Acute Stress Disorder in Soldiers Injured During the October 7 War

INTRODUCTION: This study aimed to identify background variables, trauma history, social support, combat-related factors, and injury severity score (ISS) factors associated with Acute Stress Disorder (ASD) to detect soldiers at an increased risk of developing stress disorders and post-traumatic stress disorder (PTSD). MATERIALS AND METHODS: This cross-sectional retrospective study analyzed the files of 142 soldiers who were hospitalized at Medical Center between October 7, 2023 and December 31, 2024 following combat-related injuries. A multivariable logistic regression model to determine which factors were independently associated with ASD. Sensitivity analyses was also conducted to compare a subgroup (patients with ASD to those without ASD), ensuring robust findings. RESULTS: A total of 142 soldiers of which 137 (96.5%) were males with a mean age of 25.58 (SD = 7.17). Of all the participants, n = 64 (45.1%) were in compulsory service. Most of the participants served in the War Zone (n = 113; 79.6%). Trauma exposure (compared to no trauma) (personal history of trauma [OR = 6.49, P < .001]; combat [OR 3.90, P = .004], and exposure to fatalities [OR = 2.90, P = .011]) were identified as significant risk factors for developing ASD. No significant association was found between demographic and social factors and the development of ASD. CONCLUSIONS: The study highlights the importance of early identification of soldiers at high risk for developing ASD, particularly those with a personal history of trauma. In relation to combat events, individuals who have been exposed to fatalities require intervention after the war.