Zwart B P
USAF School of Aerospace Medicine, Brooks AFB, TX 78235-5117.
Aviat Space Environ Med. 1994 Aug;65(8):742-6.
The United States Air Force (USAF) presents a unique opportunity to investigate disease incidence, duration, and severity, through analysis of flyer medical records. This article describes the creation and analysis of a 15,275-record database of flyer-physician interactions, recorded over several years from 18 U.S. Air Force Bases. A descriptive analysis presents the leading causes of outpatient morbidity as measured by total days disqualified for flying duties (downtime). Upper respiratory infection (URI)/cold/congestion was the leading cause of illness, representing 4,485/15,700 visits with a median downtime of 6 d, and with 90% of the flyers allowed back into the cockpit within 15 d. A diagnosis coding system was developed specifically for this project that differs from the standard International Classification of Disease-Revision 9 (ICD-9 CM) (1) nomenclature. The rationale for such an approach is discussed.
美国空军（USAF）提供了一个独特的机会，通过分析飞行员的医疗记录来研究疾病的发病率、持续时间和严重程度。本文描述了一个包含15275条飞行员与医生互动记录的数据库的创建和分析过程，这些记录是在几年时间里从美国18个空军基地收集的。一项描述性分析呈现了门诊发病率的主要原因，以因飞行任务不合格而缺勤的总天数（停机时间）来衡量。上呼吸道感染（URI）/感冒/鼻塞是疾病的主要原因，在15700次就诊中占4485次，中位停机时间为6天，90%的飞行员在15天内被允许重返驾驶舱。专门为该项目开发了一种诊断编码系统，它与标准的国际疾病分类第9版临床修订本（ICD-9 CM）（1）的命名法不同。本文讨论了采用这种方法的基本原理。
