US Army Institute of Surgical Research, JBSA Fort Sam Houston, TX, and University of Texas at San Antonio, TX.
Uniformed Services University of the Health Sciences, Bethesda, MD.
Med J (Ft Sam Houst Tex). 2022 Apr-Jun;Per 22-04-05-06(Per 22-04-05-06):73-77.
The US Central Command (CENTCOM) area of responsibility (AOR) spans 20 nations in the Middle East, Central, and South Asia. Evacuations outside this AOR include all injury types and severities; however, it remains unclear what proportion of evacuations were due to disease and non-battle injuries (DNBI). Understanding these patterns may be useful for defining future medical support requirements for multi domain operations (MDO). We sought to analyze encounters obtained from the Transportation Command Regulating and Command and Control Evacuation System (TRAC2ES) data for medical evacuations within CENTCOM.
We obtained all encounters within TRAC2ES from February 2009 to November 2018. We analyzed data using entered demographic data and keyword categorization of free text information provided by the medical officer requesting patient movement.
There were 50,036 patient movement requests entered into TRAC2ES originating from the CENTCOM AOR for both military and civilian personnel. After removal of ineligible entries (for example, military working dogs), the number of eligible subjects was 49,259, 13 percent combat (n equals 6,389) and 87 percent were noncombat (n equals 42,870). The primary age group requiring evacuation was 18 through 29 (59 percent) and were mostly male (87 percent). Most went by routine status (80 percent), followed by priority (16 percent). Most of the transfers originated from Afghanistan (58 percent) and Iraq (22 percent), with Germany serving as the primary destination (79 percent). Results showed the total number of patient evacuations increased from 2009 to 2010 and then decreased from 2011 to 2017. The most frequent body region associated with the transfer was the extremities for both combat (54 percent) and noncombat (32 percent).
Out of theater disease and non combat injury evacuation rates were nearly 7 times higher than for combat related injuries. Our results highlight the need for additional research and development resources of DNBI related medical care. As we move into future MDO with limited evacuation capabilities, we will need support solutions to cover the full gamut of DNBI.
美国中央司令部（CENTCOM）的责任区（AOR）跨越中东、中亚和南亚的 20 个国家。该 AOR 以外的撤离包括所有伤害类型和严重程度；然而，目前尚不清楚撤离中有多少是由于疾病和非战斗性伤害（DNBI）。了解这些模式对于确定多领域作战（MDO）的未来医疗支援需求可能是有用的。我们试图分析从中东地区运输司令部监管和指挥与控制撤离系统（TRAC2ES）数据中获得的医疗撤离情况。
我们从 2009 年 2 月到 2018 年 11 月从 TRAC2ES 中获取了所有的病例。我们使用输入的人口统计学数据和请求患者转移的医务人员提供的自由文本信息的关键字分类来分析数据。
TRAC2ES 中有 50036 例患者转移请求，来自 CENTCOM 的军事和文职人员。在删除不合格的条目（例如，军用工作犬）后，合格的受试者人数为 49259 人，其中 13%为战斗人员（n 等于 6389 人），87%为非战斗人员（n 等于 42870 人）。需要撤离的主要年龄组是 18 至 29 岁（59%），且大多数为男性（87%）。大多数按常规状态（80%）转移，其次是优先级（16%）。大多数转移都来自阿富汗（58%）和伊拉克（22%），德国是主要目的地（79%）。结果表明，患者撤离的总数从 2009 年到 2010 年增加，然后从 2011 年到 2017 年减少。与战斗相关的最常见的转移部位是四肢（战斗人员为 54%，非战斗人员为 32%）。
战区外疾病和非战斗性伤害的撤离率几乎是战斗相关伤害的 7 倍。我们的结果强调需要额外的研究和发展资源来进行与 DNBI 相关的医疗保健。随着我们进入未来的有限撤离能力的多领域作战，我们将需要支持解决方案来涵盖 DNBI 的全部范围。
