Joseph Antony R, Horton Jaime L, Clouser Mary C, MacGregor Andrew J, Louie Michelle, Galarneau Michael R
J Rehabil Res Dev. 2016;53(3):295-306. doi: 10.1682/JRRD.2015.02.0031.
The Department of Defense Hearing Conservation Program provides specific guidance for service components to prevent occupational hearing loss; however, it does not specifically contend with the unique noise exposures observed in the theater of war, such as blasts and explosions. In order to examine the effects of blast injury on hearing sensitivity, we developed a large database composed of demographic, audiometric, point of injury, and medical outcome data, with the primary aim of developing a long-standing and integrated capability for the surveillance, assessment, and investigation of blast-related hearing outcomes. Methods used to develop the dataset are described. Encompassing more than 16,500 Navy and Marine Corps personnel, the Blast-Related Auditory Injury Database (BRAID) includes individuals with a blast-related injury and nonblast control subjects. Using baseline and postdeployment hearing threshold data, a retrospective analysis of the cohort revealed that the rate of hearing loss for the injured servicemembers was 39%. The BRAID will be useful for studies that assess hearing patterns following deployment-related injury, such as blast exposures, that facilitate exploration of health outcomes and whether they are predictive of audiometric disposition and that help establish hearing loss prevention strategies and program policies for affected military commands and servicemembers.
美国国防部听力保护计划为各军种提供了预防职业性听力损失的具体指导；然而，它并未专门针对在战区观察到的独特噪声暴露情况，如爆炸和冲击波。为了研究爆炸伤对听力敏感度的影响，我们建立了一个大型数据库，其中包含人口统计学、听力测定、受伤部位和医疗结果数据，主要目的是建立一种长期且综合的能力，用于监测、评估和调查与爆炸相关的听力结果。文中描述了用于建立该数据集的方法。爆炸相关听觉损伤数据库（BRAID）涵盖了超过16500名海军和海军陆战队人员，包括有爆炸相关损伤的个体和非爆炸对照对象。通过对该队列的回顾性分析，利用基线和部署后听力阈值数据发现，受伤军人的听力损失率为39%。BRAID将有助于开展相关研究，这些研究旨在评估与部署相关的损伤（如爆炸暴露）后的听力模式，促进对健康结果的探索以及这些结果是否能预测听力测定情况，并有助于为受影响的军事指挥部和军人制定听力损失预防策略和计划政策。
