RESULTS OF TREATMENT OF 109 CASES OF GUNSHOT WOUNDS TO THE HEAD IN MILITARY PERSONAL

Gunshot wounds to the head are always challenging pathology for neurosurgeons. During war variety of types of weapons, projectiles, missiles, the impact of blast waves make these injuries almost unpredictable. At the beginning of the war, in 2014, the evacuation system was not ready for a sudden start of hostilities because of limited medical resources, the lack of neuro visualization on the frontline, the lack of trained personnel providing first aid to the wounded. Aim. The aim of this study is to determine the factors that influenced the outcomes of combat head injuries with limited medical capabilities in theatre. Materials and methods. This is a retrospective study of 109 military cases with open and closed head injuries, which were received during the fighting in eastern Ukraine in the period from March 2014 to the end of December 2017 and received medical aid in the Main Military Clinical Hospital in Kyiv. Information was collected on demographics, evacuation assistance, and type of injury, Glasgow Outcome Scale was used to evaluate early outcomes, where GOS1-3 unfavorable outcome and GOS 4,5 – a favorable outcome. R commander was used for statistical analysis. Statistical significance was defined as p<0.05.