Gulf war veterans' health: Medical evaluation of a US cohort
Gulf war veterans' health: Medical evaluation of a US cohort
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DOI：
10.7326/0003-4819-142-11-200506070-00005
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发表时间：
2005-06-07
影响因子：
39.2
通讯作者：
Lyons, MJ
中科院分区：
文献类型：
--
作者：
Eisen, SA;Kang, HK;Lyons, MJ
背景：1991年海湾战争期间，美国军事人员在部署到波斯湾后报告了各种症状。然而，症状的长期患病率和与部署的关联仍然存在争议。目的：评估和比较在一个国家队列的部署和未部署的海湾战争退伍军人谁是由直接的医疗和远程皮肤病学examinations.Design评估选定的医疗条件的患病率：一个横断面患病率研究进行10年后的1991年海湾战争。设置：退伍军人在16个退伍军人事务部医疗中心之一接受了检查。（n = 1061）和未展开（n = 1128）1991年海湾战争的退伍军人。主要结果指标包括纤维肌痛、慢性疲劳综合征、皮肤病、消化不良，身体健康相关生活质量结果：在12种疾病中，只有4种疾病在部署的退伍军人中比未部署的退伍军人更普遍：纤维肌痛（展开，2.0%;未展开，1.2%;比值比，2.32 [95% CI，1.02 - 5.27]）;慢性疲劳综合征（展开，1.6%;未展开0.1%;比值比，40.6 [CI，10.2 - 161]）;皮肤病（展开，34.6%;未展开，26.8%;比值比，1.38 [CI，1.06 - 1.80]）和消化不良（展开，9.1%;未展开，6.0%;比值比，1.87 [CI，1.16 - 2.99]）。平均物理组件的SF-36部署和nondeployed退伍军人的总评分分别为49.3和50.8，respectively.Limitations：相对较低的参与率引入潜在的参与偏倚，和部署相关的疾病，解决之前的研究考试不能，通过设计，被detected.Conclusions：十年后的海湾战争，部署和nondeployed退伍军人的身体健康是相似的。然而，海湾战争部署与纤维肌痛、慢性疲劳综合征、皮肤病、消化不良的风险增加以及SF-36身体成分评分的临床无意义降低相关。
Background: United States military personnel reported various symptoms after deployment to the Persian Gulf during the 1991 Gulf War. However, the symptoms' long-term prevalence and association with deployment remain controversial.Objective: To assess and compare the prevalence of selected medical conditions in a national cohort of deployed and nondeployed Gulf War veterans who were evaluated by direct medical and teledermatologic examinations.Design: A cross-sectional prevalence study performed 10 years after the 1991 Gulf War.Setting: Veterans were examined at 1 of 16 Veterans Affairs medical centers.Participants: Deployed (n = 1061) and nondeployed (n = 1128) veterans of the 1991 Gulf War.Measurements: Primary outcome measures included fibromyalgia, the chronic fatigue syndrome, dermatologic conditions, dyspepsia, physical health-related quality of life (Short Form-36 [SF36]), hypertension, obstructive lung disease, arthralgias, and peripheral neuropathy.Results: Of 12 conditions, only 4 conditions were more prevalent among deployed than nondeployed veterans: fibromyalgia (deployed, 2.0%; nondeployed, 1.2%; odds ratio, 2.32 [95% Cl, 1.02 to 5.27]); the chronic fatigue syndrome (deployed, 1.6%; nondeployed 0.1%; odds ratio, 40.6 [Cl, 10.2 to 161]); dermatologic conditions (deployed, 34.6%; nondeployed, 26.8%; odds ratio, 1.38 [Cl, 1.06 to 1.80]), and dyspepsia (deployed, 9.1%; nondeployed, 6.0%; odds ratio, 1.87 [Cl, 1.16 to 2.99]). The mean physical component summary score of the SF-36 for deployed and nondeployed veterans was 49.3 and 50.8, respectively.Limitations: Relatively low participation rates introduce potential participation bias, and deployment-related illnesses that resolved before the research examination could not, by design, be detected.Conclusions: Ten years after the Gulf War, the physical health of deployed and nondeployed veterans is similar. However, Gulf War deployment is associated with an increased risk for fibromyalgia, the chronic fatigue syndrome, skin conditions, dyspepsia, and a clinically insignificant decrease in the SF-36 physical component score.