XXXX to the pediatric brain in conflict zones.

@entity1 @entity16 @entity772 @entity2300 @entity204 @entity130
OBJECT: This study was conducted both prospectively and retrospectively at one center over a period of 8 years. The population consisted of all @entity1 with both an age 18 years or younger and a diagnosed penetrating @entity130 (PMI) during the study interval. The authors analyzed factors determining outcome and demographic trends in this population, and they compared them with those in the more developed world. METHODS: Fifty-one @entity1 were the victims of armed conflict, although no one was directly a party to any battle. This mechanism of injury is in strong opposition to data in the literature from developed countries, in which most missile injuries are the result of suicide or homicide or are even sports related. Moreover, all previous studies on the pediatric population have considered only injuries from gunshots, but authors of the current study have included injuries from other penetrating missiles as well. RESULTS: On cross tabulation analysis using the chi-square test, the factors shown to correlate with outcome included the Glasgow @entity772 Scale (GCS) score, @entity2300 , @entity1 age, hemodynamic status, and @entity16 . On multinomial regression analysis, the two strongest predictors of @entity204 were GCS score and @entity2300 . The GCS score and hemodynamic status were the strongest predictors of disability. CONCLUSIONS: There was no difference in the prognostic factors for PMI between developing or more developed countries. Glasgow @entity772 Scale score, @entity2300 , and hemodynamic status were the strongest predictors of outcome. In conflict zones in developing countries the victims were mostly innocent bystanders, whereas in the more developed countries homicides and suicides were the leading etiological factors.
