Brundage John F, Kohlhase Kimmie F, Gambel Jeffrey M
Army Medical Surveillance Activity, Directorate of Epidemiology and Disease Surveillance, U.S. Army Center for Health Promotion and Preventive Medicine, Washington, District of Columbia 20307-5001, USA.
Am J Ind Med. 2002 Apr;41(4):279-84. doi: 10.1002/ajim.10075.
There are relationships among morbidity experiences before, during, and after participation in overseas military operations.
U.S. servicemembers who deployed to Bosnia-Herzegovina during a 4-year period were classified based on their last hospitalizations prior to deploying. Hospitalization rates during and following deployment were calculated in relation to the timing and causes of pre-deployment hospitalizations.
Deployers ever hospitalized pre-deployment were 120% and 50% more likely to be hospitalized during and following deployment, respectively. For nearly every category of diagnoses, hospitalization rates during and following deployment were highest among those hospitalized for the same category, intermediate among those hospitalized for other categories, and lowest among those not hospitalized prior to deploying. Deployers hospitalized within 1 month, 2-3 months, or > 3 months of deploying were 3.8, 2.6, and 1.4-times more likely to be hospitalized during deployment.
The nature and recency of prior hospitalizations significantly determine during and post-deployment hospitalization risks.
参与海外军事行动之前、期间和之后的发病经历之间存在关联。
在四年期间部署到波斯尼亚和黑塞哥维那的美国军人根据其部署前的最后一次住院情况进行分类。根据部署前住院的时间和原因计算部署期间及之后的住院率。
部署前曾住院的军人在部署期间和之后住院的可能性分别高出120%和50%。对于几乎每一类诊断，部署期间及之后的住院率在因同一类疾病住院的军人中最高，在因其他类疾病住院的军人中居中，在部署前未住院的军人中最低。在部署后1个月内、2 - 3个月内或超过3个月内住院的军人在部署期间住院的可能性分别是其3.8倍、2.6倍和1.4倍。
先前住院的性质和近期情况显著决定部署期间和部署后的住院风险。
