A 12-Year Analysis of Nonbattle Injury Among US Service Members Deployed to Iraq and Afghanistan

JAMA Surgery
Tuan D LeKevin S Akers

Abstract

Nonbattle injury (NBI) among deployed US service members increases the burden on medical systems and results in high rates of attrition, affecting the available force. The possible causes and trends of NBI in the Iraq and Afghanistan wars have, to date, not been comprehensively described. To describe NBI among service members deployed to Iraq and Afghanistan, quantify absolute numbers of NBIs and proportion of NBIs within the Department of Defense Trauma Registry, and document the characteristics of this injury category. In this retrospective cohort study, data from the Department of Defense Trauma Registry on 29 958 service members injured in Iraq and Afghanistan from January 1, 2003, through December 31, 2014, were obtained. Injury incidence, patterns, and severity were characterized by battle injury and NBI. Trends in NBI were modeled using time series analysis with autoregressive integrated moving average and the weighted moving average method. Statistical analysis was performed from January 1, 2003, to December 31, 2014. Primary outcomes were proportion of NBIs and the changes in NBI over time. Among 29 958 casualties (battle injury and NBI) analyzed, 29 003 were in men and 955 were in women; the median age at injury was 2...Continue Reading

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Dec 28, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Steven G SchauerMichael D April
Jul 31, 2019·Sports Medicine and Arthroscopy Review·Patrick D GrimmBenjamin K Potter
Oct 24, 2019·Military Medicine·Antoine LuftCyril Carfantan
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Oct 19, 2019·International Journal of Environmental Research and Public Health·Robin OrrBen Schram
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Jan 28, 2021·Military Medicine·Christina R InscoeOtto Zhou
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Jul 10, 2021·Annals of Surgery·Tuan D LeAnthony E Pusateri

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