色列国家创伤登记处提取2023年10月7日至8日受伤、国际疾病分类第九版（ICD9）电子代码为E979以及E990至E999的住院创伤伤员。对人口统计学、损伤情况和医院资源使用数据进行分析。

结果

共有630名住院伤员（277名平民和353名士兵）遭受枪伤（90%）、爆炸相关创伤（19%）以及多种致伤机制导致的创伤（16%）。平民的年龄中位数为33岁（年龄范围1岁以下至88岁），士兵为21岁。最常受伤的身体部位是下肢（49%）和上肢（42%）、腹部（28%）以及胸部（23%）损伤。431名（68%）患者接受了手术，其中240人在12小时内接受手术。超过一半的重伤和危重伤员（损伤严重程度评分16分及以上）被送往康复中心。住院死亡率为2.5%。

结论

在这次大规模伤亡事件之后，以色列的医院面临诸多挑战，包括大量伤员的收容、诊断、治疗和康复。医院需要立即重新调整用途，以提供额外的影像设备和手术室。此外，对康复资源的巨大需求使得必须立即对现有医疗设施进行重组和改造，以容纳众多需要康复的伤员。这次大规模伤亡事件的损伤细节和治疗结果为地方、区域和国家层面的规划和准备工作提供了重要信息。