Thank you, AANS Neurotrauma and Criticals session for inviting me to give this presentation. I'm quite grateful to my team who gave me the opportunity to speak on their behalf. My name is Nida Fatima and I am a research fellow at Mass General Hospital. The topic that I'm going to discuss is from the fears of the world's war zone as an analysis of neurotrauma patients in Syrian war. We don't have any financial disclosure or any conflict of interest. As far as the background is concerned, we know that the Syrian war is in its ninth year and there has been a mountain tall in terms of death and displaced persons worldwide. However, little is known regarding the scale of neurological injuries in the Syrian war. Therefore, we carried out the study with an objective to determine the demographic, spatial and temporal pattern of neurotrauma to Syrian patients from 2013 to 2015. As far as the methods were concerned, we analyzed an administrative data set documenting patient presentations to a network of 95 hospitals in Syria in regions outside of the Syrian government control where most of the Syrian conflict occurred. We reported the neurological injuries based on age, gender, location, injury type, injury mechanism, comorbidities, inpatient mortality and post-operative hemorrhage for patients presenting over 25 months from July 2013 to July 2015. We carried out a univariate analysis followed by multiple logistic regression to correlate the risk of death post-operative complications with neurosurgical procedures. This is a table of characteristics of Syrian war among neurotrauma patients and we found that out of total 193,618 general trauma patients, we have 33,500 neurotrauma patients that constituted 17.3% of general trauma. Out of these neurotrauma afflicted patients, we found that 75.4% of them were males. Patients aged 19 to 30 years represented the largest single group of patients. However, elderly over 60 years of age constituted the least number of patients that were 3.1%. 44.0% were the largest patients who got injury mechanism as a plant of crush injuries. Along with that, we have shrapnels that constituted 37.9%. Injuries involving the upper and lower extremities were the most common comorbid injuries. A total of 721 patients that constituted 2.2% under neurosurgical procedures. 68.8% were discharged from the hospital. The median length of hospital stay was 5 days. Inpatient mortality was 19.5%. This is a table showing mortality among patients with neurotrauma. We found that those patients who got combined neurotrauma had 24.74% higher likelihood of dying as compared to those who got just neurotrauma. Similarly, those who got neurotrauma had 2.56% higher likelihood of mortality compared to those who got just other body trauma. Among patients with neurotrauma, those with last injury had 23.4% higher likelihood of mortality compared to those with other mechanism of injuries. As far as the conclusion is concerned, the Syrian war has resulted in large volume of neurotrauma patients and significant mortality in the Syrian hospitals. Civilians including children and women represent high proportion of the injured patients in the Syrian hospital constituting more than one third. Most of the neurological injuries due to plant blast injuries then gunshot. The number of neurosurgical procedures is minimum due to lack of resources in those hospitals. This study and critical analysis of the devastation in Syria suggests the desperate need for emergency aid. Thank you for listening and thank you for inviting us.

neurotrauma patients

Syrian war

demographic patterns

spatial patterns

temporal patterns