We excluded patients who were under 18 years of age, had a subarachnoid hemorrhage, or were discharged to home the same day. We selected patients who had undergone microsurgical or endovascular repair for a nonruptured aneurysm. Patient data included standard demographic, comorbidity, and payer information.
Our objective is to examine readmission trends after unruptured aneurysm repair. In this study, we analyzed the Nationwide Readmission Database (NRD) to determine the rate of 90-day readmission. The repair of unruptured intracranial aneurysms has increased since 2000. Results from this study indicated that the mortality following non-exclusively brain or orthopedic injuries remains high in modern asymmetric conflicts. No patient died following medical evacuation to France. Thirty patients needed second-look surgery in France eleven had severe complications.
The most frequent surgical procedures in the MTF were digestive (n=31) and thoracic surgery (n=19). Thirty patients died with a mean ISS of 61 (IC 95% 56-67) 5 deaths were considered as preventable. 17 damage control procedures were performed. The average injury severity score (ISS) was 34.9 (IC 95% 29.8–40). The most severe lesions were of the head, neck or thorax. This descriptive study is a retrospective analysis of the surgical management of French casualties performed in role 2 or 3 MTF in Afghanistan, Mali, Niger, Djibouti and the Central African Republic between January 2004 and December 2014. The aim of this study was to describe the combat injury profile of these soldiers who presented with either non-exclusively orthopedic and/or brain injuries. Surgical support for casualties of these conflicts occurs in NATO role 2 and 3 medical treatment facilities (MTF) definitive surgical care occurs in France following a strategic medical evacuation. During the last few decades, French armed forces have regularly deployed in asymmetric conflicts.
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