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Incidence of ankle sprains among active-duty members of the United States Armed Services from 1998 through 2006.

机译:1998年至2006年,美国武装部队现役成员的脚踝扭伤发生率。

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CONTEXT: Ankle sprains have been reported as one of the most common injuries sustained by members of the US Armed Services. However, little is known about the incidence rate and injury patterns associated with ankle sprains in this population. OBJECTIVE: To examine the incidence of ankle sprains among active-duty members of the US Armed Services from 1998 through 2006. A secondary objective was to describe the sex, age, and service-specific injury patterns in this young, physically active population. DESIGN: Cohort study. PATIENTS OR OTHER PARTICIPANTS: All active-duty service members from the day they enter military service until the day they leave military service and US Army Reserve and National Guard service members during periods of active duty and mobilization. MAIN OUTCOME MEASURE(S): Injury data were extracted from the Defense Medical Epidemiological Database from 1998 through 2006. All data for ankle sprains, coded according to the International Classification of Diseases (9th revision), were included. Cases were limited to those injuries reported as first occurrences. Incidence rates (IRs) were calculated per 1000 person-years by sex, age, and service. Incidence rate ratios (IRRs) and 95% confidence intervals (95% CIs) were used to assess the strength of association between the incidence of ankle sprain and the independent variables of sex, age, and service. RESULTS: From 1998 through 2006, 423 581 service members sustained ankle sprains and 12 118 863 person-years at risk to injury were documented in this population. The incidence rate was 34.95 (95% CI = 34.85, 35.06) per 1000 person-years at risk. Females were 21% more likely (IRR = 1.21, 95% CI = 1.21, 1.23) to sustain an ankle sprain than males. Sex-specific IR varied by age and service. Differences in the rate of ankle sprains were also noted by age and service. CONCLUSIONS: The incidence of ankle sprains among US service members was 5 times greater than that previously reported in civilian population studies. Sex, age, and branch of military service are important factors related to the incidence of ankle sprains in this population.
机译:背景:踝关节扭伤据报道是美国武装部队成员最常见的伤害之一。但是,对于该人群中与踝关节扭伤相关的发病率和损伤方式知之甚少。目的:调查1998年至2006年美国武装部队现役人员的踝关节扭伤的发生率。第二个目标是描述这个年轻,身体活跃的人群的性别,年龄和特定于服务的伤害模式。设计:队列研究。患者或其他参与者:在现役和动员期间,所有现役军人从入伍之日起到离开兵役之日,以及美国陆军预备役和国民警卫队的服务成员。主要观察指标:伤害数据摘自1998年至2006年的国防医学流行病学数据库。所有踝关节扭伤的数据均根据国际疾病分类(第9版)进行了编码。案例仅限于报道为首次发生的那些伤害。根据性别,年龄和服务,每1000人年计算发病率(IR)。发生率比(IRR)和95%置信区间(95%CI)用于评估踝关节扭伤的发生率与性别,年龄和服务的独立变量之间的关联强度。结果:从1998年到2006年,该人群中有423 581名服务人员遭受了踝关节扭伤,有12 118 863人年的受伤危险。每千人年危险中的发生率为34.95(95%CI = 34.85,35.06)。女性患踝关节扭伤的可能性比男性高21%(IRR = 1.21,95%CI = 1.21,1.23)。特定性别的IR因年龄和服务而异。脚踝扭伤的比率也因年龄和服役而有所差异。结论:美国服役人员中踝关节扭伤的发生率比以前在平民人口研究中报告的发生率高5倍。性别,年龄和服兵役是与该人群脚踝扭伤发生率有关的重要因素。

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