Combat wounds in Iraq and Afghanistan from 2005 to 2009
Combat wounds in Iraq and Afghanistan from 2005 to 2009
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DOI：
10.1097/ta.0b013e318250bfb4
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发表时间：
2012-07-01
影响因子：
3.4
通讯作者：
Schoenfeld, Andrew J.
中科院分区：
文献类型：
--
作者：
Belmont, Philip J., Jr.;McCriskin, Brendan J.;Schoenfeld, Andrew J.
背景：从2005年到2009年，没有大型队列研究检查伊拉克和阿富汗的创伤模式和损伤机制。这项调查旨在描述这一时期战斗相关伤害的发生率和流行病学特征。使用联合战区创伤登记处，详细描述了战斗伤亡护理统计数据，伤口分布，以及所有美国服役人员因受伤而遭受的伤害机制（DRG国际疾病分类-第9修订版代码800-960）在2005年至2009年的伊拉克和阿富汗战争期间进行。在部署的1，992，232名军人中，有29，624人在战斗中受伤，7，877人在战斗中受伤。战斗伤亡队列的平均年龄为26.0岁。战斗伤亡主要是男性（98.8%）、陆军（77.5%）和初级士兵（59.0%）。战伤分布如下：头/颈，28.1%;胸部，9.9%;腹部，10.1%;四肢，51.9%。爆炸伤占战伤总数的74.4%，明显高于枪伤（19.9%）（p < 0.0001）。从2005年到2007年，爆炸性损伤机制在伊拉克比在阿富汗更常见（p < 0.001）。2007年（59.5%）和2008年（73.6%）之间，阿富汗爆炸装置的百分比显著增加（p < 0.0003）。结论：2005 - 2009年在伊拉克和阿富汗观察到的伤害模式与以往的冲突不同。爆炸装置占战斗伤亡的74.4%，这一比例高于美国以往的冲突。在研究所涉期间，观察到阿富汗使用爆炸装置的情况逐步增加，最终与伊拉克持平。（J Trauma Acute Care Surg.2012; 73：3-12.版权所有（C）2012 Lippincott威廉姆斯& Wilkins）证据等级：流行病学研究，II级。
BACKGROUND: There have been no large cohort studies examining the wounding patterns and injury mechanisms in Iraq and Afghanistan from 2005 to 2009. This investigation sought to characterize the incidence and epidemiology of combat-related injuries for this period.METHODS: Using the Joint Theater Trauma Registry, a detailed description of the combat casualty care statistics, distribution of wounds, and injury mechanisms sustained by all US service members for wounds (DRG International Classification of Diseases-9th Rev. codes 800-960) during the Iraq and Afghanistan Wars from 2005 to 2009 was performed.RESULTS: Among the 1,992,232 military service members who were deployed, there were 29,624 distinct combat wounds in 7,877 combat casualties. The mean age of the combat casualty cohort was 26.0 years old. The combat casualties were predominantly male (98.8%), Army (77.5%), and junior enlisted (59.0%). The distribution of combat wounds was as follows: head/neck, 28.1%; thorax, 9.9%; abdomen, 10.1%; and extremities, 51.9%. Explosive injury mechanisms accounted for 74.4% of all combat casualties, which was significantly higher than those caused by gunshot wounds (19.9%) (p < 0.0001). From 2005 to 2007, explosive mechanisms of injury were significantly more common in Iraq than in Afghanistan (p < 0.001). The percentage of explosive mechanisms increased significantly in Afghanistan between the years 2007 (59.5%) and 2008 (73.6%) (p < 0.0003).CONCLUSION: The wounding patterns observed in Iraq and Afghanistan from 2005 to 2009 differ from previous conflicts. Explosive mechanisms accounted for 74.4% of combat casualties, which is a higher percentage than in previous US conflicts. A progressive increase in the use of explosive mechanisms in Afghanistan, eventually equaling that in Iraq, was observed during the study period. (J Trauma Acute Care Surg. 2012; 73: 3-12. Copyright (C) 2012 by Lippincott Williams & Wilkins)LEVEL OF EVIDENCE: Epidemiological study, level II.