Shriners Children's Hospital-Boston, 51 Blossom St., Boston, MA 02114, United States.
Spaulding Rehabilitation Hospital, 300 1st Ave., Charlestown, MA 02129, United States.
Burns. 2024 Feb;50(1):59-65. doi: 10.1016/j.burns.2023.08.014. Epub 2023 Aug 24.
The association between military service history and long-term outcomes after burn injury is unknown. This study uses data from the Burn Model System National Database to compare outcomes of individuals with and without self-reported military service history.
Outcome measures were assessed at 12 months after injury including the Veterans Rand-12 Item Health Survey/Short Form-12, Satisfaction With Life Scale, Patient Reported Outcomes Measure Information System 29, 4-D Itch scale, Post Traumatic Stress Disorder Check List - Civilian Version, self-reported Post Traumatic Stress Disorder, and employment status. This study included 675 people with burns of whom 108 reported a history of military service.
The military service history group was more likely to be older, and male. Those with military service were most likely to be on Medicare insurance and those without military service history were most likely to be on Private Insurance/HMP/PPO. No significant differences were found between those with and without military service history in the outcome measures.
Further research should examine differences in outcomes between civilians and those with military service history, including elements of resilience and post traumatic growth.
军人服役经历与烧伤后长期预后之间的关系尚不清楚。本研究利用烧伤模型系统国家数据库的数据,比较了有和无自我报告的军事服务史的个体的结果。
在受伤后 12 个月评估预后指标,包括退伍军人兰德 12 项健康调查/简短形式 12 项、生活满意度量表、患者报告的结果测量信息系统 29 项、4-D 瘙痒量表、创伤后应激障碍检查表-平民版、自我报告的创伤后应激障碍和就业状况。本研究纳入了 675 名烧伤患者,其中 108 名报告有军人服役经历。
有军人服役经历的人群年龄更大,男性更多。有军人服役经历的人最有可能参加医疗保险,而没有军人服役经历的人最有可能参加私人保险/HMP/PPO。有和没有军人服役经历的人群在预后指标上没有显著差异。
应进一步研究平民和有军人服役经历的人群之间在预后方面的差异,包括韧性和创伤后成长的因素。