Jefferson T O
RAMC Training Group, Keogh Barracks, Ash Vale, Hants.
J R Army Med Corps. 1990 Oct;136(3):138-45. doi: 10.1136/jramc-136-03-03.
A study was made of recruit medical discharges in the British Army in 1988 with the aim of ascertaining the number of medical discharges amongst recruits. AFBs 6863 (Notification of Discharge of a Regular Recruit) were used as the source of data. Recruit medical wastage rate for 1988 was 897 cases, or 16.7% of all known discharges. Three types of medical discharges were present. Four hundred and ninety-six Type 1 or concealed discharges, (9.2% of discharges for all reasons) were made up of cases who had not been boarded and had mainly been discharged under QR 9.381 (defect of enlistment). Two hundred and seventy-five Type 2 discharges (5.1% of discharges for all reasons) represented boarded cases discharged under QR 9.385 (ceasing to fulfil medical requirements). One hundred and twenty-six Type 3 discharges (2.3% of all discharges) were boarded cases mainly discharged under QR 9.381 (defect of enlistment). As all discharges under paragraphs other than QR 9.385 are given administrative discharge outflow code, only the 275 Type 2 discharges (or 31.7% of medical discharges) appeared on the Army's own source of medical data, the TRIMEDS database. This had the effect of concealing the majority of those discharges caused by conditions predating enlistment therefore decreasing the number of known false negatives not detected at recruiting medicals. The biggest causes of discharge were conditions of the lower limbs and back (54.5% of medical discharges), a conglomerate of minor categories of pathology (14.6%), asthma (9.6%) and deformities (7.4%). Within each type the bulk of the discharges was concealed in Type 1 discharges especially for conditions predating enlistment.(ABSTRACT TRUNCATED AT 250 WORDS)
1988年对英国陆军新兵因医疗原因退伍情况进行了一项研究,目的是确定新兵中因医疗原因退伍的人数。AFBs 6863(正规新兵退伍通知)被用作数据来源。1988年新兵医疗淘汰率为897例,占所有已知退伍人数的16.7%。存在三种类型的医疗退伍情况。496例1型或隐蔽性退伍(占所有原因退伍人数的9.2%),由未经过体检委员会审查、主要依据QR 9.381(入伍缺陷)退伍的病例组成。275例2型退伍(占所有原因退伍人数的5.1%)代表经体检委员会审查、依据QR 9.385(不再符合医疗要求)退伍的病例。126例3型退伍(占所有退伍人数的2.3%)是经体检委员会审查、主要依据QR 9.381(入伍缺陷)退伍的病例。由于QR 9.385以外段落规定的所有退伍都给出行政退伍流出代码,只有275例2型退伍(或医疗退伍人数的31.7%)出现在陆军自己的医疗数据来源TRIMEDS数据库中。这导致隐瞒了大多数入伍前就存在疾病导致的退伍情况,从而减少了新兵体检时未被发现的已知假阴性人数。退伍的最大原因是下肢和背部疾病(占医疗退伍人数的54.5%)、多种小类病理情况(14.6%)、哮喘(9.6%)和畸形(7.4%)。在每种类型中,大部分退伍情况都隐藏在1型退伍中,尤其是入伍前就存在的疾病情况。(摘要截取自250词)