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

Le, Tuan; Gurney, Jennifer M; Nnamani, Nina; Gross, Kirby R.; Chung, Kevin K.; Stockinger, Zsolt T.; Nessen, Shawn C.; Akers, Kevin S.

doi:10.1001/jamasurg.2018.1166

Cited by 40 publications

(33 citation statements)

References 29 publications

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“…The mechanisms of injury identified in this review are similar to those reported in military populations [46,47,48]. For example, in the Australian Defence Force, slips, trips and falls were identified as the leading mechanism of injury (21.4%) [46].…”

Section: Discussionsupporting

confidence: 58%

“…Considering this, body stressing, which was the fourth most common mechanism of injury (16.3%), was the mechanism associated with the highest number of working days lost (26.9%), followed by slips, trips and falls (25.2%). Even in an operational military combat theatre, falls have been identified as the leading site of nonbattle injuries, accounting for 21.3% of injuries sustained by US service members deployed to Iraq and Afghanistan over a 12-year period [48]. As such, strategies to prevent slips, trips and falls, as well as muscle stressing, may impact both firefighter and military populations.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Profile of Injuries Sustained by Firefighters: A Critical Review

Orr

Simas

Canetti

et al. 2019

IJERPH

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Firefighters, along with other tactical personnel, are at a high risk of work-related physical injury above that of the private sector. The aim of this critical narrative review was to identify, critically appraise and synthesise key findings from recent literature investigating firefighting musculoskeletal injuries to inform injury reduction programs. The methodological approach (search terms, databases, etc.) was registered with PROSPERO and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality was assessed using the Downs and Black checklist with scores graded according to the Kennelly grading system. Levels of evidence were ranked according to the Australian National Health and Medical Research Council. Of the 8231 studies identified, 17 met the criteria for inclusion. The methodological quality of the studies was ‘fair’ with a level of evidence of III-2. Reported injury rates ranged from 9% to 74% with the lower extremities and back the leading aggregated bodily sites of injury. Sprains and strains were the leading nature of musculoskeletal injury, often caused by slips, trips and falls, although muscle bending, lifting and squatting or muscle stressing were also prevalent. This review may inform injury reduction strategies and given that injuries reported in firefighters are similar to those of other tactical populations, safety processes to mitigate injuries may be of benefit across the tactical spectrum.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

A Profile of Injuries Sustained by Firefighters: A Critical Review

Orr

Simas

Canetti

et al. 2019

IJERPH

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“…The recorded prevalence of battle-injured parents (0.3%) in this study was low compared with recent statistics of war-related injuries in ADSMs. 51 Discrepancies likely relate to miscoding of injuries if diagnoses were made after the acute injury period, such as PTSD and TBI, which may take time to develop, or challenges related to completing accurate documentation in combat settings.…”

Section: Discussionmentioning

confidence: 99%

Impact of parental injury on adolescent sleep

Ahmed

Gorman

Susi

et al. 2020

Journal of Clinical Sleep Medicine

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The aim of this study was to determine the impact of serious parental injury on adolescent sleep disorder diagnoses, outpatient care, and medication use. Methods: U.S. military personnel who sustained a serious injury and were parents of adolescents aged 10-18 years were identified. Included adolescents were enrolled in the Military Health System for 2 years before their parent's injury and 2 years after the injury. We used logistic regression clustered by adolescents to compare the odds of having a sleep diagnosis and negative binomial regression analysis clustered by adolescents to compare outpatient sleep disorder visits and sleep medication days before and after parental injury. Results: There were 96,318 parents seriously injured during 2004-2014 who had 117,577 children aged 10-18 years in 2002-2016. Approximately 2% of adolescents had a sleep disorder diagnosis, both before and after their parent's injury or illness. Outpatient sleep disorder visits increased 36% after a parent's injury (incidence rate ratio 1.36 [1.24-1.50]), with a twofold increase in insomnia visits (incidence rate ratio 2.35 [2.08-2.64]). Increases in sleep visits were most pronounced in adolescents of parents with traumatic brain injury, comorbid traumatic brain injury and posttraumatic stress disorder, battle injury, and those who were medically discharged from the military. The number of adolescents using sleep medications increased, but sleep medication days did not increase. Conclusions: Adolescents in our study used more outpatient medical care for sleep disorders; sleep medication use increased after parental injury. Sleep disorders should be considered in the care of adolescents with injured parents.

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“…Female soldiers have been found to suffer injuries at a higher rate, both in training (9,10) and on operations (11,12) when compared to their male colleagues, although this sex-based difference does not hold true across all military contexts and in some contexts male personnel have been observed to have higher injury rates than female personnel (13,14). There is also evidence that female soldiers may sustain injuries to different body sites when compared to male soldiers (15)(16)(17) and exhibit some differences in risk factors for injury, due to anthropometric, biomechanical, and anatomical differences.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Injuries in Female Soldiers: a Systematic Review

Schram

Canetti

Orr

et al. 2021

Preprint

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Background: Female soldiers form an integral part of any modern defence force. Previous reports have highlighted that female soldiers report injuries at higher rates than male personnel. One possible reason for this is an actual difference in underlying injury rates, purported to be due to several factors, including levels of fitness. The aim of this review was to determine risk factors for injuries in female soldiers. Methods: A systematic search was conducted for studies which reported on risk factors for injuries in female soldiers. Databases searched included PUBMED, CINAHL and Medline through OVID. Eligible studies were rated for their methodological quality using the Critical Appraisal Skills Program (CASP) tools and data were extracted and synthesized using a critical narrative approach. Results: A total of 18 articles were included in this review which reported on 18 risk factors for injury. Smoking, previous injury, no history of deployment, heavy occupational tasks, lower levels of aerobic fitness and lower number of push-up repetitions appear to be risk factors for injuries in female soldiers. Age, height, body fat, high or low BMI and body mass do not appear to be consistent risk factors for injury in female soldiers and there appears to be minimal evidence for current levels of activity, sit-up ability, and other assessments of strength, power, speed, or movement being associated with injury risk. Additionally, neither flexibility nor previous levels of activity appear to be associated with injury risk in female soldiers. Conclusion: Strategies to improve aerobic fitness and upper limb endurance, reduce smoking, and optimise rehabilitation from injuries and risk management for heavy occupational tasks need to be developed for female soldiers. Such strategies are also likely to reduce risks for male soldiers.

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

Cited by 40 publications

References 29 publications

A Profile of Injuries Sustained by Firefighters: A Critical Review

A Profile of Injuries Sustained by Firefighters: A Critical Review

Impact of parental injury on adolescent sleep

Risk Factors for Injuries in Female Soldiers: a Systematic Review

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