SPECIALIZED SURGICAL CARE FOR PATIENTS WITH WOUNDS AND BURNS
The issue presents data on the treatment of the armed conﬂ ict victims in 2014-2019. A retrospective analysis of the following parameters was carried out: speed of delivery of victims to a specialized department, stage-by-stage approach of evacuation, duration of treatment, number of operations, treatment outcome. 1141 patient medical records were analyzed. Patients were divided into three groups. The ﬁ rst group of injured people consisted of patients who arrived immediately at a specialized surgical center, bypassing the intermediate stages of evacuation. This group included 444 people (38.91±1.44%). The second group of patients consisted of injured people who were delivered to the temporary medical examination through an intermediate stage of evacuation - the central hospital, a military hospital, and city hospitals of Donetsk. Their number was 305 patients (26.73±1.31%). The third group of patients included injured people who were treated in the central regional hospitals of the DPR, some of which were transferred to a specialized center. Their number was 392 people (34.36±1.4%). As a result of the studies, it was revealed that the provision of specialized surgical care in the proper amount is possible only in the conditions of a specialized center with the necessary equipment and trained personnel. The term of delivery of injured people to a specialized center is one of the most important prognostic criteria for the treatment outcome. Early, timely hospitalization of the wounded and injured in a specialized center, possibly early surgical treatment, leads to a decrease in the number of operations performed by 2 times, a reduction in the duration of inpatient care by 1.5 times, and a decrease in the level of disability by 3 times. To improve the indicators of joint activities of specialized centers and medical institutions, both administrative measures and an increase in the level of knowledge and skills of doctors are necessary.