1 / 10

USAF Recruit Mortality Data

Outline. BackgroundUpdate to USAF Recruit Mortality StudySCT data from Lackland AFBConclusion. Background. USAF BMT screens all recruits upon entryScreened with Sickle prep"Confirmed with hemoglobin electrophoresisCounseled on increased risk for medical complicationsGiven the option to lea

elina
Download Presentation

USAF Recruit Mortality Data

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. USAF Recruit Mortality Data Maj Katerina Neuhauser AFIERA/RSRH Brooks AFB, TX 78235-5116

    2. Outline Background Update to USAF Recruit Mortality Study SCT + data from Lackland AFB Conclusion

    3. Background USAF BMT screens all recruits upon entry Screened with “Sickle prep” Confirmed with hemoglobin electrophoresis Counseled on increased risk for medical complications Given the option to leave military service

    5. Cause of Death Natural includes the following categories: Cardiac Infectious diseases Rhabdomyolysis Heat-relatedNatural includes the following categories: Cardiac Infectious diseases Rhabdomyolysis Heat-related

    6. Deaths among USAF Recruits with Positive SCT:1956-2001 7 recruits positive SCT All black between 18-22 yrs of age Out of the 80 –SCT deaths: Sudden death (20) Rhabdomyolysis (2) Meningiococcemia (6) Suicide (10) +SCT -SCT or unspecified Cause of Death N % N % Sudden death 3 43% 20 25% Rhabdomyolysis 2 28% 2 3% Meningiococcemia 1 14% 6 8% Suicide 1 14% 10 13% Total 7 80 Note: Not all –SCT deaths outlinedOut of the 80 –SCT deaths: Sudden death (20) Rhabdomyolysis (2) Meningiococcemia (6) Suicide (10) +SCT -SCT or unspecified Cause of Death N % N % Sudden death 3 43% 20 25% Rhabdomyolysis 2 28% 2 3% Meningiococcemia 1 14% 6 8% Suicide 1 14% 10 13% Total 7 80 Note: Not all –SCT deaths outlined

    7. +SCT Deaths: 1956-2001 5 SCT+ deaths temporally related to exercise 4 occurred during warmest months (May – Sep) Kark found 28-40X higher exertion-induced sudden unexplained death among heterozygous recruits from 1977-1981 Neuhauser calculated a risk ratio of 23.53 (19.55 ,30.01) for non-traumatic deaths from 1986-1994 using autopsy data on recruit deaths -- For the purposes of the study previously preformed, it was assumed that 0.08% of caucasians and 8% of black inductees were SST positive (literature) With this information, we calculated a risk ratio of 23.53 (19.55, 30.01) 1) Looked only at non-traumatic deaths 2) Small number of deaths in any given year so data followed a Poisson distribution 3) This was taken into account to calculate the RR, to obtain a narrow CI - Data similar to that obtained by Kark where heterozygous individuals had 28-40X higher risk of death-- For the purposes of the study previously preformed, it was assumed that 0.08% of caucasians and 8% of black inductees were SST positive (literature) With this information, we calculated a risk ratio of 23.53 (19.55, 30.01) 1) Looked only at non-traumatic deaths 2) Small number of deaths in any given year so data followed a Poisson distribution 3) This was taken into account to calculate the RR, to obtain a narrow CI - Data similar to that obtained by Kark where heterozygous individuals had 28-40X higher risk of death

    10. Conclusions Few USAF recruit deaths in any given year Most deaths occur during first 3 wks of training Only 7 of 87 deaths from 1956-2001 were SCT + SCT+ deaths temporally associated with exercise Higher RR for SCT+ non-traumatic deaths No information on exertional deaths among SCT+ individuals after basic training Lackland AFB identifies 3 +SCT /1000/wk Lackland AFB retains 89% of +SCT recruits after preventive counseling

    11. Contact Information Maj Katerina Neuhauser AFIERA/RSRH DSN 240-1573 Katerina.Neuhauser@brooks.af.mil

More Related