Medical Surveillance of Injuries in the US Military Descriptive Epidemiology and Recommendations for Improvement
Medical Surveillance of Injuries in the US Military Descriptive Epidemiology and Recommendations for Improvement
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DOI：
10.1016/j.amepre.2009.10.014
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发表时间：
2010-01-01
影响因子：
5.5
通讯作者：
Moore, Sean
中科院分区：
文献类型：
--
作者：
Jones, Bruce H.;Canham-Chervak, Michelle;Moore, Sean
简介：伤害监测是伤害预防过程的第一步，也是最关键的一步。没有它，成功的伤害预防就无法持续。本文的目的是描述在军事医疗监督的进展，比较与其他疾病的伤害的发生率，确定的大小和原因的伤害问题的军事，并提出建议，为改善监督和伤害prevention.Methods：医疗和人员数据的非部署现役人员从武装部队健康监测中心2000-2006年。率非致命的伤害和伤害相关的肌肉骨骼条件，受伤类型的频率，和受伤住院的原因described.Results：受伤是军事人员之间的医疗遭遇的主要原因。受伤住院率约为每100 000人年1 000人，在门诊治疗的受伤率为每1 000人年999人。导致住院的主要损伤类型是骨折（40%），导致门诊就诊的主要损伤类型是扭伤和拉伤（49%）。住院的主要原因是福尔斯/近福尔斯（17.5%），机动车事故（15.4%），和体育（13.1%）。军事医学监测数据有助于确定伤害问题的程度和原因，确定可能的预防目标，并监测军事人员的趋势。(Am J Prev Med 2010;38（1 S）：S42-S60）由Elsevier Inc.出版。美国预防医学杂志（American Journal of Preventive Medicine）
Introduction: Injury surveillance is the first and most critical step of the injury prevention process. Without it, successful injury prevention could not be sustained. The purpose of this paper is to describe advances in military medical surveillance, compare the incidence of injuries with other illnesses, define the size and causes of the injury problem for the military, and make recommendations for improved surveillance and injury prevention.Methods: Medical and personnel data for nondeployed active duty personnel were obtained from the Armed Forces Health Surveillance Center for 2000-2006. Rates of nonfatal injuries and injury-related musculoskeletal conditions, frequencies of injury types, and causes of injury hospitalizations are described.Results: injuries were the leading cause of medical encounters among military personnel. The rate of hospitalization for injuries was approximately 1000 per 100,000 person-years and, for injuries treated in outpatient clinics, 999 per 1000 person-years. The leading injury type resulting in hospitalization was fractures (40%) and the leading injury type resulting in outpatient visits was sprains and strains (49%). Leading causes of hospitalization were falls/near falls (17.5%), motor vehicle mishaps (15.4%), and sports (13.1%).Conclusions: Injuries are the biggest health problem of the military services. Military medical surveillance data are useful for determining the magnitude and causes of the injury problem, identifying possible prevention targets, and monitoring of trends among military personnel. (Am J Prev Med 2010;38(1S):S42-S60) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine