Parotto Emanuela, Isidoris Valentina, Cavestro Anna, Atzori Andrea
Azienda Ospedale Università, Anaesthesia and Intensive Care Unit in Complex Surgery and Transplant Surgery, Padua, Italy.
Doctors with Africa-CUAMM, International Relations Department, Padua, Italy.
Prehosp Disaster Med. 2025 Feb;40(1):37-42. doi: 10.1017/S1049023X25000160. Epub 2025 Mar 19.
The escalation of the armed Ukrainian conflict forced millions of refugees to cross borders into neighboring countries, such as Poland, Czech Republic, Republic of Moldova, and Romania. The objective of this manuscript is to report the mission of an Italian Emergency Medical Team (EMT), named CUAMM EMT, deployed to assist Ukrainian refugees sheltered in the Republic of Moldova.
A total of 1,173 patients were admitted to the CUAMM EMT during the period of observation covered in this report (June - December 2022). The majority of patients (88.7%; n = 1,040) had health problems not directly related to the conflicts, while only 3.2% (n = 38) of patients presented diseases directly related to the event. With reference to the World Health Organization (WHO) Minimum Data Set (MDS), the most prevalent diagnosis (66.8%; n = 783) referred to "other diseases, not specified above" (Code 29). Among this group, the majority of diagnosis were attributable to non-communicable diseases (NCDs) such as cardiovascular diseases (23.4%; n = 177), gastrointestinal diseases (7.4%; n = 56), chronic musculoskeletal diseases (6.1%; n = 46), and cancer (4.7%; n = 36).
The most prevalent diagnoses faced by CUAMM EMT during its deployment referred to health problems not directly related to the conflict. Among them, the majority of cases registered were attributable to NCDs, raising interesting points of discussion concerning the management of these conditions during EMTs disaster deployment.
乌克兰武装冲突的升级迫使数百万难民越过边境进入邻国,如波兰、捷克共和国、摩尔多瓦共和国和罗马尼亚。本手稿的目的是报告一支名为CUAMM EMT的意大利紧急医疗队的任务,该医疗队被部署到摩尔多瓦共和国,以协助收容在那里的乌克兰难民。
在本报告涵盖的观察期内(2022年6月至12月),共有1173名患者被收治到CUAMM EMT。大多数患者(88.7%;n = 1040)的健康问题与冲突没有直接关系,而只有3.2%(n = 38)的患者患有与该事件直接相关的疾病。参照世界卫生组织(WHO)的最低数据集(MDS),最常见的诊断(66.8%;n = 783)为“上述未提及的其他疾病”(代码29)。在这一组中,大多数诊断归因于非传染性疾病(NCDs),如心血管疾病(23.4%;n = 177)、胃肠道疾病(7.4%;n = 56)、慢性肌肉骨骼疾病(6.1%;n = 46)和癌症(4.7%;n = 36)。
CUAMM EMT在部署期间面临的最常见诊断涉及与冲突没有直接关系的健康问题。其中,登记的大多数病例归因于非传染性疾病,这引发了关于紧急医疗队在灾难部署期间对这些疾病管理的有趣讨论点。