Clark Leslie L, Oh Gi-Taik, Stahlman Shauna
MSMR. 2019 Jan;26(1):12-16.
From 1 October 2001 through 31 December 2017, a total of 697 medical evacuations of service members from the U.S. Central Command (CENTCOM) area of responsibility were followed by at least one medical encounter in a fixed medical facility outside the operational theater with a diagnosis of a cardiovascular disease (CVD). The vast majority of those (n=660; 94.7%) evacuated were males. More than a third of CVD-related evacuations (n=278, 39.9%) occurred in service members 45 years of age or older; slightly more than half (n=369; 52.9%) occurred in reserve or guard members. The most common CVD risk factors which had been diagnosed among evacuated service members prior to their deployment were hypertension (n=236; 33.9%) and hyperlipidemia (n=241; 34.9%). Much lower percentages had been previously diagnosed with obesity (n=74, 10.6%) or diabetes (n=21, 3.0%). More than 1 in 4 service members with a CVD-related medical evacuation had been diagnosed with more than one risk factor (n=182, 26.1%). Both limitations to the data available and strategies to reduce CVD morbidity in theater are discussed.
从2001年10月1日至2017年12月31日，美国中央司令部（CENTCOM）责任区内共有697名军人接受医疗后送，随后在战区外的固定医疗机构至少有一次就医记录，诊断为心血管疾病（CVD）。其中绝大多数（n = 660；94.7%）后送人员为男性。超过三分之一（n = 278，39.9%）与CVD相关的后送发生在45岁及以上的军人中；略超过一半（n = 369；52.9%）发生在后备役或国民警卫队成员中。在被后送的军人部署前已被诊断出的最常见CVD危险因素为高血压（n = 236；33.9%）和高脂血症（n = 241；34.9%）。此前被诊断患有肥胖症（n = 74，10.6%）或糖尿病（n = 21，3.0%）的比例要低得多。超过四分之一与CVD相关医疗后送的军人被诊断出有不止一种危险因素（n = 182，26.1%）。本文讨论了现有数据的局限性以及降低战区CVD发病率的策略。
