Abstract
The aim of this study is to examine the organization of cardio-surgical medical care during martial law for offering qualified medical assistance to servicemen classified as temporary casualties, through bed allocation planning and bed-day calculation. Materials and methods: This research encompassed military personnel actively engaged in combat operations (n=473), with an average age of 44.1±2.2. The primary data source for analysis was the foundational medical records, including medical histories and initial medical records. Results. The article presents the results of the analysis of the needs aimed at providing a cardiac surgery hospital with an adequate number of inpatient beds and substantiates the duration of treatment - inpatient stay (bed days). Determining these factors holds exceptional importance as it facilitates the delivery of high-quality specialized treatment to the ill and/or injured, ensuring their timely rehabilitation and return to active duty within the Armed Forces of Ukraine. It was observed that the study groups exhibited no significant distinctions in terms of nosological categories of circulatory system diseases, average age, and the number of bed-days, with no statistical significance identified. The analysis revealed that during the full-scale invasion of the Russian Federation into Ukraine's territory in 2022, the demand for cardiac surgery hospital beds surged by 266.3% when compared to the 2014 bed capacity. Notably, the number of bed-days saw only a modest 6.3% increase during inpatient treatment for servicemen. Conclusions. The study has shown that the number of bed days did not increase significantly in the inpatient treatment of military personnel, only by 6.3%. Due to the increase in the number of patients/wounded, the State Institution "Amosov National Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine" opened a Military Cardiac and Major Vessel Surgery Department. This department specializes in providing highly specialized medical care to servicemen with combat-related heart injuries, major vessel wounds, and chest trauma.
Publisher
Ukrainian Medical Stomatological Academy
Subject
General Materials Science
Reference8 articles.
1. Standart VST 01.305.003-2019(01). Medychne zabezpechennya. Klasyfikatsiya boyovykh urazhen, neboyovykh travm ta zakhvoryuvan u Zbroynykh Sylakh Ukrayiny [Medical support. Classification of combat injuries, non-combat injuries and diseases in the Armed Forces of Ukraine]. [Ukrainian]. Available from: https://www.mil.gov.ua/content/mil_standard/katalog_vst_11_20.pdf
2. Roz’yasnennya shchodo obliku sanitarnykh vtrat [Clarification regarding the accounting of sanitary losses]. Golos Ukrayiny – gazeta Verkhovnoyi rady Ukrayiny. [Ukrainian]. Available from: http://www.golos.com.ua/article/326881
3. Lazoryshynets VV, Khomenko IP, Korda MM, et al. Boyova travma sertsya, grudnoyi aorty ta magistralnykh sudyn kintsivok [Combat injury of the heart, thoracic aorta and main vessels of the limbs]. Posibnyk. Pid zagalnoyu redaktsiyeyu Tsymbalyuka V.I. Ternopilskyy natsionalnyy medychnyy universytet imeni I. Ya. Gorbachevskogo MOZ Ukrayiny; 2019. 427 s. [Ukrainian]
4. Gumenyuk KV, Lavrenchuk OA. Velychyna ta struktura sanitarnykh vtrat u viynakh suchasnykh zbroynykh konfliktakh pry vognepalnykh poranennyakh zhyvota z ushkodzhennyam obodovoyi kyshky [The magnitude and structure of sanitary losses in the wars of modern armed conflicts in the case of gunshot wounds to the abdomen with damage to the colon]. Khirurgiya vognepalnykh poranen ta boyovoyi travmy. 2021;5-6(110-111):47-51. (Ukrainian).
5. Brown KV, Guthrie HC, Ramasamy A, et al. Modern military surgery: lessons from Iraq and Afghanistan. J Bone Joint Surg Br. 2012;94(4):536–43.