特种作战部队与常规军事人员的健康状况：VA TBI 模型系统研究。
Health Conditions Among Special Operations Forces Versus Conventional Military Service Members: A VA TBI Model Systems Study.
机构信息
Mental Health and Behavioral Sciences Section (MHBSS) (Drs Garcia, Kretzmer, Miles, Bajor, and Silva) and Physical Medicine & Rehabilitation Service (Dr Merritt), James A. Haley Veterans' Hospital, Tampa, Florida; Traumatic Brain Injury Center of Excellence (TBI CoE), Tampa, Florida (Dr Garcia); Departments of Neurology (Dr Dams-O'Connor) and Rehabilitation and Human Performance (Dr Dams-O'Connor), Icahn School of Medicine at Mount Sinai, New York City, New York; Departments of Psychiatry and Behavioral Neurosciences (Drs Miles, Bajor, Belanger, and Silva), Internal Medicine (Dr Silva), and Psychology (Dr Silva), University of South Florida, Tampa, Florida; Harvard Medical School, Boston, Massachusetts (Dr Bajor); Tampa VA Research and Education Foundation, Inc, Temple Terrace, Florida (Dr Tang); United States Special Operations Command (USSOCOM), Tampa, Florida (Dr Belanger); St Michael's Inc, Woodbridge, Virginia (Dr Belanger); VA Greater Los Angeles Healthcare System, Los Angeles, California (Dr Eapen); National Intrepid Center of Excellence (NICoE), Walter Reed National Military Medical Center (WRNMMC), Bethesda, Maryland (Dr McKenzie-Hartman); and F. Edward Hébert School of Medicine (SOM), Uniformed Services University of the Health Sciences (USUHS), Bethesda, Maryland (Dr McKenzie-Hartman).
出版信息
J Head Trauma Rehabil. 2022;37(4):E292-E298. doi: 10.1097/HTR.0000000000000737. Epub 2021 Oct 25.
OBJECTIVE
To examine traumatic brain injury (TBI) characteristics and comorbid medical profiles of Special Operations Forces (SOF) Active Duty Service Member/Veterans (ADSM/Vs) and contrast them with conventional military personnel.
SETTING
The 5 Veterans Affairs (VA) Polytrauma Rehabilitation Centers.
PARTICIPANTS
A subset of participants in the VA TBI Model Systems multicenter longitudinal study with known SOF status. These included 157 participants who identified as SOF personnel (average age = 41.8 years; 96% male, 81% active duty), and 365 who identified as Conventional Forces personnel (average age = 37.4 years; 92% male, 30% active duty).
DESIGN
Retrospective analysis of prospective cohort, cross-sectional.
MAIN MEASURES
The Health Comorbidities Interview.
RESULTS
SOF personnel were more likely to have deployed to a combat zone, had more years of active duty service, and were more likely active duty at time of TBI. SOF personnel were more likely to have had mild TBI (vs moderate/severe) and their TBI caused by violent mechanism. SOF personnel had a higher number of comorbidities, with more diagnoses of chronic pain, osteoarthritis, hyperlipidemia, hip fractures, and obstructive sleep apnea.
CONCLUSION
SOF personnel are at a higher risk for multimorbidity after TBI. Current rehabilitation practices should incorporate early screening and treatment of common conditions in this population, while future practices may benefit from a focus on prevention.
目的
研究特种作战部队（SOF）现役/退役军人（ADSM/Vs）的创伤性脑损伤（TBI）特征和合并症医疗概况，并将其与常规军事人员进行对比。
地点
5 个退伍军人事务部（VA）多发创伤康复中心。
参与者
VA TBI 模型系统多中心纵向研究中具有已知 SOF 身份的参与者子集。其中包括 157 名自认为是 SOF 人员的参与者（平均年龄=41.8 岁；96%为男性，81%为现役），和 365 名自认为是常规部队人员的参与者（平均年龄=37.4 岁；92%为男性，30%为现役）。
设计
前瞻性队列的回顾性分析，横断面研究。
主要测量指标
健康合并症访谈。
结果
SOF 人员更有可能被部署到战区，服役年限更长，并且在 TBI 发生时更有可能现役。SOF 人员更有可能患有轻度 TBI（而非中度/重度），且其 TBI 由暴力机制引起。SOF 人员有更多的合并症，更常见慢性疼痛、骨关节炎、高血脂、髋部骨折和阻塞性睡眠呼吸暂停的诊断。
结论
SOF 人员在 TBI 后更有可能患有多种合并症。目前的康复实践应在该人群中早期筛查和治疗常见疾病，而未来的实践可能受益于对预防的关注。
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