Stahlman Shauna, Taubman Stephen B
MSMR. 2018 Jul;25(7):2-9.
Injuries have consistently ranked among the top morbidity burdens among U.S. military service members. This report describes the incidence, trends, types, causes, and dispositions of acute injuries among active component service members by anatomic region. From 2008 through 2017, there were more than 3.6 million acute incident injuries among more than 1.6 million individuals. The highest rates were for injuries to the foot/ankle, head/neck, and hand/wrist. Injury incidence decreased during the surveillance period for all anatomic sites except for the leg and knee. In addition, incidence varied by military/demographic characteristics and anatomic site. Overall, service members in the Army and service members in motor transport and/or combat-related occupations tended to have higher incidence rates than their respective counterparts. "Sprains and strains" was the most common type of injury (48.5%), and most injuries were due to undocumented or undetermined causes (69.7%). The most common disposition was "returned to duty with no limitations" (69.8%). Findings suggest that injury prevention strategies should be tailored to different populations with different risk factors. Future analyses will describe the epidemiology of cumulative traumatic injuries.
在美国军人中,受伤一直位列发病率负担的前列。本报告按解剖区域描述了现役军人急性损伤的发病率、趋势、类型、原因及处置情况。2008年至2017年期间,160多万名军人中发生了超过360万起急性损伤事件。足部/踝部、头部/颈部和手部/腕部的受伤率最高。除腿部和膝盖外,所有解剖部位的损伤发病率在监测期内均有所下降。此外,发病率因军事/人口特征和解剖部位而异。总体而言,陆军军人以及从事汽车运输和/或与战斗相关职业的军人的发病率往往高于各自的同行。“扭伤和拉伤”是最常见的损伤类型(48.5%),大多数损伤原因不明或未确定(69.7%)。最常见的处置方式是“无限制返回岗位”(69.8%)。研究结果表明,应针对具有不同风险因素的不同人群制定伤害预防策略。未来的分析将描述累积性创伤损伤的流行病学情况。