Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR), Department of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
The Geneva Foundation, Tacoma, WA 98402, USA.
Mil Med. 2024 Nov 21;189(Supplement_4):22-33. doi: 10.1093/milmed/usae045.
Active duty service members (ADSMs) of the U.S. Armed Forces are uniquely at risk for musculoskeletal injuries (MSKIs) of the Head/Neck region, including the eye and face, from training with head gear, donning Kevlar, operating aircraft, and maintaining sitting or standing postures for prolonged durations. The purposes of this descriptive study were to report the prevalence/incidence, health care utilization, and health care costs attributable to Head/Neck MSKIs across the Services from fiscal years (FYs) 2016 to 2021.
This was a retrospective, longitudinal population study, including ADSMs from the Air Force, Army, Marine Corps, and Navy. Prevalence and incidence rates for Head/Neck MSKIs, associated health care utilization, and private sector costs were obtained by querying electronic health records from military treatment facilities, private sector care (PC) claims, and theater medical data from October 1, 2015 to September 30, 2021 (FYs 16-21), using the Military Health System Data Repository. Utilization associated with Head/Neck MSKIs in both the direct care and PC settings was classified into mutually exclusive outpatient encounter categories and acute inpatient stays. PC costs related to Head/Neck MSKIs were captured for each year.
In FY21, 109,683 ADSMs sought care for Head/Neck MSKIs, representing 7.3% of the U.S. Armed Forces. The prevalence of Head/Neck MSKIs ranged from 6.9 to 7.8% during FY16-21, with the highest annual prevalence among the Air Force (8.0-9.4%) and Army (7.9-8.8%). Within direct care across the services, Soldiers presented for the highest proportion (45.9-47.9%) of outpatient encounters for Head/Neck MSKI annually. The Air Force relied most heavily on PC for outpatient Head/Neck MSKI care, which accounted for $9,134,741 in PC costs and comprised 37.2% of all PC encounters in FY21.
This retrospective, descriptive study established prevalence/incidence, health care utilization, and PC costs for Head/Neck MSKIs across the services from FY16-21, emphasizing the burden of Head/Neck MSKIs among the U.S. Armed Forces, with PC costs amounting to $42,912,940 in FY21 alone.
美国武装部队现役军人（ADSM）由于在头部佩戴装备、穿戴凯夫拉纤维、操作飞机以及长时间保持坐姿或站姿等训练中，头部/颈部区域（包括眼睛和面部）极易发生肌肉骨骼损伤（MSKI）。本描述性研究的目的是报告 2016 财年至 2021 财年期间，各军种因头部/颈部 MSKI 导致的发病率/患病率、卫生保健利用情况和医疗费用。
这是一项回顾性、纵向人群研究，包括来自空军、陆军、海军陆战队和海军的 ADSM。通过查询 2015 年 10 月 1 日至 2021 年 9 月 30 日（16-21 财年）军事治疗设施、私人部门护理（PC）索赔和战区医疗数据中的电子健康记录，获得头部/颈部 MSKI 的发病率/患病率、相关卫生保健利用情况和私营部门费用，使用军事健康系统数据存储库。在直接护理和 PC 环境中与头部/颈部 MSKI 相关的利用情况分为互斥的门诊就诊类别和急性住院治疗。每年都记录与头部/颈部 MSKI 相关的 PC 费用。
21 财年，109683 名 ADSM 因头部/颈部 MSKI 接受治疗，占美国武装部队的 7.3%。16-21 财年期间，头部/颈部 MSKI 的患病率为 6.9%至 7.8%，空军（8.0%-9.4%）和陆军（7.9%-8.8%）的年度患病率最高。在各军种的直接护理中，士兵每年因头部/颈部 MSKI 接受门诊治疗的比例最高（45.9%-47.9%）。空军最依赖 PC 提供门诊头部/颈部 MSKI 护理，这部分费用为 9134741 美元，占 21 财年所有 PC 就诊的 37.2%。
本回顾性描述性研究确立了 16-21 财年各军种头部/颈部 MSKI 的发病率/患病率、卫生保健利用情况和 PC 费用，强调了头部/颈部 MSKI 给美国武装部队带来的负担，仅 21 财年的 PC 费用就达到 42912940 美元。
