Syria civil war pediatric casualties treated at a single medical center

Oriyan Naaman, Alon Yulevich, Yechiel Sweed

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Purpose: We describe the medical and surgical treatment outcomes of Syrian civil war pediatric casualties admitted to our tertiary medical center in northern Israel and compare them to reports of pediatric war victims in Iraq and Afghanistan. Methods: 117 pediatric casualties up to age 18 (median age: 12 years, 91 males) were admitted from 2013 to 2016. We measured demographics, injury mechanism, wound type, injury severity, surgical interventions, morbidity, and mortality. Results: Injury mechanisms were penetrating injuries (n = 87, 74%), blunt (n = 34, 29%) and blast (n = 13, 11%) injuries, caused by fragments (56, 48%), blasts (51, 44%), and gunshot wounds (24, 21%). Most common injuries were head trauma (n = 66, 56%) and lower extremities injury (n = 45, 38%). 51 children (44%) had Injury Severity Score > 25. Surgical procedures, most commonly orthopedic (n = 35) and neurosurgical (n = 27), were performed on 81 children (69%). Average number of procedures per patient was 2 ± 2.5; average hospitalization time was 25.8 days. Mortality rate was 3.4% (four children). Injury characteristics were different from those reported for pediatric war casualties in Iraq and Afghanistan. Conclusions: Head trauma was associated with serious injury and mortality; most injuries were penetrating and complex. Collaboration of various hospital departments was often necessary for efficient and successful treatment. Level of evidence III: Retrospective comparison study.

Original languageEnglish
Pages (from-to)523-529
Number of pages7
JournalJournal of Pediatric Surgery
Issue number3
StatePublished - Mar 2020

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.


  • Casualties
  • Civil war
  • Pediatric surgery
  • Pediatric trauma
  • Pediatric wartime trauma
  • Syrian children


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