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Incidence of Traumatic Brain Injuries within the Prehospital Trauma Registry System. 院前创伤登记系统中创伤性脑损伤的发生率。
Stephen F Braden, Brit J Long, Julie A Rizzo, Michael D April, Bradley A Dengler, Steven G Schauer

Background: Traumatic brain injury (TBI) is often underreported or undetected in prehospital civilian and military settings. This study evaluated the incidence of TBI within the Prehospital Trauma Registry (PHTR) system.

Methods: We reviewed PHTR and the linked Department of Defense Trauma Registry (DoDTR) records of casualties from January 2003 through May 2019 for diagnostic data and surgical reports.

Results: A total of 709 casualties met inclusion criteria. The most common mechanism was blast, including 328 (51%) in the non-TBI and 45 (63%) in the TBI cohorts. The median injury severity scores in the non-TBI and TBI cohorts were 5 and 14, respectively. The survival scores in the non-TBI and TBI cohorts were 98% and 92%, respectively. Subdural hematomas, followed by subarachnoid hemorrhages were the most common classifiable brain injuries. Other nonspecific TBIs occurred in 85% of the TBI cohort casualties. Seventy-two cases (10%) were documented by the Role 1 clinician. Based on coding or operative data, 15 of the 72 (21%) were identified as TBIs. Of the 637 cases, which could not be decided based on coding or operative data, TBI was suspected in 42 (7%) cases based on Role 1 records.

Conclusions: Over 1 in 10 casualties presenting to a Role 1 facility had a TBI requiring transfer to a higher level of care. Our findings suggest the need for improved diagnostic technologies and documentation systems at Role 1 facilities for accurate TBI diagnosis and reporting.

背景:在院前民事和军事环境中,创伤性脑损伤(TBI)经常被低报或未被发现。本研究评估了院前创伤登记系统(PHTR)中创伤性脑损伤的发生率:方法:我们查阅了2003年1月至2019年5月期间PHTR和链接的国防部创伤登记处(DoDTR)的伤亡人员记录,以获取诊断数据和手术报告:共有 709 名伤员符合纳入标准。最常见的受伤机制是爆炸,其中非创伤性脑损伤有328人(51%),创伤性脑损伤有45人(63%)。非创伤性脑损伤组和创伤性脑损伤组的受伤严重程度中位数分别为 5 分和 14 分。非创伤性脑损伤组和创伤性脑损伤组的存活率分别为 98% 和 92%。硬膜下血肿是最常见的可分类脑损伤,其次是蛛网膜下腔出血。在创伤性脑损伤组群中,85%的伤员发生了其他非特异性创伤性脑损伤。角色 1 临床医生记录了 72 例(10%)。根据编码或手术数据,72 例中有 15 例(21%)被确定为创伤性脑损伤。在根据编码或手术数据无法确定的 637 个病例中,有 42 个病例(7%)根据角色 1 的记录被怀疑为创伤性脑损伤:结论:每 10 名到 "角色 1 "医疗机构就诊的伤员中就有 1 名以上患有创伤性脑损伤,需要转往更高级别的医疗机构。我们的研究结果表明,角色 1 机构需要改进诊断技术和文件系统,以准确诊断和报告创伤性脑损伤。
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引用次数: 0
Committee on Tactical Combat Casualty Care (CoTCCC) Position Statement on Prolonged Casualty Care (PCC): 01 May 2024. 战术战斗伤员救护委员会(CoTCCC)关于长期伤员救护(PCC)的立场声明:2024 年 5 月 1 日。
Michael A Remley, Dan Mosley, Sean Keenan, Travis G Deaton, Harold R Montgomery, Russ S Kotwal, George A Barbee, Lanny F Littlejohn, Justin Wilson, Curtis Hall, Paul E Loos, John B Holcomb, Jennifer M Gurney
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引用次数: 0
The Role of Motivation to Excel in the Etiology of Exertional Heat Stroke. 出类拔萃的动机在劳累性中暑病因中的作用。
Kirsten Lalli, Nisha Charkoudian, Yonatan Moreh, David W Degroot

Exertional heat stroke (EHS) is a medical emergency characterized by elevated body temperature and central nervous system dysfunction, and it can include dizziness, confusion and loss of consciousness, as well as long-term organ and tissue damage. EHS is distinct from classic, or passive, heat stroke and is most commonly observed during intense physical activity in warfighters, athletes, and laborers. EHS is an ongoing non-combat threat that represents a risk to both the health and readiness of military personnel. Potential risk factors and their mitigation have been the subject of investigation for decades. One risk factor that is often mentioned in the literature, but not well quantified, is that of individual motivation to excel, wherein highly trained military personnel and athletes exert themselves beyond their physiological limits because of a desire to complete tasks and goals. The motivation to excel in tasks with high standards of achievement, such as those within elite military schools, appears to create an environment in which a disproportionately high number of exertional heat illness casualties occur. Here, we review existing biomedical literature to provide information about EHS in the context of motivation as a risk factor and then discuss five cases of EHS treated at Martin Army Community Hospital at Fort Moore, GA, from 2020 to 2022. In our discussion of the cases, we explore the influence of motivation on each occurrence. The findings from this case series provide further evidence of motivation to excel as a risk factor for EHS and highlight the need for creative strategies to mitigate this risk.

劳累性中暑(EHS)是一种以体温升高和中枢神经系统功能障碍为特征的医疗紧急情况,可包括头晕、意识模糊和意识丧失,以及长期的器官和组织损伤。EHS 与典型的中暑或被动中暑不同,最常见于战士、运动员和劳动者在剧烈运动时出现。EHS 是一种持续的非战斗性威胁,对军人的健康和战备状态都构成风险。数十年来,潜在风险因素及其缓解一直是研究的主题。文献中经常提到但没有很好量化的一个风险因素是个人出类拔萃的动机,即训练有素的军人和运动员因渴望完成任务和目标而使自己的体力超出生理极限。在高标准的任务(如精英军事院校中的任务)中追求卓越的动机似乎创造了一种环境,在这种环境中发生的劳累性热病伤亡人数高得不成比例。在此,我们回顾了现有的生物医学文献,从动机这一风险因素的角度提供了有关 EHS 的信息,然后讨论了 2020 年至 2022 年在佐治亚州摩尔堡马丁陆军社区医院治疗的五例 EHS 病例。在对病例的讨论中,我们探讨了动机对每次病例发生的影响。本系列病例的研究结果进一步证明了追求卓越的动机是导致 EHS 的风险因素之一,并强调需要采取创造性的策略来降低这一风险。
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引用次数: 0
Advancing Combat Casualty Care Statistics and Other Battlefield Care Metrics. 推进战斗伤亡护理统计和其他战场护理指标。
Jud C Janak, Russ S Kotwal, Jeffrey T Howard, Jennifer M Gurney, Brian J Eastridge, John B Holcomb, Stacy A Shackelford, Robert A De Lorenzo, Ian J Stewart, Edward L Mazuchowski

Aggregate statistics can provide intra-conflict and inter-conflict mortality comparisons and trends within and between U.S. combat operations. However, capturing individual-level data to evaluate medical and non-medical factors that influence combat casualty mortality has historically proven difficult. The Department of Defense (DoD) Trauma Registry, developed as an integral component of the Joint Trauma System during recent conflicts in Afghanistan and Iraq, has amassed individual-level data that have afforded greater opportunity for a variety of analyses and comparisons. Although aggregate statistics are easily calculated and commonly used across the DoD, other issues that require consideration include the impact of individual medical interventions, non-medical factors, non-battle-injured casualties, and incomplete or missing medical data, especially for prehospital care and forward surgical team care. Needed are novel methods to address these issues in order to provide a clearer interpretation of aggregate statistics and to highlight solutions that will ultimately increase survival and eliminate preventable death on the battlefield. Although many U.S. military combat fatalities sustain injuries deemed non-survivable, survival among these casualties might be improved using primary and secondary prevention strategies that prevent injury or reduce injury severity. The current commentary proposes adjustments to traditional aggregate combat casualty care statistics by integrating statistics from the DoD Military Trauma Mortality Review process as conducted by the Joint Trauma System and Armed Forces Medical Examiner System.

总体统计数据可以提供美国作战行动内部和之间的冲突内和冲突间死亡率比较和趋势。然而,要获取个人层面的数据来评估影响作战伤亡死亡率的医疗和非医疗因素,历来都很困难。在最近的阿富汗和伊拉克冲突中,国防部(DoD)创伤登记处作为联合创伤系统(Joint Trauma System)的一个组成部分得到了发展,该登记处积累的个人层面的数据为各种分析和比较提供了更多的机会。虽然综合统计数据很容易计算,而且在整个国防部都普遍使用,但需要考虑的其他问题包括个别医疗干预措施的影响、非医疗因素、非战斗受伤的伤亡人员以及不完整或缺失的医疗数据,尤其是院前护理和前方外科小组护理方面的数据。我们需要新颖的方法来解决这些问题,以便更清晰地解释综合统计数据,并强调最终能提高生存率和消除战场上可预防死亡的解决方案。尽管许多美军作战死亡人员所受的伤被认为是不可救治的,但如果采用一级和二级预防策略,防止受伤或降低受伤严重程度,这些伤亡人员的存活率可能会提高。本评论建议对传统的战斗伤亡护理综合统计数据进行调整,将联合创伤系统和武装部队法医系统开展的国防部军事创伤死亡率审查过程中的统计数据纳入其中。
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引用次数: 0
The Effect of Critical Task Auto-failure Criteria on Medical Evaluation Methods in the Pararescue Schoolhouse. 关键任务自动失败标准对伞兵学校医疗评估方法的影响。
Ian Richardson, Michael J Lauria, Brian Gravano, Jeffrey F Swenson, Stephen C Rush

Background: Medical training and evaluation are important for mission readiness in the pararescue career field. Because evaluation methods are not standardized, evaluation methods must align with training objectives. We propose an alternative evaluation method and discuss relevant factors when designing military medical evaluation metrics.

Methods: We compared two evaluation methods, the traditional checklist (TC) method used in the pararescue apprentice course and an alternative weighted checklist (AWC) method like that used at the U.S. Army static line jumpmaster course. The AWC allows up to two minor errors, while critical task errors result in autofailure. We recorded 168 medical scenarios during two Apprentice course classes and retroactively compared the two evaluation methods.

Results: Despite the possibility of auto-failure with the AWC, there was no significant difference between the two evaluation methods, and both showed similar overall pass rates (TC=50% pass, AWC=48.8% pass, p=.41). The two evaluation methods yielded the same result for 147 out of 168 scenarios (87.5%).

Conclusions: The AWC method strongly emphasizes critical tasks without significantly increasing failures. It may provide additional benefits by being more closely aligned with our training objectives while providing quantifiable data for a longitudinal review of student performance.

背景:医疗培训和评估对于伞兵职业领域的任务准备非常重要。由于评估方法没有标准化,因此评估方法必须与培训目标保持一致。我们提出了一种替代评估方法,并讨论了设计军事医疗评估指标时的相关因素:我们比较了两种评估方法,一种是伞兵学徒课程中使用的传统核对表(TC)方法,另一种是美国陆军静态线路跳伞训练课程中使用的替代加权核对表(AWC)方法。AWC 最多允许出现两次轻微错误,而关键任务错误则会导致自动失败。我们在两个学徒课程班中记录了 168 个医疗场景,并对两种评估方法进行了追溯比较:结果:尽管 AWC 可能会导致自动失败,但两种评估方法之间没有显著差异,总体通过率相似(TC=50% 通过,AWC=48.8% 通过,P=.41)。在 168 个场景中,两种评价方法对 147 个场景(87.5%)的评价结果相同:结论:AWC 方法着重强调了关键任务,而不会显著增加失败率。结论:AWC 方法强调了关键任务,而不会明显增加失败率。它可能会带来更多好处,因为它更符合我们的培训目标,同时为纵向审查学生成绩提供了可量化的数据。
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引用次数: 0
Incidence of Coagulopathy After Resuscitation at a Role 1 Facility: The Prehospital Trauma Registry Experience. 角色 1 机构复苏后凝血病的发生率:院前创伤登记处的经验。
Brannon L Inman, Brit J Long, Michael D April, Andrew D Fisher, Julie A Rizzo, Steven G Schauer

Background: The development of acute traumatic coagulopathy is associated with increased mortality and morbidity in patients with battlefield traumatic injuries. Currently, the incidence of acute traumatic coagulopathy in the Role 1 setting is unclear.

Methods: We queried the Prehospital Trauma Registry (PHTR) module of the Department of Defense Trauma Registry (DoDTR) for all encounters from inception through May 2019. The PHTR captures data on Role 1 prehospital care. Data from the PHTR was linked to the DoDTR to analyze laboratory data and patient outcomes using descriptive statistics. We defined coagulopathy as an international normalized ratio (INR) of ≥1.5 or platelet count ≤150×109/L.

Results: A total of 595 patients met the inclusion criteria; 36% (212) met our definition for coagulopathy, with 31% (185) carrying low platelet numbers, 11% (68) showing an elevated INR, and 7% (41) with both. The baseline (no coagulopathy) cohort had a mean INR of 1.10 (95% CI 1.09-1.12) versus 1.38 (95% CI 1.33-1.43) in the coagulopathic cohort. The mean platelet count was 218 (95% CI 213-223) ×109/L in the baseline cohort versus 117 (95% CI 110-125) ×109/L in the coagulopathic cohort.

Conclusions: Our findings indicate a high incidence of coagulopathy in trauma patients. Approximately one-third of wounded patients had laboratory evidence of coagulopathy upon presentation to a forward medical care facility. Advanced diagnostic facilities are therefore needed to facilitate early diagnosis of acute traumatic coagulopathy. Blood products with a long shelf life can aid in early correction.

背景:急性创伤性凝血病的发生与战场创伤患者死亡率和发病率的增加有关。目前,Role 1 环境中急性创伤性凝血病的发病率尚不清楚:我们查询了国防部创伤登记处(DoDTR)的院前创伤登记(PHTR)模块,以了解从开始到 2019 年 5 月的所有情况。PHTR 采集了关于角色 1 院前护理的数据。PHTR 的数据与 DoDTR 的数据相链接,使用描述性统计分析实验室数据和患者预后。我们将凝血功能障碍定义为国际标准化比值(INR)≥1.5 或血小板计数≤150×109/L:共有 595 名患者符合纳入标准;36%(212 人)符合我们对凝血病的定义,其中 31%(185 人)血小板数量偏低,11%(68 人)INR 升高,7%(41 人)两者均有。基线(无凝血病)队列的 INR 平均值为 1.10(95% CI 1.09-1.12),而凝血病队列的 INR 平均值为 1.38(95% CI 1.33-1.43)。基线队列的平均血小板计数为 218(95% CI 213-223)×109/L,而凝血病理队列的平均血小板计数为 117(95% CI 110-125)×109/L:我们的研究结果表明,创伤患者的凝血病发病率很高。结论:我们的研究结果表明,创伤患者的凝血病发病率很高。约有三分之一的伤员在被送往前方医疗机构时有凝血病的实验室证据。因此,需要先进的诊断设备来帮助早期诊断急性创伤性凝血病。保质期较长的血液制品有助于早期纠正。
{"title":"Incidence of Coagulopathy After Resuscitation at a Role 1 Facility: The Prehospital Trauma Registry Experience.","authors":"Brannon L Inman, Brit J Long, Michael D April, Andrew D Fisher, Julie A Rizzo, Steven G Schauer","doi":"10.55460/NDT8-BU2B","DOIUrl":"10.55460/NDT8-BU2B","url":null,"abstract":"<p><strong>Background: </strong>The development of acute traumatic coagulopathy is associated with increased mortality and morbidity in patients with battlefield traumatic injuries. Currently, the incidence of acute traumatic coagulopathy in the Role 1 setting is unclear.</p><p><strong>Methods: </strong>We queried the Prehospital Trauma Registry (PHTR) module of the Department of Defense Trauma Registry (DoDTR) for all encounters from inception through May 2019. The PHTR captures data on Role 1 prehospital care. Data from the PHTR was linked to the DoDTR to analyze laboratory data and patient outcomes using descriptive statistics. We defined coagulopathy as an international normalized ratio (INR) of ≥1.5 or platelet count ≤150×109/L.</p><p><strong>Results: </strong>A total of 595 patients met the inclusion criteria; 36% (212) met our definition for coagulopathy, with 31% (185) carrying low platelet numbers, 11% (68) showing an elevated INR, and 7% (41) with both. The baseline (no coagulopathy) cohort had a mean INR of 1.10 (95% CI 1.09-1.12) versus 1.38 (95% CI 1.33-1.43) in the coagulopathic cohort. The mean platelet count was 218 (95% CI 213-223) ×109/L in the baseline cohort versus 117 (95% CI 110-125) ×109/L in the coagulopathic cohort.</p><p><strong>Conclusions: </strong>Our findings indicate a high incidence of coagulopathy in trauma patients. Approximately one-third of wounded patients had laboratory evidence of coagulopathy upon presentation to a forward medical care facility. Advanced diagnostic facilities are therefore needed to facilitate early diagnosis of acute traumatic coagulopathy. Blood products with a long shelf life can aid in early correction.</p>","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adoption of the CH-47 to MEDEVAC Special Operations Forces in USAFRICOM. 美国海军陆战队司令部采用 CH-47 型飞机为特种作战部队提供医疗后送服务。
Ryan Leone, Mason H Remondelli, Sheldon S Smith, Brandon J Moore, Shelbi L Wuss, Matthew D'Angelo
{"title":"Adoption of the CH-47 to MEDEVAC Special Operations Forces in USAFRICOM.","authors":"Ryan Leone, Mason H Remondelli, Sheldon S Smith, Brandon J Moore, Shelbi L Wuss, Matthew D'Angelo","doi":"10.55460/42IX-2BIX","DOIUrl":"10.55460/42IX-2BIX","url":null,"abstract":"","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) in a Special Operations Soldier: A Case Report. 一名特种作战士兵的致心律失常性右室心肌病 (ARVC):病例报告。
Kyler C Osborne, Andrew Wenthe, Megan Mahowald, Rachel E Bridwell

Special Operations Servicemembers presenting with palpitations, pre-syncope, or exertional syncope during rigorous physical training are often experiencing a benign condition; however, life-threatening etiologies should be considered. We describe a 43-year-old Special Operator who presented to his medics during selection physical assessment testing with palpitations and lightheadedness, with a subsequent workup revealing arrhythmogenic right ventricular cardiomyopathy (ARVC). His initial electrocardiogram was unremarkable without characteristic ARVC changes. Outpatient evaluation with ambulatory cardiac monitoring recorded numerous episodes of non-sustained ventricular tachycardia. Transthoracic echocardiography demonstrated findings concerning for ARVC, with subsequent cardiac MRI confirming the diagnosis via the 2020 Padua criteria. Management includes activity modification, class III anti-arrhythmic medications, and possible placement of an implantable cardioverter defibrillator to prevent sudden cardiac death. This case demonstrates the importance of maintaining high clinical suspicion for rare diagnoses that present with exertional palpitations, such as arrhythmogenic right ventricular cardiomyopathy, in even our fittest Special Operators.

在严格的体能训练中出现心悸、晕厥前兆或劳累性晕厥的特种作战人员通常是良性病症,但也应考虑到危及生命的病因。我们描述了一名 43 岁的特级操作员,他在选拔体能评估测试中因心悸和头晕向医护人员求诊,随后的检查发现他患有致心律失常性右室心肌病(ARVC)。他的初始心电图无异常,没有特征性的 ARVC 变化。在门诊进行的评估中,使用流动心脏监测仪记录了多次非持续性室性心动过速发作。经胸超声心动图显示出与 ARVC 有关的结果,随后的心脏核磁共振成像通过 2020 年帕多瓦标准确诊了该病。治疗方法包括调整活动量、服用 III 级抗心律失常药物,并可能植入植入式心律转复除颤器以预防心脏性猝死。本病例表明,即使是最健壮的特种作战人员,也必须对出现劳累性心悸的罕见诊断(如致心律失常性右室心肌病)保持高度的临床怀疑。
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引用次数: 0
Maritime Applications of Prolonged Casualty Care Sepsis on a Destroyer During Distributed Maritime Operations. 在分布式海上行动中,驱逐舰上的长期伤员护理败血症的海上应用。
Matthew D Tadlock, Ryan Maves, Dana M Flieger, Tyler J Baldino, Donald Adams, Jamie C Riesberg, Levi K Kitchen, Jermy J Brower, Michael S Tripp

During distributed maritime operations, individual components of the naval force are more geographically dispersed. As the U.S. Navy further develops this concept, smaller vessels may be operating at a significant time and distance away from more advanced medical capabilities. Therefore, during both current and future contested Distributed Maritime Operations, Role 1 maritime caregivers such as Independent Duty Corpsman will have to manage patients for prolonged periods of time. This manuscript presents an innovative approach to teaching complex operational medicine concepts (including Prolonged Casualty Care [PCC]) to austere Role 1 maritime caregivers using a hypothetical scenario involving a patient with sepsis and septic shock. The scenario incorporates the Joint Trauma System PCC Clinical Practice Guidelines (CPG) and other standard references. The scenario includes a stem clinical vignette, expected clinical changes for the affected patient at specific time points (e.g., time 0, 1, 2, and 48h), and expected interventions based on the PCC CPG and available shipboard equipment. Epidemiology of sepsis in the deployed environment is also reviewed. This process also identifies opportunities to improve training, clinical skills sustainment, and standard shipboard medical supplies.

在分布式海上行动中,海军部队的各个组成部分在地理上更加分散。随着美国海军进一步发展这一概念,较小的舰艇可能会在相当长的时间和距离内远离更先进的医疗能力。因此,在当前和未来有争议的分布式海上行动中,独立值班医护兵等角色 1 海上护理人员将不得不长时间管理病人。本手稿介绍了一种创新方法,即利用脓毒症和脓毒性休克患者的假设情景,向艰苦条件下的角色 1 海上救护人员传授复杂的作战医学概念(包括长时间伤员救护 [PCC])。该情景结合了《联合创伤系统 PCC 临床实践指南》(CPG)和其他标准参考资料。该情景包括一个干临床小故事、受影响患者在特定时间点(如 0、1、2 和 48 小时)的预期临床变化,以及基于 PCC CPG 和可用船上设备的预期干预措施。还将审查部署环境中败血症的流行病学。这一过程还能发现改进培训、临床技能维持和标准舰载医疗用品的机会。
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引用次数: 0
Factors Influencing Omega-3 Index Status in Active-Duty Military Personnel. 影响现役军人 Omega-3 指数状况的因素。
Jonathan Brown, Mario A Soto, Keston G Lindsay, Margaret Harris, Stephen A Karagosian, Kelsey Bailey, Andrea M Hutchins

Background: This study assessed omega-3 fatty acid (O3FA) status, previous brain injury risk exposures, and associations between O3FA status and risk exposures among active-duty military personnel.

Methods: O3FA status was measured by a Holman omega-3 blood test. A survey was conducted to assess brain injury risk history and dietary O3FA factors.

Results: More than 50% of the participants had high-risk status, based on an omega-3 index (O3I) <4%, while less than 2% of the participants recorded low-risk O3I (>8%). O3FA supplementation (p<.001, Cramer's V=0.342) and fish consumption (p<.001, Cramer's V=0.210) were positively correlated with O3FA status. Only 5 O3FA supplement users (n=97 [5.2%]) had a low-risk O3I status, while all nonusers (n=223) had moderateto high-risk O3I status.

Conclusions: Supplementing with O3FA was associated with better O3I status in this population. However, only a few participants achieved optimal O3I status even when taking an O3FA supplement. Participants who ate fish and did not supplement were in the moderateor high-risk O3I groups.

背景:本研究评估了现役军人中的欧ω-3 脂肪酸(O3FA)状况、先前的脑损伤风险暴露以及 O3FA 状况与风险暴露之间的关联:本研究评估了现役军人的欧米伽-3脂肪酸(O3FA)状况、以往脑损伤风险暴露以及O3FA状况与风险暴露之间的关联:方法: 通过霍尔曼omega-3血液测试测量O3FA状态。方法:通过霍尔曼欧米茄-3 血液测试测量 O3FA 状态,并进行调查以评估脑损伤风险史和饮食中的 O3FA 因素:结果:根据欧米伽-3 指数(O3I)8%),50% 以上的参与者处于高风险状态。补充 O3FA(p结论:补充 O3FA 与改善该人群的 O3I 状况有关。然而,即使补充了 O3FA,也只有少数参与者达到了最佳 O3I 状态。吃鱼而不补充的参与者属于中度或高风险 O3I 组。
{"title":"Factors Influencing Omega-3 Index Status in Active-Duty Military Personnel.","authors":"Jonathan Brown, Mario A Soto, Keston G Lindsay, Margaret Harris, Stephen A Karagosian, Kelsey Bailey, Andrea M Hutchins","doi":"10.55460/V9MD-53OJ","DOIUrl":"10.55460/V9MD-53OJ","url":null,"abstract":"<p><strong>Background: </strong>This study assessed omega-3 fatty acid (O3FA) status, previous brain injury risk exposures, and associations between O3FA status and risk exposures among active-duty military personnel.</p><p><strong>Methods: </strong>O3FA status was measured by a Holman omega-3 blood test. A survey was conducted to assess brain injury risk history and dietary O3FA factors.</p><p><strong>Results: </strong>More than 50% of the participants had high-risk status, based on an omega-3 index (O3I) <4%, while less than 2% of the participants recorded low-risk O3I (>8%). O3FA supplementation (p<.001, Cramer's V=0.342) and fish consumption (p<.001, Cramer's V=0.210) were positively correlated with O3FA status. Only 5 O3FA supplement users (n=97 [5.2%]) had a low-risk O3I status, while all nonusers (n=223) had moderateto high-risk O3I status.</p><p><strong>Conclusions: </strong>Supplementing with O3FA was associated with better O3I status in this population. However, only a few participants achieved optimal O3I status even when taking an O3FA supplement. Participants who ate fish and did not supplement were in the moderateor high-risk O3I groups.</p>","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of special operations medicine : a peer reviewed journal for SOF medical professionals
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