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Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan
BACKGROUND: From August 2006–August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civil...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554739/ https://www.ncbi.nlm.nih.gov/pubmed/26156845 http://dx.doi.org/10.1007/s00268-015-3136-z |
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author | Idenburg, Floris J. van Dongen, Thijs T. C. F. Tan, Edward C. T. H. Hamming, Jaap H. Leenen, Luke P. H. Hoencamp, Rigo |
author_facet | Idenburg, Floris J. van Dongen, Thijs T. C. F. Tan, Edward C. T. H. Hamming, Jaap H. Leenen, Luke P. H. Hoencamp, Rigo |
author_sort | Idenburg, Floris J. |
collection | PubMed |
description | BACKGROUND: From August 2006–August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civilians, including many children. Humanitarian aid accounted for a substantial part of the workload, necessitating medical, infrastructural, and logistical adaptations. Particularly pediatric care demanded specific expertise and equipment. In our pre-deployment preparations this aspect had been undervalued. Because these experiences could be influential in future mission planning, we analyzed our data and compared them with international reports. METHODS: This is a retrospective, descriptive study. Using the hospital’s electronic database, all pediatric cases, defined as patients <17 years of age, who were admitted between August 2006 and August 2010 to the Dutch R2E-MTF at Multinational Base Tarin Kowt (MBTK), Urzugan, Afghanistan were analyzed. RESULTS: Of the 2736 admissions, 415 (15.2 %) were pediatric. The majority (80.9 %, 336/415) of these admissions were for surgical, often trauma-related, pathology and required 610 surgical procedures, being 26 % of all procedures. Mean length of stay was 3.1 days. The male to female ratio was 70:30. Girls were significantly younger of age than boys. In-hospital mortality was 5.3 %. CONCLUSION: Pediatric patients made up a considerable part of the workload at the Dutch R2E-MTF in Uruzgan, Afghanistan. This is in line with other reports from the recent conflicts in Iraq and Afghanistan, but used definitions in reported series are inconsistent, making comparisons difficult. Our findings stress the need for a comprehensive, prospective, and coalition-wide patient registry with uniformly applied criteria. Civilian disaster and military operational planners should incorporate reported patient statistics in manning documents, future courses, training manuals, logistic planning, and doctrines, because pediatric care is a reality that cannot be ignored. |
format | Online Article Text |
id | pubmed-4554739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-45547392015-09-04 Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan Idenburg, Floris J. van Dongen, Thijs T. C. F. Tan, Edward C. T. H. Hamming, Jaap H. Leenen, Luke P. H. Hoencamp, Rigo World J Surg Original Scientific Report BACKGROUND: From August 2006–August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civilians, including many children. Humanitarian aid accounted for a substantial part of the workload, necessitating medical, infrastructural, and logistical adaptations. Particularly pediatric care demanded specific expertise and equipment. In our pre-deployment preparations this aspect had been undervalued. Because these experiences could be influential in future mission planning, we analyzed our data and compared them with international reports. METHODS: This is a retrospective, descriptive study. Using the hospital’s electronic database, all pediatric cases, defined as patients <17 years of age, who were admitted between August 2006 and August 2010 to the Dutch R2E-MTF at Multinational Base Tarin Kowt (MBTK), Urzugan, Afghanistan were analyzed. RESULTS: Of the 2736 admissions, 415 (15.2 %) were pediatric. The majority (80.9 %, 336/415) of these admissions were for surgical, often trauma-related, pathology and required 610 surgical procedures, being 26 % of all procedures. Mean length of stay was 3.1 days. The male to female ratio was 70:30. Girls were significantly younger of age than boys. In-hospital mortality was 5.3 %. CONCLUSION: Pediatric patients made up a considerable part of the workload at the Dutch R2E-MTF in Uruzgan, Afghanistan. This is in line with other reports from the recent conflicts in Iraq and Afghanistan, but used definitions in reported series are inconsistent, making comparisons difficult. Our findings stress the need for a comprehensive, prospective, and coalition-wide patient registry with uniformly applied criteria. Civilian disaster and military operational planners should incorporate reported patient statistics in manning documents, future courses, training manuals, logistic planning, and doctrines, because pediatric care is a reality that cannot be ignored. Springer International Publishing 2015-07-09 2015 /pmc/articles/PMC4554739/ /pubmed/26156845 http://dx.doi.org/10.1007/s00268-015-3136-z Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Scientific Report Idenburg, Floris J. van Dongen, Thijs T. C. F. Tan, Edward C. T. H. Hamming, Jaap H. Leenen, Luke P. H. Hoencamp, Rigo Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan |
title | Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan |
title_full | Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan |
title_fullStr | Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan |
title_full_unstemmed | Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan |
title_short | Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan |
title_sort | pediatric surgical care in a dutch military hospital in afghanistan |
topic | Original Scientific Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554739/ https://www.ncbi.nlm.nih.gov/pubmed/26156845 http://dx.doi.org/10.1007/s00268-015-3136-z |
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