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多机构、前瞻性、探索性、非干预性、高速船人类影响暴露队列研究(MASHIEN):方案

MultiAgency, prospective, exploratory, non-intervention, cohort Study on Human Impact Exposure oNboard high-speed boats (MASHIEN): protocol.

作者信息

Ullman Johan, Myers Stephen D, Bretschneider Kai-Thorsten, Kelly Karen R, Daniel Yann, Hurpin Victor, Kaehler Justus, Kåsin Jan Ivar, Hveding Knut, Mansfield Neil, Masouros Spyros D, Perl Daniel, Wijnands Nicole, Vallee Isabelle, Stevens Veerle, Fraser John J, Rolfson Ola, Robinson Yohan

机构信息

, Swedish Armed Forces Centre for Defence Medicine, Gothenburg, Sweden

Department of Orthopaedics, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden.

出版信息

BMJ Open. 2025 May 2;15(5):e090993. doi: 10.1136/bmjopen-2024-090993.

DOI:10.1136/bmjopen-2024-090993
PMID:40316357
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12049913/
Abstract

INTRODUCTION

High-speed boat operations expose personnel to slamming-induced impacts, which can lead to musculoskeletal injuries and cognitive impairments. Despite existing safety measures, regulations and protocols, the risk of injuries remains significant. The MultiAgency, prospective, exploratory, non-intervention, cohort Study on Human Impact Exposure oNboard high-speed boats study aims to investigate the nature and magnitude of these impacts, their acute and long-term health effects, and potential injury prevention strategies to improve operational safety and performance.

METHODS AND ANALYSIS

This is an ongoing multicentre, prospective, non-intervention, observational cohort study. The first participant was enrolled on 23 August 2024. High-speed boat operators log self-reported pain data via a smartphone app, using a Visual Analogue Scale and pain drawings. Triaxial accelerometers are installed on boat hulls and worn by participants to measure impact exposure. Data analysis assesses correlations between exposure and reported pain, enabling the identification of risk factors and the development of safety guidelines for high-speed boat operations.

ETHICS AND DISSEMINATION

The study has received ethical approval from the relevant ethics committees, including the Swedish Ethics Review Authority (no. 2022-04931-01). All participants will provide informed consent before enrolment. The findings will be disseminated through technical reports, articles in peer-reviewed journals, conference presentations and direct engagement with military and maritime stakeholders to enhance training protocols and safety measures.

TRIAL REGISTRATION NUMBER

NCT05299736.

摘要

引言

高速船作业会使人员遭受砰击引起的冲击,这可能导致肌肉骨骼损伤和认知障碍。尽管有现有的安全措施、法规和规程,但受伤风险仍然很大。多机构、前瞻性、探索性、非干预性、高速船船上人体冲击暴露队列研究旨在调查这些冲击的性质和程度、其急性和长期健康影响以及潜在的伤害预防策略,以提高作业安全性和性能。

方法与分析

这是一项正在进行的多中心、前瞻性、非干预性观察性队列研究。第一名参与者于2024年8月23日入组。高速船操作员通过智能手机应用程序,使用视觉模拟量表和疼痛图记录自我报告的疼痛数据。三轴加速度计安装在船体上,并由参与者佩戴以测量冲击暴露情况。数据分析评估暴露与报告疼痛之间的相关性,从而确定风险因素并制定高速船作业的安全指南。

伦理与传播

该研究已获得相关伦理委员会的伦理批准,包括瑞典伦理审查局(编号:2022 - 04931 - 01)。所有参与者在入组前将提供知情同意书。研究结果将通过技术报告、同行评审期刊上的文章、会议报告以及与军事和海事利益相关者的直接交流进行传播,以加强培训规程和安全措施。

试验注册号

NCT05299736。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a64/12049913/12c6a79fe678/bmjopen-15-5-g004.jpg
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本文引用的文献

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Systematic Review of Injuries and Chronic Musculoskeletal Pain Among High-speed Boat Operators.
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Mil Med. 2024 Feb 27;189(3-4):e573-e580. doi: 10.1093/milmed/usad377.
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Does Military High-speed Boat Slamming Cause Severe Injuries and Disability?军事高速艇撞击是否会导致严重伤害和残疾?
Clin Orthop Relat Res. 2022 Nov 1;480(11):2163-2173. doi: 10.1097/CORR.0000000000002420. Epub 2022 Sep 30.
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