俄罗斯联邦和白俄罗斯共和国武装部队军官创伤分析(2003-2020年)

Q3 Health Professions
V. Evdokimov, D. A. Chernov, P. P. Sivashchenko, A. A. Vetoshkin, N. Mukhina
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引用次数: 0

摘要

的相关性。军事人员的创伤被定义为在特定时期(通常超过一年)发生的伤害及其后果。武装部队(AF)的创伤率对职业安全很重要。目的:比较俄罗斯和白俄罗斯空军军官在18年间(2003-2020年)的创伤率。根据表格3 / MED,有选择地分析了来自俄罗斯和白俄罗斯武装部队军官总数不少于80%的军事单位的人员健康状况和医疗服务活动的医疗报告。伤害块符合《与健康有关的疾病和问题国际统计分类第十次修订版》(ICD-10)第十九章“伤害、中毒和某些其他外因后果”。伤情按每1000名军官计算(‰),死亡率按每10万名军官计算。结果和讨论。2003-2020年俄罗斯和白俄罗斯空军军官年均伤病率分别为(17.25±1.33)‰和(13.37±1.43)‰;外伤住院率分别为(10.68±0.64)‰和(7.13±0.81)‰(p < 0.01);工作日损失(344.4±26.4)‰和(299.9±25.6)‰;解雇率分别为(0.356±0.068)‰和(0.118±0.022)‰;伤害相关死亡率(47.24±3.71)和(33.37±5.40)(p < 0.05) / 10万。俄罗斯和白俄罗斯武装部队军官受伤、住院和工作日损失趋势的一致性(一致性)被认为是积极和强烈的,而死亡率趋势是积极和适度一致的,因此表明了类似(单向)军事职业因素的影响。具有高决定系数的俄罗斯和白俄罗斯空军军官受伤、住院、工作日损失和死亡率动态的多项式趋势显示下降。头部损伤(ICD-10 Block 1)、髋部和下肢损伤(Block 8-10)、涉及多个身体区域的损伤(Block 11)、肩带和上肢损伤(Block 5-7)对俄罗斯和白俄罗斯的空军军官具有很高的军事流行病学意义。此外,受伤的后遗症、中毒和其他外因的后果(Block 22)对俄罗斯空军军官来说是显著的,而胸部受伤(Block 3)对白俄罗斯空军军官来说是显著的。上述街区分别占俄罗斯和白俄罗斯空军军官军事流行病学意义评估的88.6和85.5%。创伤是可以控制的,并不局限于医疗问题。各种军事专业人员应积极参与分析伤害的因果关系及其预防。例如,在俄罗斯和白俄罗斯的空军军官中,受伤经常发生在体能训练和运动期间(分别为9.8和6.1%)和下班时间(分别为40.4%和61.2%)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of traumatism in officers of the Armed Forces of the Russian Federation and the Republic of Belarus (2003–2020)
Relevance. Traumatism in military personnel is defined as injuries and their consequences occurring over a specified period of time, usually over a year. Trauma rates in the Armed Forces (AF) are important for occupational safety.Intention: To compare trauma rates in officers of the AF of Russia and Belarus over 18 years (2003–2020).Methodology. Medical reports on the state of health of personnel and activities of the medical service were selectively analysed according to Form 3 / MED from those military units where no less than 80% of the total number of officers of the AF of Russia and Belarus served. Blocks of injuries are consistent with Chapter XIX «Injuries, poisoning and certain other consequences of external causes» of the International Statistical Classification of Diseases and Problems Related to Health, 10th revision (ICD-10). Injuries were calculated per 1000 officers (‰), mortality - per 100 thousand officers.Results and Discussion. Among officers of the Russian AF and Belarusian AF in 2003–2020, there were observed average annual rates of injuries (17.25 ± 1.33) and (13.37 ± 1.43) ‰, respectively; hospitalizations with injuries (10.68 ± 0.64) and (7.13 ± 0.81) ‰ (p < 0.01); work days lost (344.4 ± 26.4) and (299.9 ± 25.6) ‰; dismissal rates (0.356 ± 0.068) and (0.118 ± 0.022) ‰; and injury-related mortality (47.24 ± 3.71) and (33.37 ± 5.40) (p < 0.05) per 100 thousand officers of the Russian AF and Belarusian AF, respectively. The congruence (consistency) of trends for injuries, hospitalizations and work days lost among officers of the AF of Russia and Belarus was considered positive and strong, while mortality trends were positively and moderately consistent, thus indicating effects of similar (unidirectional) military occupational factors. Polynomial trends in the dynamics of injuries, hospitalizations, work days lost and mortality among officers of the AF of Russia and Belarus with high determination coefficients showed a decrease. Injuries to the head (Block 1 according to ICD-10), injuries to the hip and lower limbs (Blocks 8-10), injuries involving multiple body regions (Block 11), and injuries to the shoulder girdle and upper limbs (Blocks 5-7) were of high military epidemiological significance for officers of the AF of Russia and Belarus. In addition, sequelae of injuries, of poisoning and of other consequences of external causes (Block 22) turned out to be significant for the Russian AF officers, and injuries to the thorax (Block 3) were significant for the Belarusian AF officers. The above blocks accounted for 88.6 and 85.5% of assessed military epidemiological significance among Russian and Belarusian AF officers, respectively.Conclusion. Traumatism can be managed and is not limited to medical issues. Various military professionals should be actively involved in the analysis of the causal relationships of injuries and their prevention. For example, among officers of the AF of Russia and Belarus injuries often occur during physical training and sports (9.8 and 6.1%, respectively) and during off-duty time (40.4 and 61.2%, respectively).
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