The establishment of a clinical protocol for hostages returning from captivity.

ingentiumby ingentium

In Discovery Literature.

Publication date: Jul 01, 2025

As part of a hostage-prisoner exchange negotiation, 105 hostages were released to hospitals throughout Israel for treatment after being taken into captivity by Hamas to the Gaza Strip on October 7, 2023. The aim of this study is to describe the establishment of a clinical protocol for hostages returning from captivity. The process of the creation of procedures for implementation of and the clinical protocol itself is described. A total of 24 returning hostages arrived at Shamir Medical Center (SMC); all were foreign workers and all but one were from the same nationality. The majority group of 23 returning hostages from the same nationality received testing for Q-fever, Hepatitis B, and human immunodeficiency virus (HIV). Orthopedic, dermatological, and ear nose and throat (ENT) consultation, chest and limb X-rays, head and abdominal CT scans, and antibiotics were also utilized by the 23 returning hostages of the same nationality. The returning hostage from a different nationality of origin utilized consults with an ENT, underwent a hearing test, and tests for Q-fever, urine toxicology, Hepatitis B and HIV. Among the group of 23 hostages from the same nationality of origin, the mean percentage loss of body weight was 10%+/-10%. No correlation was found between age and change in weight (rho = -0. 227; p = 0. 350). In addition, 17. 4% tested positive for Q fever, 30. 4% tested positive for Hepatitis B and 13% tested positive for a sexually transmitted disease. They spent a mean of 5 +/- 1 days hospitalized. The sole hostage of different nationality of origin lost 15% of his body weight, tested positive for Q fever and spent 3 days hospitalized. Consults with social workers and dietitians, translators and COVID-19 tests were used by all returning hostages. In this study, no significant correlation was found between age and change in weight among returning hostages. This novel clinical protocol was successfully utilized in real-time and may serve as a framework for the complex and sensitive clinical management of returning hostages, in case of need. Not Applicable.

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Concepts Keywords
Antibiotics Adult
Hepatitis Captives
Hostage Captivity
Israel Clinical Protocols
October COVID-19
Female
Hostage
Humans
Israel
Male
Middle Aged
POW
Terror attack

Semantics

Type Source Name
disease IDO process
disease MESH Hepatitis B
pathway KEGG Hepatitis B
disease IDO immunodeficiency
disease MESH Q fever
disease MESH sexually transmitted disease
disease MESH COVID-19
pathway REACTOME Reproduction
disease MESH Emergency
disease MESH Hepatitis
disease IDO country
drug DRUGBANK Medical air
disease IDO history
drug DRUGBANK Trihexyphenidyl
disease IDO facility
disease MESH dysentery
disease MESH malaria
pathway KEGG Malaria
disease MESH ulcers
disease MESH cholera
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease MESH cirrhosis
disease MESH suicides
disease MESH Post traumatic stress disorder
disease MESH metabolic diseases
disease MESH inflammation
disease MESH metabolic syndrome
drug DRUGBANK Hydrocortisone
drug DRUGBANK Testosterone
drug DRUGBANK Trestolone
disease IDO site
drug DRUGBANK Etoperidone
disease MESH sexual assault
drug DRUGBANK Pentaerythritol tetranitrate
drug DRUGBANK Coenzyme M
disease IDO blood
disease MESH nutritional status
disease MESH refeeding syndrome
disease MESH complications
disease MESH Hypophosphatemia
disease MESH hypokalemia
drug DRUGBANK Isoxaflutole
pathway REACTOME Metabolism
drug DRUGBANK Dextrose unspecified form
disease IDO protein
disease MESH thiamine deficiency
disease MESH syndrome
drug DRUGBANK Phosphorus
disease MESH cardiac arrest
disease MESH encephalopathy
drug DRUGBANK Thiamine
disease MESH weight loss
drug DRUGBANK Methionine
disease IDO intervention
disease MESH dissociation
disease MESH depression
disease MESH vaginal discharge
disease MESH infections
disease IDO infection
disease MESH HIV infections
drug DRUGBANK Emtricitabine
drug DRUGBANK Tenofovir disoproxil
drug DRUGBANK Phosphate ion
drug DRUGBANK Dolutegravir
disease MESH Tetanus
disease MESH gonorrhea
disease MESH syphilis

Original Article

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