A disease and non‐battle injury model based on Persian Gulf War admission rates

Wójcik, Barbara E.; Hassell, L. Harrison; Humphrey, Rebecca J.; Davis, James M.; Oakley, Carolyn J.; Stein, Catherine R.

doi:10.1002/ajim.20016

Cited by 16 publications

(10 citation statements)

References 15 publications

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“…As with prior studies demonstrating an increase in both battle-and non-battle-related injuries and illnesses during the period of combat, 24,25 diarrhea and respiratory infections were observed to be more common during the combat phase of operations in Iraq. Although unproven, the combination of an increased pace of operations along with a breakdown in the ability to provide clean water and food, appropriate hygiene, and medical resources likely led to the increase in illness.…”

Section: Discussionsupporting

confidence: 78%

Impact of Illness and Non-Combat Injury During Operations Iraqi Freedom and Enduring Freedom (Afghanistan)

Sanders

Putnam²,

Frankart³

et al. 2005

The American Journal of Tropical Medicine and Hygiene

214

161

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Historically, non-combat injuries and illnesses have had a significant impact on military missions. We conducted an anonymous cross-sectional survey to assess the prevalence and impact of common ailments among U.S. military personnel deployed to Iraq or Afghanistan during 2003-2004. Among 15,459 persons surveyed, diarrhea (76.8% in Iraq and 54.4% in Afghanistan), respiratory illness (69.1%), non-combat injuries (34.7%), and leishmaniasis (2.1%) were commonly reported. For all causes, 25.2% reported that they required intravenous fluids, 10.4% required hospitalization, and 5.2% required medical evacuation. Among ground units, 12.7% reported that they missed a patrol because of illness, and among air units, 11.7% were grounded because of illness. The incidence of diarrhea and respiratory infections doubled from the pre-combat to combat phases, and the perceived adverse impact of these illnesses on the unit increased significantly during the combat phase. Despite technologic advances in warfare and preventive medicine, illness and non-combat injuries have been common during operations in Iraq and Afghanistan, resulting in frequent transient decreases in operational efficiency.

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Section: Discussionsupporting

confidence: 78%

Impact of Illness and Non-Combat Injury During Operations Iraqi Freedom and Enduring Freedom (Afghanistan)

Sanders

Putnam²,

Frankart³

et al. 2005

The American Journal of Tropical Medicine and Hygiene

214

161

View full text Add to dashboard Cite

show abstract

“…We only studied a single BCT, so it is possible that this unit was not representative of all units in the U.S. Army. Specifically, as previous research has shown that DNBI rates vary with the intensity of combat [5], units with more or less combat exposure than the unit in our study may have different rates of psychiatric DNBI, suggesting that replication of this study in other units would be informative. Additionally, female soldiers accounted for only 7.9% of the total population at risk yet accounted for 14.6% of the total number of soldiers with a psychiatric diagnosis.…”

Section: Discussionmentioning

confidence: 74%

“…This has been delineated in great detail in studies of the American Civil War, World War I, World War II, Korean War, Vietnam War and the Persian Gulf War [1][2][3][4][5]. Many recent studies have analyzed the medical aspects of the current Operation Iraqi Freedom and Operation Enduring Freedom Conflicts [6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of psychiatric disorders sustained by a U.S. Army brigade combat team during the Iraq War

Goodman

DeZee

Burks

et al. 2011

General Hospital Psychiatry

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“…It is known that non-combat injuries may account for 31–36% of medical evacuations [16,28,36]. A cause-type structure of non-combat injuries was similar to that found in the literature; these were acoustic injuries caused by sports activities, specialized training, falls, and traffic accidents [16].…”

Section: Discussionmentioning

confidence: 81%

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

Ziemba¹

2012

Med Sci Monit

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SummaryBackgroundThe Afghan military theatre is specifically marked by guerilla operations and massive use of IEDs (improvised explosive devices) that pose new types of threats for their victims. At the same time, the relevant literature contains only a single, fragmentary analysis on injuries suffered by soldiers serving in the Afghan mission.Material/MethodsThis is a review of medical reports of the Polish Military Contingent deployed within Operation Enduring Freedom, from 1 January 2010 to 31 December 2011; the analysis includes all cases of combat and non-combat injuries in terms of their causes.ResultsIn the period under analysis, 380 Polish soldiers were reported injured; 87.1% of cases were combat and 12.9% non-combat injuries. The structure of injuries caused as a result of IED explosions was dominated by multiple limb injuries, associated most frequently with severe body cavities/spine injuries. In the case of other incidents, both combat and non-combat, the predominant consequences were single and, most commonly, less severe injuries. The average number of injuries suffered from IED attacks (3.37) was significantly higher than the number of injuries from other attacks (1.16), and higher than the number of non-combat injuries (1.43).ConclusionsIED attacks pose a serious medical problem, considering their high number and the severity of injuries they cause.

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A disease and non‐battle injury model based on Persian Gulf War admission rates

Abstract: The level of combat must be considered. The traditional use of average or overall rates should be abandoned when forecasting DNBI rates. Medical support projections should use separate 95th percentile DNBI admission rates for each of the phases.

Cited by 16 publications

References 15 publications

Impact of Illness and Non-Combat Injury During Operations Iraqi Freedom and Enduring Freedom (Afghanistan)

Impact of Illness and Non-Combat Injury During Operations Iraqi Freedom and Enduring Freedom (Afghanistan)

Epidemiology of psychiatric disorders sustained by a U.S. Army brigade combat team during the Iraq War

Types of injuries among Polish soldiers and civilian staff in the 7th, 8th, 9th and 10th rotation of the Afghan stabilization mission

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