Orthopedic Trauma Surgery and Hospital Cost Analysis in Refugees; the Effect of the Syrian Civil War

Doç. Dr. Nezih Ziroğlu
Doç. Dr. Nezih Ziroğlu
25 Mart 202184 görüntülenme
Randevu Al
Orthopedic Trauma Surgery and Hospital Cost Analysis in Refugees; the Effect of the Syrian Civil War

Abstract

Purpose: The aim of this study was to evaluate the musculoskeletal injury types, injury mechanisms, surgical techniques and treatment costs of Syrian refugees.

Methods: Totally 158 patients (67 female, 91 male) treated in our clinic in 34 months period between January 2012 and October 2014 were included in the study. The mean age of the patients was 39.3 years (range: 18-82 years). The patients were evaluated for age, gender, mechanism of injury, location and type of fracture, presence of accompanying injuries, injury severity score, surgical technique, complications, mortality/morbidity and treatment cost.

Results: The injuries were more frequently reported in lower extremities, upper extremities and axial skeleton, respectively. Blunt trauma was significantly higher in upper extremity injuries compared with the other types of injuries (p = 0.001). Fractures were most commonly reported in foot/ankle region and in males, hand/wrist fractures were significantly higher than that of the females. Plate fixation of upper extremity fractures and intramedullary nailing in lower extremity fractures were the most commonly preferred treatment modalities. The mean hospitalization period of patients was 5.6 days and the mean treatment cost was 3844 Turkish Liras (TL).

Conclusions: In this study, it was shown that there was a statistically significant increase in the cost of health expenses in patients with fall from heights or gunshot wound, with fractures in axial skeleton or with the ISS score between 16 and 66. The cost rise was associated with worse prognosis, complications, intensive care treatments and prolonged hospitalization periods.

Keywords: Cost analysis; Orthopedic surgery; Syrian refugees; War trauma.

Etiketler

syrian civil warpurposemethodsresultsconclusions

Yazar Hakkında

Doç. Dr. Nezih Ziroğlu

Doç. Dr. Nezih Ziroğlu

Op. Dr.Nezih Ziroğlu, lisans öncesi öğrenimlerinin ardından Dokuz Eylül Üniversitesi Tıp Fakültesi'nde başladığı tıp eğitimini 2013 yılında başarıyla tamamlayarak Tıp Doktoru unvanı almıştır. İhtisasını ise Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi'nde tamamlayarak 2019 yılında Ortopedi ve Travmatoloji Uzmanı olmuştur. 

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