在军事人员肌肉骨损伤的研究中必不可少的共同数据元素和数据库
Luke Juman1,2, Eric B Schneider3, Dan Clifton1,4
1Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Military medicine
|May 21, 2024
概括
这项研究确定了在军队中跟踪肌肉骨损伤 (MSKI) 的关键数据元素. 这些共同数据元素 (CDE) 的标准化将改善对MSKIs的理解和预防,提高部队的准备.
科学领域:
- 军事卫生系统研究 军事卫生系统研究
- 伤害预防和统计 伤害预防和统计
- 医疗信息学 医疗信息学
背景情况:
- 肌肉骨损伤 (MSKIs) 是医疗遭遇的主要原因,也是美国军方重大准备问题.
- 现有的平民伤害预防数据标准没有直接适用于军事特定的MSKI研究.
- 需要在军事卫生系统 (MHS) 中采集MSKI数据的标准化方法来量化疾病负担.
研究的目的:
- 为弥补MHS中MSKIs标准化数据的差距.
- 定义共同的数据元素 (CDEs),用于研究国防部 (DoD) 的MSKI.
- 建立一个CDE字典,并确定数据源来量化MSKI负担.
主要方法:
- 在2022年11月至2023年3月期间,对国防部当前的MSKI数据指标进行了环境扫描.
- 雪球采样参与了使用MSKI数据集的小组,以确定CDE和准备数据库.
- 数据来源包括人口统计,诊断,有限值班日 (LDD) 和部署状态信息.
主要成果:
- 确定了8个包含MSKI相关数据的独特数据库.
- 定义了九个基本的CDE,包括国防部的号码,性别,种族,种族,服务部门,等级,诊断和相关编码.
- 医疗评估和准备系统数据库包含了最多的变量,而特定系统跟踪了LDD和部署能力指标.
结论:
- 这项研究确定了对于了解和预防军人MSKIs至关重要的核心数据元素.
- 已识别的CDE及其数据源为MHS的未来MSKI研究提供了基础.
- 实施这些标准化元素将支持基于证据的服务人员健康政策,并优化军事力量的准备.
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