SynthesisBMC public health2009
A systematic review of post-deployment injury-related mortality among military personnel deployed to conflict zones.
Synthesis in BMC public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed.
- Divergent trends in accidental deaths since return from an Afghanistan/Iraq deployment among army soldiers.Annals of epidemiology · 2024Article
- Accuracy of behavioral health variables in Oregon national violent death reporting system data: a linked cohort study.Injury epidemiology · 2022Article
- Pooled analysis of all-cause and cause-specific mortality among Nordic military veterans following international deployment.BMJ open · 2022Article
- Risky Driving Behaviors for Older Adults: Differences by Veteran's Status.Journal of community health · 2018Article
- Patterns of zolpidem use among Iraq and Afghanistan veterans: A retrospective cohort analysis.PloS one · 2018Article
- Erosion of the healthy soldier effect in veterans of US military service in Iraq and Afghanistan.Population health metrics · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper reports on a systematic review of the literature on the post-conflict injury-related mortality of service members who deployed to conflict zones.
methodsLiterature databases, reference lists of articles, agencies, investigators, and other sources were examined to find studies comparing injury-related mortality of military veterans who had served in conflict zones with that of contemporary veterans who had not served in conflict zones. Injury-related mortality was defined as a cause of death indicated by International Classification of Diseases E-codes E800 to E999 (external causes) or subgroupings within this range of codes.
resultsTwenty studies met the review criteria; all involved veterans serving during either the Vietnam or Persian Gulf conflict. Meta-analysis indicated that, compared with non-conflict-zone veterans, injury-related mortality was elevated for veterans serving in Vietnam (summary mortality rate ratio (SMRR) = 1.26, 95% confidence interval (95%CI) = 1.08-1.46) during 9 to 18 years of follow-up. Similarly, injury-related mortality was elevated for veterans serving in the Persian Gulf War (SMRR = 1.26, 95%CI = 1.16-1.37) during 3 to 8 years of follow-up. Much of the excess mortality among conflict-zone veterans was associated with motor vehicle events. The excess mortality decreased over time. Hypotheses to account for the excess mortality in conflict-zone veterans included post-traumatic stress, coping behaviors such as substance abuse, ill-defined diseases and symptoms, lower survivability in injury events due to conflict-zone comorbidities, altered perceptions of risk, and/or selection processes leading to the deployment of individuals who were risk-takers.
conclusionFurther research on the etiology of the excess mortality in conflict-zone veterans is warranted to develop appropriate interventions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.