title: A survey of outpatient visits in a United States Army forward unit during Operation Desert Shield.
abstract: Reports suggest that deployed soldiers during Operations Desert Shield and Desert Storm remained healthy, but primary care data are limited. We reviewed the outpatient visit surveillance data from the 3d Armored Cavalry Regiment to obtain information regarding soldiers' health in the field. Nontraumatic orthopedic problems accounted for the highest incidence of primary health care visits, followed by unintended injuries, gastrointestinal, respiratory, and dermatologic conditions. Visits for heat injuries, sexually transmitted diseases, unexplained fever, and psychiatric problems were low, probably due to preventive measures. These results suggest that increased prevention to decrease orthopedic problems and unintended injuries may substantially reduce outpatient visits during future deployments. Medical surveillance during future deployments can be improved by taking advantage of current advances in technology to facilitate patient data retrieval and provide timely information to first- and second-echelon medical personnel.
authors.affiliation: Preventive Medicine Division, Walter Reed Army Institute of Research, Washington, DC 20307-5100, USA.
authors.forename: G M
authors.initials: GM
authors.lastname: Wasserman
authors.forename: B L
authors.initials: BL
authors.lastname: Martin
authors.forename: K C
authors.initials: KC
authors.lastname: Hyams
authors.forename: B R
authors.initials: BR
authors.lastname: Merrill
authors.forename: H G
authors.initials: HG
authors.lastname: Oaks
authors.forename: H A
authors.initials: HA
authors.lastname: McAdoo
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data*; D001847:Bone Diseases / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D005335:Fever of Unknown Origin / Q000453:epidemiology / Q000517:prevention & control; D005767:Gastrointestinal Diseases / Q000453:epidemiology; D018882:Heat Stress Disorders / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D016247:Information Storage and Retrieval; D008297:Male; D013677:Medical Laboratory Science; D008499:Medical Records; D001523:Mental Disorders / Q000453:epidemiology / Q000517:prevention & control; D008877:Middle East; D008889:Military Personnel / Q000706:statistics & numerical data*; D011159:Population Surveillance; D012140:Respiratory Tract Diseases / Q000453:epidemiology; D012529:Saudi Arabia; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control; D012871:Skin Diseases / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014857:Warfare; D014947:Wounds and Injuries / Q000453:epidemiology / Q000517:prevention & control