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Risk factors associated with mortality from explosions in civilian and military populations.

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Title: Risk factors associated with mortality from explosions in civilian and military populations.
Alternate Title: Factores de riesgo asociados a mortalidad por explosiones en poblaciones civil y militar.
Authors: Petrone, Patrizio1,2 (AUTHOR) patrizio.petrone@gmail.com, Marin-García, Jordi1 (AUTHOR), Dagnesses-Fonseca, Javier1 (AUTHOR), McNelis, John3 (AUTHOR), Marini, Corrado P.3 (AUTHOR)
Source: Cirugía y Cirujanos. may/jun2026, Vol. 94 Issue 3, p341-349. 9p.
Subjects: Mortality risk factors, Blast injuries, Wounds & injuries, Evidence synthesis, Explosions, Military personnel
Abstract (English): Trauma from explosions is among the most serious injuries faced by healthcare professionals. There are few studies that describe the risk factors for mortality, or the patterns of blast injuries in the civilian compared to the military population. Review of articles extracted from Medline, PubMed, and Scopus published (01/2014-03/2024). Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Data on mortality and injury patterns were extracted from the articles that met the inclusion criteria to describe the type of injuries and to identify risk factors for mortality. Sixteen articles were included. Average age of civilians was 40.0 years ± 3.7, with men representing 79.4% compared to a mean age of 24.5 ± 1.4 and 79.0% for the military patients. While there was no difference in the distribution of injuries by body regions, the civilian population was more likely to sustain severe cranial and thoracic injuries (31.9% and 20.4% vs. 18.1% and 9.9%, respectively). Civilian population had a non-statistically significant lower risk of death (odds ratio = 0.96; 95% confidence interval = 0.82, 1.13). The findings of this review indicate that clinical experience derived from explosions occurring in one setting may not be fully generalizable to explosions occurring in other contexts, as demographic, environmental, and contextual factors contribute to distinct injury patterns. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Los traumatismos por explosiones se encuentran entre las lesiones más graves a las que se enfrentan los profesionales sanitarios. Existen pocos estudios que comparen los factores de riesgo de mortalidad o los patrones de lesiones por explosión en la población civil en comparación con la población militar. Se realizó una revisión sistemática de artículos publicados en Medline, PubMed y Scopus, de enero de 2014 a marzo de 2024, siguiendo las directrices PRISMA. Se extrajeron datos sobre mortalidad y tipos de lesiones de los estudios que cumplieron los criterios de inclusión. Se incluyeron 16 artículos. La edad media de los civiles fue de 40.0 ± 3.7 años, con un 79.4% de varones, frente a 24.5 ± 1.4 años y un 79.0% de varones en los militares. No hubo diferencias en la distribución de las lesiones por regiones corporales, pero la población civil presentó una mayor probabilidad de sufrir lesiones craneales y torácicas graves (31.9% y 20.4% frente a 18.1% y 9.9%, respectivamente). La población civil tuvo un riesgo de muerte menor, aunque no estadísticamente significativo (OR: 0.96; IC 95%: 0.82-1.13). Esta revisión sugiere que la experiencia clínica derivada de las explosiones en un entorno específico podría no ser completamente extrapolable a otros contextos, debido a diferencias demográficas, ambientales y operativas que influyen en los patrones de lesión. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Trauma from explosions is among the most serious injuries faced by healthcare professionals. There are few studies that describe the risk factors for mortality, or the patterns of blast injuries in the civilian compared to the military population. Review of articles extracted from Medline, PubMed, and Scopus published (01/2014-03/2024). Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Data on mortality and injury patterns were extracted from the articles that met the inclusion criteria to describe the type of injuries and to identify risk factors for mortality. Sixteen articles were included. Average age of civilians was 40.0 years ± 3.7, with men representing 79.4% compared to a mean age of 24.5 ± 1.4 and 79.0% for the military patients. While there was no difference in the distribution of injuries by body regions, the civilian population was more likely to sustain severe cranial and thoracic injuries (31.9% and 20.4% vs. 18.1% and 9.9%, respectively). Civilian population had a non-statistically significant lower risk of death (odds ratio = 0.96; 95% confidence interval = 0.82, 1.13). The findings of this review indicate that clinical experience derived from explosions occurring in one setting may not be fully generalizable to explosions occurring in other contexts, as demographic, environmental, and contextual factors contribute to distinct injury patterns. [ABSTRACT FROM AUTHOR]
ISSN:00097411
DOI:10.24875/CIRU.25000541