背景:2011年,叙利亚爆发内战,这种情况正在持续,已经达到了40多万人的死亡人数。人道主义组织,包括援助需要的教会(ACN),努力为平民受害者提供帮助和医疗支持。
方法:我们对2019年叙利亚ACN项目收集的数据进行了回顾性分析。数据集包括对疾病的描述,治疗,成本,城市,和医院。对于每个病人来说,我们分配了以下附加类别:帮助类型(治疗,诊断,或非医疗),治疗类型(医学或外科),医学专业,大体解剖区域,和创伤的存在。
结果:2019年,叙利亚共有3835名患者受益于ACN支持。大部分财政支持用于治疗(78.4%),而其他支持转向非医疗帮助(15.7%)或提供诊断(5.9%)。在治疗中,66.6%为内科,33.4%为外科。最常见的医学专业是内科(48.4%),其次是公共卫生(13.7%)和外科手术(7.3%)。68.3%的病例解剖区域未定义,定义时,最常见的是腹腔和骨盆(13%)。绝大多数病例95.1%)与创伤无关。基督徒谷地区的程序成本最高,塔尔图斯最低。网络图用于可视化每个医学专业的三种最常见的诊断和治疗方法。
结论:本报告描述了2019年叙利亚战争受害者的待遇。患者缺乏最基本的医疗或外科保健。慈善组织,像ACN,构成了有关战争受害者医疗保健的宝贵信息来源。不幸的是,描述向平民受害者提供的医疗服务的方法仍然不发达。未来的研究将需要医疗保健提供者的合作,人文主义者,和社会工作者。目前的调查结果可以帮助优化慈善组织提供的人道主义帮助,通过根据叙利亚战争受害者的具体需要定制项目。
BACKGROUND: In 2011, a civil war started in Syria, which is on-going and has reached a death toll of over 400,000 people. Humanitarian organizations, including Aid to The Church in Need (ACN), have strived to provide help and medical support to the civilian victims.
METHODS: We performed a retrospective analysis of data gathered in ACN projects in Syria in 2019. The datasets included descriptions of diseases, treatments, costs, cities, and hospitals. For each patient, we assigned the following additional categories: type of help (treatment, diagnosis, or nonmedical), type of treatment (medical or surgical), medical specialty, gross anatomic region, and presence of trauma.
RESULTS: A total of 3835 patients benefited from ACN support in Syria in 2019. The majority of financial support went towards treatment (78.4%), while other support went towards nonmedical help (15.7%) or providing a diagnosis (5.9%). Among treatments, 66.6% were medical and 33.4% surgical. The most common medical specialty was internal medicine (48.4%), followed by public health (13.7%) and surgery (7.3%). Anatomic region was undefined in 68.3% of cases and, when defined, was most commonly the abdominal cavity and pelvis (13%). The vast majority of cases 95.1%) were not associated with trauma. Procedural costs were highest in the Valley of Christians region, and lowest in Tartous. Network graphs were used to visualize the three most common diagnoses and treatments for each medical specialty.
CONCLUSIONS: The present report describes the treatment of war victims in Syria in 2019. The patients lacked the most basic medical or surgical healthcare. Charity organizations, like ACN, constitute a valuable source of information about the healthcare of war victims. Unfortunately, the methods of describing medical treatment provided to civilian victims remain underdeveloped. Future studies will require the cooperation of healthcare providers, humanists, and social workers. The present findings can help to optimize the provision of humanitarian help by charity organizations, by tailoring projects to the specific needs of Syrian war victims.