SciELO - Scientific Electronic Library Online

 
vol.49 issue3Incidence of post-anesthetic respiratory complications in pediatrics. Observational, single-center study in Medellin, Colombia author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Colombian Journal of Anestesiology

Print version ISSN 0120-3347On-line version ISSN 2256-2087

Abstract

MANZANO-NUNEZ, Ramiro et al. Mortality from anti-personnel mines before and during the Colombian peace process. Rev. colomb. anestesiol. [online]. 2021, vol.49, n.3, e200.  Epub June 06, 2021. ISSN 0120-3347.  https://doi.org/10.5554/22562087.e955.

Introduction:

Although the peace process in Colombia resulted in a significant reduction in the number of anti-personnel mines across the country, there are no reliable data on the effects of this phenomenon on outcomes for patients who were victims of these devices.

Objective:

The objective of this study was to assess mortality from landmine injuries before and during the Colombian peace process. Furthermore possible associations between peace negotiations and mortality were explored.

Methods:

For this study, we used the "Colombian Victims of Antipersonnel Mines Injuries registry" (MAP/MUSE database) data from 2002 to 2018. This registry was launched in 2001 by the government of Colombia with the aim of prospectively and systematically collect information on all the cases of anti-personnel mine injuries in the country. The period between 2002-2012 was classified as the pre-negotiation period (período de guerra), and 2014-2018 as the peace negotiations period, with 2013 classified as a washout year. Multivariate logistic regression was used to explore the association between peace negotiations and mortality among anti-personnel landmine injured individuals.

Results:

A total of 10306 landmine injury cases were registered. Of these, 1180 (11.4%) occurred in the peace-negotiation period. Mortality was significantly lower during the period of peace negotiations. After adjusting for sex, age group, race, active duty soldier status, rural area, and geographic Departamentos case volumes, the peace negotiation period was found to be associated with lower risk-adjusted odds of mortality after suffering a landmine injury (OR= 0.6, 95% CI, 0.5-0.7; p<0.001).

Conclusions:

Our findings suggest an association between the period of peace negotiation and a lower likelihood of mortality among victims of anti-personnel landmines.

Keywords : Wounds and injuries; Amputation; peace; Outcome assessment (health care); Colombia.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )