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Mortalidad entre los veteranos de la Guerra del Golfo del Reino Unido
G J Macfarlane1, E Thomas, N Cherry
1Unit of Chronic Disease Epidemiology, School of Epidemiology and Health Sciences, University of Manchester, UK. G.Macfarlane@man.ac.uk
Lancet (London, England)
|July 13, 2000
Resumen
Los veteranos de la Guerra del Golfo experimentaron un aumento muy pequeño, no estadísticamente significativo, en la mortalidad en comparación con el personal no desplegado. El exceso de muertes se debió principalmente a accidentes, no a enfermedades, alineándose con los patrones observados en otros grupos de veteranos.
Área de la Ciencia:
- La medicina militar es la medicina militar.
- Epidemiología La epidemiología.
- Salud Pública La salud pública.
Sus antecedentes:
- Los veteranos de la Guerra del Golfo informan tasas más altas de problemas de salud actuales en comparación con el personal no desplegado.
- Existen preocupaciones con respecto a las tasas de mortalidad potencialmente más altas entre los veteranos de la Guerra del Golfo.
Objetivo del estudio:
- Para investigar las tasas de mortalidad entre los veteranos de la Guerra del Golfo del Reino Unido.
- Para comparar los riesgos de mortalidad entre el personal militar desplegado y no desplegado.
Principales métodos:
- Un estudio de cohorte retrospectivo de 53.462 veteranos del Reino Unido de la Guerra del Golfo (cohorte del Golfo).
- Una cohorte de comparación emparejada (cohorte Era) de personal no desplegado.
- Seguimiento desde el 1 de abril de 1991 hasta el 31 de marzo de 1999, utilizando datos de la Oficina Nacional de Estadísticas.
Principales resultados:
- Se registraron un total de 395 muertes en la cohorte del Golfo y 378 en la cohorte de la Era (MRR 1.05, IC del 95% 0.91-1.21).
- Se observó una mayor mortalidad por causas externas (accidentes) en la cohorte del Golfo (MRR 1.18 [0.98-1.42]).
- Se observó una menor mortalidad por causas relacionadas con la enfermedad en la cohorte del Golfo (MRR 0,87 [0,67-1,11]).
Conclusiones:
- Ocho años después del conflicto, los veteranos de la Guerra del Golfo mostraron una tasa de mortalidad excesiva muy pequeña, no estadísticamente significativa.
- El exceso de mortalidad estaba predominantemente relacionado con accidentes, no con enfermedades.
- Este patrón es consistente con los hallazgos de los veteranos estadounidenses de la Guerra del Golfo y los veteranos de otros conflictos.
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