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首页> 外文期刊>The Journal of trauma >Incidence, epidemiology, and occupational outcomes of thoracolumbar fractures among U.S. Army aviators.
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Incidence, epidemiology, and occupational outcomes of thoracolumbar fractures among U.S. Army aviators.

机译：美国陆军飞行员胸腰椎骨折的发病率，流行病学和职业结局。

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摘要

BACKGROUND: The routine occupational hazards of flying and parachute jumping place U.S. Army aviators at risk for sustaining high-energy traumatic injuries, such as thoracolumbar fractures. METHODS: A longitudinal, prospective, epidemiologic database was used to determine the incidence, injury history, and aeromedical disposition of U.S. Army aviators who sustained thoracolumbar fractures for calendar years 1987 to 1997. RESULTS: The overall incidence rate of thoracolumbar fracture was 12.8 per 100,000 aviators per year. Thirty aviators with thoracolumbar fractures were identified, and the average age at time of injury was 35.9 years (range, 25-59 years). Mean follow-up after injury was 6.5 years (range, 2-12 years). Helicopter crashes and parachuting accidents accounted for 73% of fractures. Neurologic injury occurred in 10% of aviators. Seventy-seven percent of injured aviators recovered sufficiently to return to aviation service. There was no association between type of treatment and eventual termination from aviation duties (relative risk, 1.1; 95% confidence interval, 0.7-1.6). CONCLUSION: Occupational hazards of Army aviators place them at risk for sustaining thoracolumbar fractures. These data are relevant to future decisions for research and resource allocation for aviation safety and policy.
机译：背景技术飞行和降落伞跳跃的日常职业危害使美军飞行员面临遭受高能量创伤（例如胸腰椎骨折）的危险。方法：使用纵向，前瞻性，流行病学数据库确定1987年至1997年历经胸腰椎骨折的美军飞行员的发病率，受伤史和航空医学处置。结果：胸腰椎骨折的总发病率为12.8 / 10万每年的飞行员。确定了30名胸腰椎骨折的飞行员，受伤时的平均年龄为35.9岁（25-59岁）。受伤后的平均随访时间为6.5年（范围2-12年）。直升机坠毁和跳伞事故占骨折的73％。 10％的飞行员发生神经系统损伤。 77％的受伤飞行员的康复程度足以恢复航空服务。治疗类型与最终终止航空职责之间没有关联（相对风险，1.1; 95％置信区间，0.7-1.6）。结论：陆军飞行员的职业危害使他们有维持胸腰椎骨折的风险。这些数据与航空安全和政策研究和资源分配的未来决策有关。

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