Lundin Christina Rydahl, Houe T, Sevelsted A, Nissen L
Danish Armed Forces Health Service, Gadstrup, Denmark.
Center for Elective Orthopedic Surgery, Naestved Hospital, Naestved, Denmark.
J R Army Med Corps. 2016 Oct;162(5):348-351. doi: 10.1136/jramc-2015-000511. Epub 2015 Oct 16.
Non-battle injuries have been the leading cause of medical evacuation in the recent wars in Afghanistan and Iraq. This study investigates the hypothesis, that the occurrence of knee problems could be associated with mounted patrolling in armoured vehicles independent of other risk factors.
Retrospective questionnaire-based cohort study of Danish soldiers deployed to Afghanistan during 1 February-31 July 2013.
307 soldiers included. Response rate 70%. 33% reported knee pain.
Significant association between knee pain and time spent weekly on mounted patrols (OR 1.23, CI 1.07 to 1.41, p=0.003). Controlled for confounders age, body mass index and duration of military employment (OR 1.22, CI 1.06 to 1.41, p=0.006). Adjusted for confounders and all other risk factors (OR 1.25, CI 1.07 to 1.48, p=0.007). The main finding in a subset of the 33% with knee pain: Significant association between more severe knee problems with Knee injury and Osteoarthritis Outcome Score below 400 and time spent weekly on mounted patrols (OR 1.49, CI 1.17 to 1.56, p=0.002).
A major concern regarding knee problems among Danish deployed military personnel is identified. The risk of suffering from knee problems and the severity of symptoms increase with the amount of time spent inside a vehicle on mounted patrols.
在最近的阿富汗和伊拉克战争中，非战斗损伤一直是医疗后送的主要原因。本研究调查了这样一个假设，即膝关节问题的发生可能与乘坐装甲车辆巡逻有关，而与其他风险因素无关。
对2013年2月1日至7月31日部署到阿富汗的丹麦士兵进行基于问卷的回顾性队列研究。
纳入307名士兵。应答率为70%。33%的人报告有膝关节疼痛。
膝关节疼痛与每周乘坐巡逻车的时间之间存在显著关联（比值比1.23，可信区间1.07至1.41，p = 0.003）。对年龄、体重指数和军事服役时间等混杂因素进行控制后（比值比1.22，可信区间1.06至1.41，p = 0.006）。对混杂因素和所有其他风险因素进行调整后（比值比1.25，可信区间1.07至1.48，p = 0.007）。在33%有膝关节疼痛的子集中的主要发现：膝关节损伤和骨关节炎结果评分低于400的更严重膝关节问题与每周乘坐巡逻车的时间之间存在显著关联（比值比1.49，可信区间1.17至1.56，p = 0.002）。
确定了丹麦部署军事人员中膝关节问题的一个主要担忧。乘坐巡逻车的时间越长，患膝关节问题的风险和症状的严重程度就越高。
