捕获和分类美国肌肉骨损伤的负担. 现役服役人员:一个全面的方法论
Veronika Pav1,2, Xiaoning Yuan3, Brad Isaacson3,4
1Kennell and Associates, Inc., Falls Church, VA 22042, USA.
Military medicine
|November 21, 2024
概括
本研究引入了一个标准化的框架来跟踪美国军人肌肉骨损伤 (MSKIs),改进监视和干预策略. 新的方法旨在通过更好地了解伤害负担和医疗保健成本来提高准备能力.
科学领域:
- 军人卫生保健 军人卫生保健
- 肌肉骨损伤 肌肉骨损伤
- 公共卫生监督 公共卫生监督
背景情况:
- 肌肉骨损伤 (MSKIs) 对现役服役人员 (ADSMs) 造成重大负担,影响准备能力并造成高成本.
- 不一致的监测方法阻碍了分析MSKI趋势和确定有针对性的干预措施.
- 需要一种标准化的方法来准确地捕捉MSKI负担,医疗保健利用率和军事人口中的相关成本.
研究的目的:
- 提出一个全面的,记录良好的,可重复的框架,用于捕获和分类MSKI负担在ADSMs.
- 在12年的时间内分析MSKI的流行,发病率,医疗保健利用率和私营部门成本,包括ICD-10过渡期.
- 提供一种方法,可以加强对抗MSKIs作为军事准备的主要威胁的努力.
主要方法:
- 对空军,陆军,海军陆战队和海军的ADSM进行了回顾性,纵向的人口研究.
- 利用军事卫生系统数据库查询电子健康记录,私营部门护理索赔和剧院医疗数据 (FY10-21).
- 按身体区域 (上肢,下肢,脊柱,头部/部) 分类的MSKIs,并分析了医疗保健利用率 (门诊,住院) 和私营部门的成本.
主要成果:
- 这项研究建立了一个可重复的MSKI监视军事人员的方法.
- 在不同的军事分支和机构区域收集了有关MSKI流行,发病率,医疗保健利用和成本的详细数据.
- 该框架有助于观察纵向趋势并确定需要干预的领域.
结论:
- 开发的方法解决了之前MSKI监控研究的局限性,提供了记录和可重复的方法.
- 这份全面的蓝图旨在支持研究人员,公共卫生官员和军事领导人打击MSKIs.
- 有效的MSKI监视和管理对于维持军事准备至关重要.
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