军事卫生系统需要什么来支持未来的作战行动? 从2008年到2020年航空医疗疏散的经验教训
Matthew M McDonough1, Isaiah R Gray1, Robert G Pickering1
1School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Military medicine
|April 4, 2024
概括
航空医疗疏散数据显示,大多数军人需要因精神病和受伤相关疾病而接受门诊护理. 然而,住院创伤护理需求很大,需要MHS为未来的冲突做计划.
科学领域:
- 军事医学 军事医学
- 航空医疗疏散服务
- 卫生系统研究 卫生系统研究
背景情况:
- 最近冲突的航空医疗疏散数据提供了对军事卫生系统 (MHS) 患者需求的见解.
- 了解住院和门诊的趋势对于优化MHS资源配置至关重要.
- 以前的假设表明,撤离人员中首要需要住院创伤护理.
研究的目的:
- 评估最近冲突的航空医疗疏散的住院和门诊趋势.
- 描述撤离人员的人口统计,诊断和护理要求.
- 为未来军事行动的计划提供信息.
主要方法:
- 从2008年1月到2020年6月使用美国运输司令部数据库对航空医疗疏散的描述性分析.
- 数据按人口统计,受伤类型 (战斗与疾病/非战斗),ICD代码,专科护理和住院/门诊病人的状态分层.
- 分析的重点是从美国欧洲司令部 (EUCOM) 到美国大陆 (CONUS) 的疏散.
主要成果:
- 分析了32,485名独特的患者;86.9%是男性,平均年龄为29.0岁.
- 大多数 (96.7%) 是现役军人,主要来自陆军.
- 主要诊断包括伤害/中毒 (33.1%),精神病 (28.1%) 和肌肉骨 (12.1%). 精神病学是最常见的护理专业 (28.1%).
- 大多数撤离者 (65.6%) 需要门诊护理,而34.4%需要住院护理.
- 住院护理在2010年达到顶峰,骨科手术 (27.3%),精神病学 (21.5%) 和整体手术 (18.2%) 占比最大.
结论:
- 未来的冲突可能会看到大量的精神病,伤害和肌肉骨疾病的疏散.
- 虽然门诊护理普遍存在,但必须保持和计划大量的住院医疗能力,特别是对于手术和精神病例.
- 医疗卫生部应主动规划资源,以应对预期的手术,受伤和精神病患者负载.
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