Pre-Service Predictors of New-Onset Alcohol Misuse in Male United States Marines.

Introduction: U.S. military personnel have a high prevalence of alcohol misuse, which can adversely affect force readiness.

Outpatient Prescriptions for Insomnia Medications During the First Year Following Combat-Related Amputations.

Introduction: Sleep-related disorders are associated with pain, fatigue, and deficits in cognitive performance, which may interfere with successful rehabilitation. The study objectives were to (1) quantify outpatient prescriptions for insomnia medications during the first year following combat-related amputations, (2) examine longitudinal changes in prescriptions for insomnia medications, and (3) analyze patient characteristics associated with prescriptions for insomnia medications.

Material And Methods: This was a retrospective study of DoD casualty records from the Expeditionary Medical Encounter Dataset and prescriptions for outpatient medications from the Pharmacy Data Transaction Service.

Outpatient prescription medications during the first year following combat-related amputations and traumatic brain injury: A retrospective study.

Background: Prescription medications are an essential element of military amputation care programs.

Objectives: To analyze (1) outpatient prescription medications following combat-related amputations, (2) longitudinal changes in prescription activity during the first year postinjury, and (3) patient characteristics associated with prescription medications.

Design: Retrospective study of military casualty records and outpatient prescription medications.

Sex Differences in Screening Positive for Post-Traumatic Stress Disorder After Combat Injury.

Introduction: U.S. military women were at risk of combat exposure and injury from asymmetric warfare during the conflicts in Iraq and Afghanistan.

Sex Differences in Postinjury Health Profiles Among U.S. Military Personnel Following Deployment-Related Concussion.

Women in the U.S. military are now authorized to serve in direct combat occupations.

Macrotraumatic Fractures of the Multisegmented Ankle-Foot Complex in Military Tactical Athletes: A Cohort Study.

Background: Ankle-foot injuries are common in military personnel and substantially degrade function and force readiness. The purpose of this retrospective cohort study was to assess the incidence and contributing factors of traumatic ankle-foot fractures in the US military.

Methods: A population-based study of all service members in the US military was performed assessing the factors of sex, occupation, service branch, rank, and year on segmental tibia-fibula, rearfoot, and forefoot fracture incidence between 2006 and 2015.

Investigating insomnia in United States deployed military forces: A topic modeling approach.

Study Objectives: This retrospective study analyzed free-text clinical notes from medical encounters for insomnia among a sample of deployed US military personnel. Topic modeling, a natural language processing technique, was used to identify thematic patterns in the clinical notes that were potentially related to insomnia diagnosis.

Methods: Clinical notes of patient clinical encounters coded for insomnia from the US Department of Defense Military Health System Theater Medical Data Store were analyzed.

Associations between health-related behaviors and self-reported cognitive symptoms in U.S. military personnel injured on deployment.

Health behaviors may be core contributors to cognition and mental health following mild traumatic brain injury (TBI). The aims of the present study examined: (1) whether health behaviors including sleep duration, alcohol use, and physical activity differed in injured military personnel with and without deployment-related mild TBI history and (2) the relative contributions of health behaviors and deployment-related mild TBI history to self-reported cognitive, posttraumatic stress disorder (PTSD), and depressive symptoms. Participants included 3076 military personnel injured on deployment participating in the Wounded Warrior Recovery Project, an ongoing web-based study.

Self-Reported Hearing Aid Requirements among U.S. Military Personnel and the Association with Probable Posttraumatic Stress Disorder.

Background:  Auditory problems are ubiquitous among U.S. military personnel.

Pre-Existing Audiometric Hearing Loss is a Predictor of Significant Threshold Shift Following Injury During Combat Deployment.

Objectives: Military personnel are exposed to multiple risk factors for hearing loss, particularly on the battlefield. The objective of this study was to determine whether pre-existing hearing loss predicted hearing threshold shift in male U.S.

Deployment-related concussion and long-term health-related quality of life among US military personnel.

Purpose: To examine the relationship between deployment-related concussion and long-term health-related quality of life (HRQoL) among injured US military personnel.

Methods: The study sample included 810 service members with deployment-related injuries between 2008 and 2012 who responded to a web-based longitudinal health survey. Participants were categorized into three injury groups: concussion with loss of consciousness (LOC; n = 247), concussion without LOC (n = 317), or no concussion (n = 246).

Research Letter: Prevalence of Spine Injuries Among US Military Personnel With Combat-Related Concussion.

Objective: To describe the prevalence of spine injuries among US service members with combat-related concussion.

Design And Participants: A retrospective review of medical records for US service members injured during combat operations in Iraq and Afghanistan between 2002 and 2020. The study sample included 27 897 service members categorized into 3 groups: concussion with loss of consciousness (LOC, n = 4631), concussion non-LOC ( n = 5533), and non-concussion ( n = 17 333).

Factors Associated With Neuromusculoskeletal Injury and Disability in Navy and Marine Corps Personnel.

Introduction: Neuromusculoskeletal injuries (NMSKI) are very common in the military, which contribute to short- and long-term disability.

Materials And Methods: Population-level NMSKI, limited duty (LIMDU), and long-term disability episode counts in the U.S.

Differences in quality-of-life scores across injury categories by mental health status among injured U.S. military service members and veterans.

Purpose: Posttraumatic stress disorder (PTSD) and depression are strong predictors of poor health-related quality of life (HRQOL) among injured U.S. military service members (SMs).

The Psychological Consequences of Combat Injury Among U.S. Navy Health Care Personnel.

Introduction: Military health care personnel face numerous risks to mental health, including those associated with combat injury, although no study has described combat injuries within this subgroup or assessed their impact on mental health outcomes.

Materials And Methods: Male U.S.

Relationship Between Tinnitus and Hearing Outcomes Among US Military Personnel After Blast Injury.

Objectives: To examine the association between tinnitus and hearing outcomes among US military personnel after blast injury, including any hearing loss, low-frequency hearing loss, high-frequency hearing loss, early warning shift, and significant threshold shift.

Design: In this retrospective study, the Blast-Related Auditory Injury Database was queried for male military service members who had audiometric data 2 years before and after blast injury between 2004 and 2012 with no history of hearing loss or tinnitus before injury (n = 1693). Tinnitus was defined by diagnostic codes in electronic health records.

The Neuromusculoskeletal Epidemiological Outcome (NEO) matrix: An innovative injury classification based on anatomical location and primary tissue type.

Introduction: The purpose of this paper is to propose the Neuromusculoskeletal Epidemiological Outcome (NEO) Matrix, an injury classification based on anatomical location and primary tissue type to classify NMSKI of the trunk and extremities in orthopaedic and sports medicine epidemiological research.

Materials And Methods: In the proposed NEO matrix, NMSKI diagnosis (International Classification of Disease) codes are classified by the anatomical complex affected. These regional anatomical complexes are frequently employed in orthopaedic and sports medicine disciplines in biomechanical and clinical research.

Combat injury profiles among U.S. military personnel who survived serious wounds in Iraq and Afghanistan: A latent class analysis.

Background: The U.S. military conflicts in Iraq and Afghanistan had the most casualties since Vietnam with more than 53,000 wounded in action.

Is Prehospital Ketamine Associated With a Change in the Prognosis of PTSD?

Introduction: Ketamine is an alternative to opioids for prehospital analgesia following serious combat injury. Limited research has examined prehospital ketamine use, associated injuries including traumatic brain injury (TBI) and PTSD outcomes following serious combat injury.

Materials And Methods: We randomly selected 398 U.

Sex Differences in the Incidence and Risk of Ankle-Foot Complex Stress Fractures Among U.S. Military Personnel.

The objective of this study was to evaluate sex differences in the incidence and risk of ankle-foot complex (AFC) stress fractures among U.S. military personnel, which could assist in developing management strategies as females assume a greater role in U.

Health Profiles of Military Women and the Impact of Combat-Related Injury.

Purpose: The role of women in the United States military is expanding. Women are now authorized to serve in all military occupations, including special operations and frontline combat units, which places them at increased risk of combat exposure and injury. Little is known regarding the impact of these injuries on the health of military women.

Trajectory of self-rated health after combat-related injury.

Background: The U.S. military conflicts in Iraq and Afghanistan yielded the most combat casualties since Vietnam.

Time Since Injury as a Factor in Post-Concussion Symptom Reporting among Military Service Members with Blast-Related Concussion.

Over the last decade, much research has been devoted to concussion among military personnel. Post-concussion symptoms after blast-related concussion are common, but it is unknown whether symptom reporting differs over time. This study's objective was to assess the relationship between time since injury and post-concussion symptom reporting.