Chemical Biological Incident Response Force, Indian Head, Maryland 20640, USA.
Am J Prev Med. 2010 Jan;38(1 Suppl):S189-96. doi: 10.1016/j.amepre.2009.10.024.
Motor vehicle crashes account for nearly one third of U.S. military fatalities annually. The objective of this review is to summarize the published evidence on injuries due specifically to military motor vehicle (MMV) crashes.
A search of 18 electronic databases identified English language publications addressing MMV crash-related injuries between 1970 and 2006 that were available to the general public. Documents limited in distribution to military or government personnel were not evaluated. Relevant articles were categorized by study design.
The search identified only 13 studies related specifically to MMV crashes. Most were case reports or case series (n=8); only one could be classified as an intervention study. Nine of the studies were based solely on data from service-specific military safety centers.
Few studies exist on injuries resulting from crashes of military motor vehicles. Epidemiologic studies that assess injury rates, type, severity, and risk factors are needed, followed by studies to evaluate targeted interventions and prevention strategies. Interventions currently underway should be evaluated for effectiveness, and those proven effective in the civilian community, such as graduated driver licensing, should be considered for implementation and evaluation in military populations.
机动车事故导致的死亡人数约占美国每年军事人员死亡人数的三分之一。本综述的目的是总结已发表的关于军事机动车（MMV）碰撞事故造成的损伤的证据。
对 18 个电子数据库进行了搜索，以确定 1970 年至 2006 年间发表的关于 MMV 碰撞相关损伤的英文文献，这些文献可供公众获取。未评估分发范围仅限于军事或政府人员的文件。相关文章按研究设计进行分类。
搜索仅确定了 13 项与 MMV 碰撞相关的研究。大多数是病例报告或病例系列（n=8）；只有一项可归类为干预研究。其中 9 项研究仅基于特定于服务的军事安全中心的数据。
关于军事机动车碰撞造成的损伤的研究很少。需要进行评估损伤发生率、类型、严重程度和危险因素的流行病学研究，然后进行评估针对性干预和预防策略的研究。目前正在进行的干预措施应评估其有效性，并且在民间社区中已证明有效的干预措施，例如分级驾驶执照，应考虑在军事人群中实施和评估。
