Huizinga Eelco, Hoencamp Rigo, van Dongen Thijs, Leenen Luke
University Medical Centre Utrecht, Heidelberglaan 100, 3585 GA Utrecht, The Netherlands.
Leiden University Medical Centre, Albinusdreef 2, 2300 RC Leiden, The Netherlands.
Mil Med. 2015 Mar;180(3):310-4. doi: 10.7205/MILMED-D-14-00474.
A systematic analysis of the complete medical support organization of the Dutch Armed Forces regarding repatriated service members from Afghanistan has not been performed so far.
All information were collated in a specifically designed electronic database and gathered from the archive of the Central Military Hospital for all Dutch service members receiving treatment for wounds or diseases sustained in the Afghan theater from July 2003 till January 2014.
Traumatic injuries were the main cause (63%, 141/223) of repatriation, and improvised explosive devices the major (67%, 60/89) mechanism of injury in the battle casualty group. The mean time between injury and medical evacuation from Afghanistan was 8 days, and this was reduced to 3.6 days in case of polytrauma casualties (ISS > 15).
Sixty percent of all Dutch medical evacuations from Afghanistan were not directly related to combat operations. A standard medical examination/endurance test in the predeployment phase could be useful as screening tool in reduction of the disease nonbattle injury casualty rate. Shorter transport intervals might improve morbidity and mortality of casualties, a timeframe of 48 to 72 hours for receiving definitive treatment seems feasible. Further research is necessary to identify delay factors and possible improvements in the medical support organization.
迄今为止，尚未对荷兰武装部队针对从阿富汗遣返的服役人员的完整医疗保障组织进行系统分析。
所有信息都整理在一个专门设计的电子数据库中，并从中央军事医院的档案中收集，这些信息涉及2003年7月至2014年1月期间在阿富汗战区受伤或患病并接受治疗的所有荷兰服役人员。
创伤性损伤是遣返的主要原因（63%，141/223），简易爆炸装置是战斗伤亡组中主要的致伤机制（67%，60/89）。受伤至从阿富汗医疗后送的平均时间为8天，而多发伤伤员（损伤严重度评分>15）的这一平均时间缩短至3.6天。
从阿富汗进行医疗后送的所有荷兰人员中，60%与战斗行动无直接关系。部署前阶段的标准体格检查/耐力测试作为降低疾病非战斗损伤伤亡率的筛查工具可能有用。更短的转运间隔可能会改善伤员的发病率和死亡率，48至72小时的明确治疗时间框架似乎可行。有必要进一步研究以确定延误因素以及医疗保障组织可能的改进措施。
