1–9 The intent of this study was to analyze a centralized casualty database to describe the distribution of wounds and mechanisms of injury during the current conflicts and compare these data with available data from previous US wars. The few existing reports that have been published on the epidemiology of combat wounds in the current conflicts have been from individual medical centers, despite a global delivery of care. These operations, Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), are the largest scale armed conflicts since the Vietnam War. The US military is currently engaged in prolonged conflicts on two fronts, Iraq and Afghanistan. An explosive mechanism accounted for 78% of injuries, which is the highest proportion seen in any large-scale conflict. The wounding patterns currently seen in Iraq and Afghanistan resemble the patterns from previous conflicts, with some notable exceptions: a greater proportion of head and neck wounds, and a lower proportion of thoracic wounds. The proportion of gunshot wounds was 18%, whereas the proportion sustained from explosions was 78%. The proportion of thoracic wounds is a decrease ( p < 0.0001) from World War II and Vietnam (13%). The proportion of head and neck wounds is higher ( p < 0.0001) than the proportion experienced in World War II, Korea, and Vietnam wars (16%–21%). The locations of these wounds were as follows: head (8%), eyes (6%), ears (3%), face (10%), neck (3%), thorax (6%), abdomen (11%), and extremity (54%). A total of 1,566 combatants sustained 6,609 combat wounds. This query resulted in 3,102 casualties, of which 31% were classified as nonbattle injuries and 18% were returned-to-duty within 72 hours. Returned-to-duty and nonbattle injuries were excluded from final analysis. codes 800–960) sustained in Operation Iraqi Freedom and Operation Enduring Freedom from October 2001 through January 2005.
The Joint Theater Trauma Registry was queried for all US service members receiving treatment for wounds (International Classification of Diseases-9th Rev. There have been no large cohort reports detailing the wounding patterns and mechanisms in the current conflicts in Iraq and Afghanistan.
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