title: Assessment of the perioperative period in civilians injured in the Syrian Civil War.
abstract: BACKGROUND
  wars and its challenges have historically afflicted humanity. In Syria, severe injuries occurred due to firearms and explosives used in the war between government forces and civilians for a period of over 2 years.
  
  
  METHODS
  the study included 364 cases, who were admitted to Mustafa Kemal University Hospital, Medicine School (Hatay, Turkey), and underwent surgery. Survivors and non-survivors were compared regarding injury site, injury type and number of transfusions given. The mortality rate found in this study was also compared to those reported in other civil wars.
  
  
  RESULTS
  the mean age was 29 (3-68) years. Major sites of injury included extremities (56.0%), head (20.1%), abdomen (16.2%), vascular structures (4.4%) and thorax (3.3%). Injury types included firearm injury (64.4%), blast injury (34.4%) and miscellaneous injuries (1.2%). Survival rate was 89.6% while mortality rate was 10.4%. A significant difference was observed between mortality rates in this study and those reported for the Bosnia and Lebanon civil wars; and the difference became extremely prominent when compared to mortality rates reported for Vietnam and Afghanistan civil wars.
  
  
  CONCLUSIONS
  among injuries related to war, the highest rate of mortality was observed in head-neck, abdomen and vascular injuries. We believe that the higher mortality rate in the Syrian Civil War, compared to the Bosnia, Vietnam, Lebanon and Afghanistan wars, is due to seeing civilians as a direct target during war.
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey. Electronic address: sedathakimoglu@hotmail.com.
authors.forename: Sedat
authors.initials: S
authors.lastname: Hakimoglu
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Karcıoglu
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Kasım
authors.initials: K
authors.lastname: Tuzcu
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Isıl
authors.initials: I
authors.lastname: Davarcı
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Koyuncu
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Dikey
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Turhanoglu
authors.affiliation: Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Sarı
authors.affiliation: Department of Cardiovascular Surgery, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Acıpayam
authors.affiliation: Department of Cardiovascular Surgery, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
authors.forename: Celalettin
authors.initials: C
authors.lastname: Karatepe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059035:Perioperative Period; D013593:Syria; D014857:Warfare; D014947:Wounds and Injuries / Q000401:mortality*
keywords: Guerra Civil Síria; Lesões de guerra; Perioperative period; Período pós-operatório; Syrian Civil War; War injury