STUDY OBJECTIVE: We compared the epidemiologic outcomes of terrorist bombings that produced 30 or more casualties and resulted in immediate structural collapse, occurred within a confined space, or occurred in open air. METHODS: We identified eligible studies of bombings through a MEDLINE search of articles published between 1966 and August 2002 and a manual search of published references. Pooled and median rates of mortality, immediately injured survival, emergency department use, hospitalization, and injury were determined for each bombing type. RESULTS: We found 35 eligible articles describing 29 terrorist bombings, collectively producing 8,364 casualties, 903 immediate deaths, and 7,461 immediately surviving injured. Pooled immediate mortality rates were structural collapse 25% (95% confidence interval [CI] 6% to 44%), confined space 8% (95% CI 1% to 14%), and open air 4% (95% CI 0% to 9%). Biphasic distributions of mortality were identified in all bombing types. Pooled hospitalization rates were structural collapse 25% (95% CI 6% to 44%), confined space 36% (95% CI 27% to 46%), and open air 15% (95% CI 5% to 26%). Unique patterns of injury rates were found in all bombing types. CONCLUSION: Patterns of injury and health care system use vary with the type of terrorist bombing.
STUDY OBJECTIVE: We compared the epidemiologic outcomes of terrorist bombings that produced 30 or more casualties and resulted in immediate structural collapse, occurred within a confined space, or occurred in open air. METHODS: We identified eligible studies of bombings through a MEDLINE search of articles published between 1966 and August 2002 and a manual search of published references. Pooled and median rates of mortality, immediately injured survival, emergency department use, hospitalization, and injury were determined for each bombing type. RESULTS: We found 35 eligible articles describing 29 terrorist bombings, collectively producing 8,364 casualties, 903 immediate deaths, and 7,461 immediately surviving injured. Pooled immediate mortality rates were structural collapse 25% (95% confidence interval [CI] 6% to 44%), confined space 8% (95% CI 1% to 14%), and open air 4% (95% CI 0% to 9%). Biphasic distributions of mortality were identified in all bombing types. Pooled hospitalization rates were structural collapse 25% (95% CI 6% to 44%), confined space 36% (95% CI 27% to 46%), and open air 15% (95% CI 5% to 26%). Unique patterns of injury rates were found in all bombing types. CONCLUSION: Patterns of injury and health care system use vary with the type of terrorist bombing.
Authors: Craig Goolsby; Kandra Strauss-Riggs; Michael Rozenfeld; Nathan Charlton; Eric Goralnick; Kobi Peleg; Matthew J Levy; Tim Davis; Nicole Hurst Journal: Am J Public Health Date: 2018-12-20 Impact factor: 9.308
Authors: Tuan Hairulnizam Tuan Kamauzaman; Rashidi Ahmad; Kursi Abdul Latif; Mohd Saharuddin Shah Che Hamzah; Cheah Phee Kheng Journal: Malays J Med Sci Date: 2007-07
Authors: F Turégano-Fuentes; D Pérez-Diaz; M Sanz-Sánchez; R Alfici; I Ashkenazi Journal: Eur J Trauma Emerg Surg Date: 2014-04-04 Impact factor: 3.693
Authors: Eric A Elster; Jonathan P Pearl; John W DeNobile; Philip W Perdue; Alexander Stojadinovic; William A Liston; James R Dunne Journal: Eplasty Date: 2009-07-24