Institutes for Behavior Resources, Operational Fatigue and Performance, 2104 Maryland Ave, Baltimore, MD, 21218, USA.
Pulmonary, Critical Care and Sleep Medicine Walter Reed National Military Medical Center, Bethesda, MD, 20889, USA.
Mil Med Res. 2020 Mar 10;7(1):10. doi: 10.1186/s40779-020-00239-7.
The impact of sleep disorders on active-duty soldiers' medical readiness is not currently quantified. Patient data generated at military treatment facilities can be accessed to create research reports and thus can be used to estimate the prevalence of sleep disturbances and the role of sleep on overall health in service members. The current study aimed to quantify sleep-related health issues and their impact on health and nondeployability through the analysis of U.S. military healthcare records from fiscal year 2018 (FY2018).
Medical diagnosis information and deployability profiles (e-Profiles) were queried for all active-duty U.S. Army patients with a concurrent sleep disorder diagnosis receiving medical care within FY2018. Nondeployability was predicted from medical reasons for having an e-Profile (categorized as sleep, behavioral health, musculoskeletal, cardiometabolic, injury, or accident) using binomial logistic regression. Sleep e-Profiles were investigated as a moderator between other e-Profile categories and nondeployability.
Out of 582,031 soldiers, 48.4% (n = 281,738) had a sleep-related diagnosis in their healthcare records, 9.7% (n = 56,247) of soldiers had e-Profiles, and 1.9% (n = 10,885) had a sleep e-Profile. Soldiers with sleep e-Profiles were more likely to have had a motor vehicle accident (pOR (prevalence odds ratio) =4.7, 95% CI 2.63-8.39, P ≤ 0.001) or work/duty-related injury (pOR = 1.6, 95% CI 1.32-1.94, P ≤ 0.001). The likelihood of nondeployability was greater in soldiers with a sleep e-Profile and a musculoskeletal e-Profile (pOR = 4.25, 95% CI 3.75-4.81, P ≤ 0.001) or work/duty-related injury (pOR = 2.62, 95% CI 1.63-4.21, P ≤ 0.001).
Nearly half of soldiers had a sleep disorder or sleep-related medical diagnosis in 2018, but their sleep problems are largely not profiled as limitations to medical readiness. Musculoskeletal issues and physical injury predict nondeployability, and nondeployability is more likely to occur in soldiers who have sleep e-Profiles in addition to these issues. Addressing sleep problems may prevent accidents and injuries that could render a soldier nondeployable.
目前尚未量化睡眠障碍对现役士兵医疗准备状态的影响。可以访问军事治疗设施生成的患者数据来创建研究报告，从而可以用来估计睡眠障碍的发生率以及睡眠对现役军人整体健康的影响。本研究旨在通过分析 2018 财年（FY2018）的美国军事医疗记录，量化与睡眠相关的健康问题及其对健康和不可部署性的影响。
对 FY2018 期间接受医疗护理且同时患有睡眠障碍诊断的所有现役美国陆军患者的医疗诊断信息和可部署性档案（e-Profile）进行查询。使用二项逻辑回归根据 e-Profile（分为睡眠、行为健康、肌肉骨骼、心血管代谢、损伤或事故）的医学原因预测不可部署性。睡眠 e-Profile 被用作其他 e-Profile 类别与不可部署性之间的调节因素进行研究。
在 582031 名士兵中，48.4%（n=281738）的士兵在医疗记录中有与睡眠相关的诊断，9.7%（n=56247）的士兵有 e-Profile，1.9%（n=10885）有睡眠 e-Profile。患有睡眠 e-Profile 的士兵更有可能发生机动车事故（pOR（患病率比值比）=4.7，95%CI 2.63-8.39，P≤0.001）或与工作/职责相关的损伤（pOR=1.6，95%CI 1.32-1.94，P≤0.001）。患有睡眠 e-Profile 和肌肉骨骼 e-Profile（pOR=4.25，95%CI 3.75-4.81，P≤0.001）或与工作/职责相关的损伤（pOR=2.62，95%CI 1.63-4.21，P≤0.001）的士兵，其不可部署的可能性更大。
2018 年近一半的士兵患有睡眠障碍或与睡眠相关的医疗诊断，但他们的睡眠问题在很大程度上并未被归类为医疗准备状态的限制因素。肌肉骨骼问题和身体损伤预测不可部署性，而患有睡眠 e-Profile 加上这些问题的士兵更有可能出现不可部署性。解决睡眠问题可能会预防导致士兵不可部署的事故和伤害。
