军事医疗系统受益者肢体损失和缺席的特征:人口统计,原因和趋势 (2005-2023)
Tammie M Jones1,2,3, Amanda L Haberstroh1,2,3, Andrea E Crunkhorn1,2,4
1Extremity Trauma and Amputation Center of Excellence, Defense Health Agency, Falls Church, Virginia 22042, United States.
Military medicine
|September 7, 2025
概括
这项研究描述了军事医疗系统受益者的肢体损失和缺失,发现随着时间的推移,发病率和流行率正在下降. 了解这些趋势对于改善护理和资源分配至关重要.
科学领域:
- 公共卫生
- 军事医学
- 流行病学
背景情况:
- 国家肢体损失估计不包括军事医疗系统 (MHS) 的受益人.
- 在MHS中描述肢体损失对于全面的数据至关重要.
- 需要了解人口统计和肢体丧失的原因.
研究的目的:
- 标志着MHS受益人的肢体损失和缺失.
- 在MHS受益者中估计肢体损失和缺失的发生率和流行率.
- 确定肢体损失的人口因素,水平和病因.
主要方法:
- 使用MHS信息平台数据的回顾性队列研究 (2005-2023年).
- 用于人口特征的描述性统计数据 (人口统计,水平,病因).
- 两变量分析 (ANOVA,基平方) 评估人口统计和肢体损失水平之间的关联.
主要成果:
- 该群体包括118,587名MHS受益者;男性64.6%,平均年龄58岁.
- 下肢损失 (72%) 比上肢损失 (26. 1%) 更常见;获得的缺失 (53. 8%) 和创伤性截肢 (34%) 是主要原因.
- 在人口统计和肢体损失水平之间发现了显著的关联 (P=.000);随着时间的推移,发病率和流行率下降.
结论:
- 这项研究提供了人口统计数据,并确定了MHS受益者的肢体损失原因.
- 观察到肢体损失和缺失的发生率和流行率有所下降.
- 这些发现支持改善MHS患者的临床实践,资源配置和未来研究.
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