Evidence map›Paper›PMID 26036822›Full record

ArticleJournal of the Royal Army Medical Corps2016

Risk factors for heat illness among British soldiers in the hot Collective Training Environment.

Alice C Moore, M J Stacey, K G H Bailey, R J Bunn, D R Woods, K J Haworth, S J Brett, S E F Folkes

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Royal Army Medical Corps, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Epidemiology of Exertional Heat Illness in the Military: A Systematic Review of Observational Studies.International journal of environmental research and public health · 2020
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Health Risks and Interventions in Exertional Heat Stress.Deutsches Arzteblatt international · 2019
    Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Alice C MooreDepartment of Medicine, Frimley Health Foundation Trust, Frimley, UK.
M J StaceyDepartment of Military Medicine, RCDM, Birmingham, UK.
K G H BaileyOccupational Medicine, Headquarters Army Recruiting and Training Division, Upavon, Wiltshire, UK.
R J BunnEnvironmental Monitoring Team, Army Medical Directorate, Camberley, UK.
D R WoodsDepartment of Military Medicine, RCDM, Birmingham, UK.
K J HaworthOccupational Medicine, Headquarters Army Recruiting and Training Division, Upavon, Wiltshire, UK.
S J BrettDepartment of Surgery and Cancer, Imperial College London, London, UK.
S E F FolkesOccupational Medicine, Headquarters Army Recruiting and Training Division, Upavon, Wiltshire, UK.
Hammersmith Hospital · GBHealth Foundation · GBLeeds Beckett University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeat illness is a preventable disorder in military populations. Measures that protect vulnerable individuals and contribute to effective Immediate Treatment may reduce the impact of heat illness, but depend upon adequate understanding and awareness among Commanders and their troops.

objectiveTo assess risk factors for heat illness in British soldiers deployed to the hot Collective Training Environment (CTE) and to explore awareness of Immediate Treatment responses.

methodsAn anonymous questionnaire was distributed to British soldiers deployed in the hot CTEs of Kenya and Canada. Responses were analysed to determine the prevalence of individual (Intrinsic) and Command-practice (Extrinsic) risk factors for heat illness and the self-reported awareness of key Immediate Treatment priorities (recognition, first aid and casualty evacuation).

resultsThe prevalence of Intrinsic risk factors was relatively low in comparison with Extrinsic risk factors. The majority of respondents were aware of key Immediate Treatment responses. The most frequently reported factors in each domain were increased risk by body composition scoring, inadequate time for heat acclimatisation and insufficient briefing about casualty evacuation.

conclusionsNovel data on the distribution and scale of risk factors for heat illness are presented. A collective approach to risk reduction by the accumulation of 'marginal gains' is proposed for the UK military. This should focus on limiting Intrinsic risk factors before deployment, reducing Extrinsic factors during training and promoting timely Immediate Treatment responses within the hot CTE.

Indexed as

AcclimatizationBody CompositionMilitary PersonnelPhysical FitnessAdrenergic beta-AntagonistsAnti-Inflammatory Agents, Non-SteroidalCanadaDehydrationHeat Stress DisordersHistamine AntagonistsHumansHungerKenyaPrevalenceRisk FactorsSleep DeprivationAdrenergic beta-AntagonistsAnti-Inflammatory Agents, Non-SteroidalHistamine AntagonistsEPIDEMIOLOGYOCCUPATIONAL & INDUSTRIAL MEDICINEPREVENTIVE MEDICINE

Identifiers

PMID26036822
PMCPMC5256239
OpenAlexW2127145328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.