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首页> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >Descriptive epidemiology and natural history of idiopathic venous thromboembolism in U.S. active duty enlisted personnel, 1998-2007.
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Descriptive epidemiology and natural history of idiopathic venous thromboembolism in U.S. active duty enlisted personnel, 1998-2007.

机译：1998-2007年美国现役现役人员的描述性流行病学和特发性静脉血栓栓塞的自然史。

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摘要

The estimated incidence of idiopathic venous thromboembolism (IVTE) cases in the United States ranges from 24,000 to 282,000/year. This analysis explores the incidence and prevalence of IVTE in the military and if cases experience increased attrition. The Defense Medical Surveillance System was searched for incident IVTE cases from 1998 through 2007. Enlisted cases were each matched to 3 controls. Kaplan-Meier survival analysis and Cox proportional hazard modeling were performed. We matched 463 cases to 1,389 controls. Outpatient IVTE rates have increased markedly from 1998 through 2007. Cases of all-cause attrition risk (0.56 [95% CI = 0.44, 0.72]) and rates were significantly less than controls (p < 0.0001), and cases of medical attrition risk (1.64 [95% CI = 1.13, 2.37]) and rates were significantly higher (p < 0.01). Increasing rates with lower attrition suggests increasing case prevalence. Health care providers must maintain a high index of suspicion for venous thromboembolism to minimize adverse sequelae affecting health, unit readiness, and medical costs.
机译：在美国，估计的特发性静脉血栓栓塞（IVTE）病例的发生范围为每年24,000至282,000。该分析探讨了军队中IVTE的发生率和流行情况，以及案件流失率是否增加。检索了1998年至2007年间在国防医疗监视系统中发生的IVTE事件。每个入伍病例均与3个对照匹配。进行了Kaplan-Meier生存分析和Cox比例风险建模。我们将463例病例与1,389例对照进行了匹配。从1998年到2007年，门诊IVTE比率显着增加。全因损耗风险病例（0.56 [95％CI = 0.44，0.72]）和比率明显低于对照组（p <0.0001），而医疗损耗风险病例（p <0.0001）。 1.64 [95％CI = 1.13，2.37]），发生率明显更高（p <0.01）。减少磨损的比率增加表明病例患病率增加。医疗保健提供者必须对静脉血栓栓塞保持高度怀疑，以最大程度地减少影响健康，单位准备就绪和医疗费用的不良后遗症。

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