医学
倾向得分匹配
队列研究
创伤性脑损伤
队列
损伤严重程度评分
回顾性队列研究
创伤中心
退伍军人事务部
脊髓损伤
优势比
人口
置信区间
前瞻性队列研究
危险系数
伤害预防
毒物控制
服务人员
急诊医学
作者
Julio C. Furlan,Dilnur Kurban,B C Craven
出处
期刊:Journal of the Royal Army Medical Corps
[BMJ]
日期:2020-11-01
卷期号:166
被引量:2
标识
DOI:10.1136/jramc-2019-001197
摘要
Introduction Military personnel are exposed to mechanisms of bodily injuries that may differ from civilians. A retrospective cohort study (RCS) and a propensity score-matched cohort study (PSMCS) were undertaken to examine the potential differences in injury epidemiology, management and outcomes after spinal cord injury (SCI) between military personnel and civilians. Methods Using a Canadian multicentre SCI database, data of all individuals with sufficient data from October 2013 to January 2017 were included in the RCS (n=1043). In the PSMCS, a group of 50 military personnel with SCI was compared with a group of 50 civilians with SCI who were matched regarding sex, age, and level, severity and mechanism of SCI. Results In the RCS, military personnel with SCI (n=61) were significantly older and predominantl males when compared with civilians with SCI (n=982). However, the study groups were not statistically different with regards to their: level, severity and mechanisms of SCI; frequency of associated bodily injuries; and need for mechanical ventilation after SCI. In the PSMCS, the group of military individuals with SCI (n=50) was similar to the group of civilians with SCI (n=50) regarding pre-existing medical comorbidities, degree of motor impairment at admission, initial treatment for SCI and clinical and neurological outcomes after SCI. Conclusions The results of these studies suggest that military SCI group has disproportionally older men at the time of injury compared with civilians with SCI. However, the military and civilian SCI groups had similar outcomes of alike initial treatment when both groups were matched regarding their demographic profile and injury characteristics.
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