@article{ref1,
title="Profiles after acute traumatic injury: the non-battle injury impact on readiness at a single military treatment facility",
journal="Military medicine",
year="2020",
author="Aranda, Marcos and Poloni, Dana and Coffin, Elisabeth and Hendren, Bryan",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Physical profiling is critical to the individual medical readiness of all military service members. This classification system provides detailed  information about an individual's functional abilities. Profile information is used  in determining whether a service member is medically deployable or non-deployable. Limited research has been conducted on the impact of acute traumatic injuries on  duty status and profiles in the non-deployed setting. The purpose of this study was  to characterize injured service members presenting to a CONUS MTF emergency  department whose acute traumatic injury resulted in a profile. MATERIALS AND  METHODS: A retrospective review of patients who presented to the Dwight D. Eisenhower Army Medical Center emergency department with traumatic injuries from  January 1, 2019, to December 31, 2019, was performed. Patients were identified by  searching electronic encounter records for trauma-specific ICD-10 codes. Returned  patient records were then reviewed for active duty status, branch, age, gender,  rank, mechanism, protective equipment, substance use, procedures, and disposition. Profiles of soldiers were reviewed for indication and duration. Patients with  profiles were compared to those without profiles. Correlation with age was  determined by t-test, correlation with profile length was determined by ANOVA, and  correlation with the remaining categorical variables was determined with chi-squared  analysis. <br><br>RESULTS: Eight hundred and thirty-two service members were reviewed. One  hundred and eight (13%) soldiers had a profile. Patients were 23.2% female with no  difference between the two groups. Patients were an average of 28.7 years old. The  most common mechanisms were physical training (PT) (33.1%) and falls (12.9%). Physical training and motor vehicle collisions were more common in the profile  group. Combatives and crush injuries of the hand were less common in the profile  group. Major procedures were more common in the profile group, and minor procedures  were less common. Admissions, quarters, immediate referrals, and release without  limitations were more common in the profile group. The mean duration of profiles was  48.9 days, and 7.4% were permanent. <br><br>CONCLUSIONS: Non-battle injuries in the garrison  setting are a significant threat to readiness. This analysis of acute traumatic  injuries suggests that mechanism of injury was similar to previous reports with PT  and falls being most common. Interventions should be targeted at PT and motor  vehicle collisions as these were more common in the profile group. This series is  also similar to previous reports that extremity injuries are the most common cause  of profiles. However, TBIs were more common in our analysis. Further research that  encompasses all garrison MTF acute traumatic injuries is needed to define the true  impact on readiness and guide development of injury prevention strategies.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.1093/milmed/usaa566",
url="http://dx.doi.org/10.1093/milmed/usaa566"
}