应急部门在战斗和非战斗中使用9/11后的军事退伍军人
Christopher J Carvalho1,2, Aaron L Dalton1, Derek Boothroyd1,3
1Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
Military medicine
|April 13, 2024
概括
战斗退伍军人比非战斗退伍军人更频繁地使用急救部门 (ED). 心理健康问题,包括自杀念头,是战斗退伍军人中ED访问的重要原因之一.
科学领域:
- 公共卫生 公共卫生
- 退伍军人事务 医疗保健 医疗保健
- 紧急医疗 紧急医疗
背景情况:
- 9/11后的退伍军人往往有战斗经验,这是一个已知的健康不良结果的风险因素.
- 这些退伍军人面临着未得到满足的医疗保健需求,急诊室 (ED) 可能成为关键的接入点.
- 在这个人群中,战斗状态和ED使用之间的关联存在有限的研究.
研究的目的:
- 调查战斗部署状态与9/11后退伍军人中ED访问频率之间的关系.
- 为了确定与战斗状态有关的ED访问的最常见原因.
主要方法:
- 在美国退伍军人事务部 (VA) 接受护理的9/11后退伍军人的回顾性队列研究 (财政年度2005-2015).
- 战斗和非战斗退伍军人 (FY2010-2019) 之间的ED访问发病率的比较,使用零膨胀负二项式回归.
- 通过国际疾病分类 (ICD) 代码确定频繁的ED访问原因.
主要成果:
- 该研究包括130万退伍军人;70.4%有战斗部署经验.
- 与非战斗退伍军人相比,战斗退伍军人的ED访问率是非战斗退伍军人的1.84倍,经过对共变量进行调整后.
- 与心理健康相关的访问,特别是自杀念头,是ED表现的前三大原因之一,仅限于战斗退伍军人.
结论:
- 有战斗部署历史的退伍军人显示ED使用率明显更高.
- 在战斗老兵中,精神健康诊断似乎更为普遍,成为ED访问的原因.
- 调查结果强调了战斗退伍军人的独特医疗保健需求,需要有针对性的干预和支持服务.
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