Medical and statistical indicators of injuries among servicewomen in the armed forces of the russian federation (2003–2019)

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Abstract

To analyze the rates of injuries in servicewomen in the Russian Armed Forces with injuries in the leading groups for 17 years (2003–2019). We conducted a selective statistical analysis of reports on the health status of personnel in the form 3/MED of military units, in which about 80% of the total number of servicewomen served. Injury rates by medical statistic reporting were correlated with the 19th-grade groups «Injury, poisoning and certain other consequences of external causes» (S00–T98) by the International Statistical Classification of Health-Related Diseases and Problems, 10th Review. The average annual rate of injuries (primary incidence) of servicewomen in 2003–2019 was 11.70 ± 0.82‰, its share in the structure of primary morbidity for all classes of International Statistical Classification of Health-Related Diseases and Problems, 10th Review was 1.7 ± 0.2%, hospitalizations — 6.89 ± 0.54‰ and 2.5 ± 0.2%, days of labor-loss — 239.5 ± 17.8‰ and 3.7 ± .3%, dismissal 0.11 ± 0.02‰ and 1.2 ± 0.2%, mortality rate 22.87 ± 4.41 per 100,000 servicewomen and 18.0 ± 1.6%. The dynamics show a decrease in the level and proportion of injuries in the statistical reporting analyses. The most pronounced injuries in servicewomen were with knee and lower leg injuries (International Statistical Classification of Health-Related Diseases and Problems, 10th Review Chapter XIX, block 9, S80–S89), ankle and foot injuries (block 10, S90–S99), wrist and hand injuries (block 7, S60–S69), head injuries (block 1, S00–S09), elbow and forearm injuries (block 6, S50–S59). The structure of the types of injuries to the areas of the body is presented. Conducted military-epidemiological evaluation of the negative impact of injuries on the health of servicewomen. The found medical and statistical indicators of traumatism can determine the safe conditions of activity, prevention of injuries, health-improving and rehabilitation measures among servicewomen.

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About the authors

Vladimir V. Khominets

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

Email: 9334616@mail.ru

doctor of medical sciences, professor

Russian Federation, Saint Petersburg

Vladimir I. Evdokimov

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation; All-Russian Center of Emergency and Radiation Medicine named after A.M. Nikiforov EMERCOM of Russia

Author for correspondence.
Email: 9334616@mail.ru
ORCID iD: 0000-0002-0771-2102

doctor of medical sciences, professor

Russian Federation, Saint Petersburg; Saint Petersburg

Pavel P. Sivashchenko

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

Email: 9334616@mail.ru
ORCID iD: 0000-0001-6286-6967

candidate of medical sciences, associate professor

Russian Federation, Saint Petersburg

Alexander A. Vetoshkin

All-Russian Center of Emergency and Radiation Medicine named after A.M. Nikiforov EMERCOM of Russia

Email: totoalex5@gmail.com

candidate of medical sciences, associate professor

Russian Federation, Saint Petersburg

Valery V. Ivanov

Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russian Federation

Email: 9334616@mail.ru

doctor of medical sciences, professor

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. The level of injuries (a) and the proportion of injuries in the structure of primary morbidity (b) among servicewomen in all ICD-10 classes

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3. Fig. 2. Dynamics of the structure (a) and structure (b) of traumatism among servicewomen with leading groups of injuries, %

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4. Fig. 3. Injury rate among servicewomen with injuries of the blocks 9 and 10

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5. Fig. 4. Injury rate among servicewomen with injuries of the blocks 1 and 7

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6. Fig. 5. Injury rate among servicewomen with a Fracture of lower leg, including ankle (S82) and Intracranial injury (S06)

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7. Fig. 6. Injury rate of servicewomen with Fracture of forearm (S52) and Fracture of foot, except ankle (S92)

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8. Fig. 7. Level (a) and share (b) of injuries in the structure of hospitalization of servicewomen for all ICD-10 classes

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9. Fig. 8. Structure (a) and dynamics of structure (b) hospitalization of servicewomen with leading groups of injuries, %

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10. Fig. 9. Level (a) and proportion of injuries in the structure of labor loss days (b) among servicewomen in all ICD-10 classes

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11. Fig. 10. Dynamics of structure (a) and the Structure (b) days labor losses servicewomen with major injury groups, %

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12. Fig. 11. Level (a) and proportion of injuries in the structure of dismissal (b) among servicewomen in all classes of ICD-10

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13. Fig. 12. Level (a) and proportion of injuries in the structure of dismissal (b) among servicewomen in all classes, %

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14. Fig. 13. Level (a) and proportion of injuries in the structure of mortality (b) of servicewomen for all ICD-10 classes

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15. Fig. 14. Structure (a), dynamics of the structure (b) and mortality rate of servicewomen with leading groups of injuries, %

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16. Fig. 15. The share of the leading groups of injuries in the structure of military-epidemiological significance for servicewomen, %

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Copyright (c) 2021 Khominets V.V., Evdokimov V.I., Sivashchenko P.P., Vetoshkin A.A., Ivanov V.V.

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