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首页> 外文期刊>Journal of the Royal Naval Medical Service >Mortality, survival and residual injury burden of Royal Navy and Royal Marine combat casualties sustained in 11-years of operations in Iraq and Afghanistan.
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Mortality, survival and residual injury burden of Royal Navy and Royal Marine combat casualties sustained in 11-years of operations in Iraq and Afghanistan.

机译：在伊拉克和阿富汗作战的11年中，皇家海军和皇家海军战斗人员的伤亡人数，死亡率，生存和残余伤害负担。

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摘要

We present eleven years of prospectively-gathered data defining the full spectrum of the United Kingdom's (UK) Naval Service (Royal Navy and Royal Marines) casualties, and characterise the injury patterns, recovery and residual functional burden from the conflicts of the last decade. The UK Military Trauma Registry was searched for all Naval Service personnel injured between March 2003 and April 2013. These records were then cross-referenced with the records of the Naval Service Medical Board of Survey (NSMBOS), which evaluates injured Naval Service personnel for medical discharge, continued service in a reduced capacity or Return to Full Duty (RTD). Population at risk data was calculated from service records. There were 277 casualties in the study period: 63 (23%) of these were fatalities. Of the 214 survivors, 63 or 29% (23% of total) were medically discharged; 24 or 11% (9% of total) were placed in a reduced fitness category with medical restrictions placed on their continued military service. A total of 127 individuals (46% of the total and 59% of survivors) RTD without any restriction. The greatest number of casualties was sustained in 2007. There was a 3% casualty risk per year of operational service for Naval Service personnel. The most common reason cited by Naval Service Medical Board of Survey (NSMBOS) for medical downgrading or discharge was injury to the lower limb, with upper limb trauma the next most frequent. This study characterises the spectrum of injuries sustained by the Naval Service during recent conflicts with a very high rate of follow-up. Extremity injuries pose the biggest challenge to reconstructive and rehabilitative services striving to maximise the functional outcomes of injured service personnel.
机译：我们提供了11年的前瞻性数据，这些数据定义了英国海军部队（皇家海军和皇家海军陆战队）伤亡的全部范围，并描述了过去十年中冲突造成的伤害模式，恢复和残余功能负担。在英国军事创伤登记处搜索了2003年3月至2013年4月之间受伤的所有海军服务人员。然后，将这些记录与海军服务医疗调查委员会（NSMBOS）的记录进行交叉引用，后者评估受伤的海军服务人员的医疗状况放电，继续以降低的容量服务或返回“满负荷运行”（RTD）。危险人群数据是根据服务记录计算得出的。在研究期间，有277人死亡：其中63人（23％）是死亡。在214名幸存者中，有63％或29％（占总数的23％）已出院;将24或11％（占总数的9％）归为低适应度类别，并对其继续服兵役实行医疗限制。共有127个人（占总数的46％，幸存者的59％）不受任何限制。伤亡人数最多的是2007年。海军服务人员每年的运营服务伤亡风险为3％。海军服务医学调查委员会（NSMBOS）引用的最常见的医学降级或出院原因是下肢受伤，其次是上肢创伤。这项研究的特点是，在最近的冲突中，海军部队遭受的伤害谱系具有很高的随访率。肢体受伤对重建和康复服务提出了最大的挑战，这些服务努力使受伤的服务人员发挥最大的功能。

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