Eaton Melinda, Marshall Stephen W, Fujimoto Scott, Gould Philip L, Poole Charles, Richardson David B
Epidemiology Consult Service, United States Air Force School of Aerospace Medicine, 1050 Forrer Boulevard, Kettering, OH 45420-1472, USA.
Mil Med. 2011 Sep;176(9):1007-14. doi: 10.7205/milmed-d-10-00456.
This study examines non-battle injuries among U.S. Air Force members deployed during Operations Iraqi and Enduring Freedom. A cohort of 275,843 Active Duty, Guard, and Reserve members were identified for the period September 11, 2001 through October 31, 2006. Data on injuries were obtained from electronic medical records and deployment time was obtained from manpower records. Poisson regression was used to estimate adjusted incidence rate ratios (IRRs). The most common non-battle injuries were sprains and strains (53%) followed by open wounds (27%). Guard and Reserve members tended to have a lower rate of orthopedic non-battle injuries than Active Duty members in crude analyses and after adjustment for age, previous deployment, sex, race/ethnicity, and occupation (IRR = 0.95; 95% CI = 0.89-1.02 and IRR = 0.85; 95% CI = 0.77-0.93). Results from this study are intended to facilitate further research of potential differences between Air Force components to reduce non-battle injuries in a deployed environment.
本研究调查了在伊拉克行动和持久自由行动期间部署的美国空军人员的非战斗损伤情况。确定了2001年9月11日至2006年10月31日期间的275,843名现役、国民警卫队和预备役人员作为队列研究对象。损伤数据来自电子病历，部署时间来自人力记录。采用泊松回归来估计调整后的发病率比（IRR）。最常见的非战斗损伤是扭伤和拉伤（53%），其次是开放性伤口（27%）。在粗分析以及对年龄、既往部署情况、性别、种族/民族和职业进行调整后，国民警卫队和预备役人员的骨科非战斗损伤发生率往往低于现役人员（IRR = 0.95；95%CI = 0.89 - 1.02以及IRR = 0.85；95%CI = 0.77 - 0.93）。本研究结果旨在促进对空军各组成部分之间潜在差异的进一步研究，以减少部署环境中的非战斗损伤。
