How did the Brazilian military use to get sick before Covid-19? An analysis of the hospitalization profile of the active-duty personnel in the Brazilian Army Central Hospital from 1998 to 2018
DOI:
https://doi.org/10.33448/rsd-v11i14.36121Keywords:
Military Health; Hospitalization; Health Profile; Epidemiology; Cross-sectional studies.Abstract
Background: The covid-19 pandemic showed how understanding the epidemiology of specific populations is extremely necessary for adequate health care. For this, it is necessary to know the health-disease profile of the military population (which differs from civilians), but free from the biases that the exceptional events of this catastrophe could generate. Aims: The study aims to characterize the temporal trend and the profile of hospitalizations of active-duty military admitted to the Brazilian Army Central Hospital from 1998 January 1st to 2018 December 31st (before Covid-19 pandemic). Methodology: Analytical cross-sectional study with non-nominal secondary data from the records of the Hospital Information System of the Brazilian Army Central Hospital. Simple linear regression (p<0.005) and descriptive statistics were performed. Results: 20,292 hospitalizations were recorded in the period, of which 93.2% were for males (no change in time trend) and 6.2% were for female (with a significant increase in the historical series). Among males, the predominant age bracket was “21 to 30 years old” (44.5%), “brown” race (47.3%), “Corporals and Soldiers” ranks (61.8%) and hospitalized by the group of specialties of “Orthopedics, Traumatology, and Rheumatology” (33.9%). For females, the predominant age bracket was “31 to 40 years old” (51.4%), “white” race (55%), “Non-commissioned officers” ranks (58.9%) and hospitalized by the group of specialties “Gynecology and Obstetrics” (43, 1%). Conclusions: During the studied period, among the active-duty military personnel hospitalized, there was a predominance of males, young, Corporals and Soldiers with musculoskeletal impairment.
References
Brazil. Lei nº 6.880, de 9 de dezembro de 1980. (1980). Dispõe sobre o Estatuto dos Militares. Retrieved from: http://www.planalto.gov.br/ccivil_03/leis/l6880.htm#:~:text=LEI%20N%C2%BA%206.880%2C%20DE%209%20DE%20DEZEMBRO%20DE%201980&text=Disp%C3%B5e%20sobre%20o%20Estatuto%20dos%20Militares.&text=Art.,dos%20membros%20das%20For%C3%A7as%20Armadas.
Brazil. Ministry of Education. (2022). Matrizes de Competências Aprovadas pela CNRM. Retrieved from: http://portal.mec.gov.br/publicacoes-para-professores/30000-uncategorised/71531-matrizes-de-competencias-aprovadas-pela-cnrm.
Brazil. Ministry of Defense. (2022). A História da Mulher no Exército. Retrieved from: https://www.eb.mil.br/web/ingresso/mulheres-no-exercito/-/asset_publisher/6ssPDvxqEURl/content/a-historia-da-mulher-no-exercito?inheritRedirect=false&redirect=https%3A%2F%2Fwww.eb.mil.br%3A443%2Fweb%2Fingresso%2Fmulheres-no-exercito%3Fp_p_id%3D101_INSTANCE_6ssPDvxqEURl%26p_p_lifecycle%3D0%26p_p_state%3Dnormal%26p_p_mode%3Dview%26p_p_col_id%3Dcolumn-1%26p_p_col_count%3D1.
Brazil. Ministry of Defense. (2022). Como ingressar - Militar de Carreira. Retrieved from: http://www.eb.mil.br/web/ingresso/militar-de-carreira.
Brazil. Ministry of Defense. (2022). Fundo de Saúde do Exército - FUSEX. Retrieved from: https://www.eb.mil.br/web/interno/fusex.
Bravo, D. S., Barbosa, P. M. K., & Calamita, Z. (2016). Absenteísmo e envelhecimento no contexto ocupacional do Policial Militar. Rev Bras Med Trab, 14(2), 134-42. doi: 10.5327/Z1679-443520161915
Chaves, M. S. R. S., & Shimizu, I. S. (2018). Síndrome de burnout e qualidade do sono de policiais militares do Piauí. Revista Brasileira de Medicina do Trabalho, 16(4), 436-441. doi: 10.5327/Z1679443520180286
Constituição da República Federativa do Brasil de 1988. (1988). Retrieved from: http://www.planalto.gov.br/ccivil_03/constituicao/constituicao.htm
Deatsman, S., Vasilopoulos, T., & Rhoton-Vlasak, A. (2016). Age and fertility: a study on patient awareness. JBRA assisted reproduction, 20(3), 99-106. doi: 10.5935/1518-0557.20160024
Dorneles, A. J. A., de Lima Dalmolin, G., & de Souza Moreira, M. G. (2017). Saúde do trabalhador militar: uma revisão integrativa. Revista Enfermagem Contemporânea, 6(1), 73-80. Retrieved from: https://doi.org/10.17267/2317-3378rec.v6i1.1220
Fox, J. P., Markov, N. P., Markov, A. M., O’Reilly, E., & Latham, K. P. (2021). Plastic surgery at war: a scoping review of current conflicts. Military Medicine, 186(3-4), e327-e335. doi: 10.1093/milmed/usaa361
Hartal, M., Kreiss, Y., & Yavnai, N. (2015). Relative longevity among retired military personnel: a historical-cohort study. Military Medical Research, 2(1), 1-6. doi: 10.1186/s40779-015-0057-y
Heppell, P. S. J. (2004). Plastic surgery. BMJ Military Health, 150(1), 41-51. Retrieved from: https://militaryhealth.bmj.com/content/150/1/41
Hilgenberg, F. E., Santos, A. S., de Carvalho, A., Silveira, E. A., & Cominetti, C. (2016). Fatores de risco cardiovascular e consumo alimentar em cadetes da Academia da Força Aérea Brasileira. Ciência & Saúde Coletiva, 21, 1165-1174. Retrieved from: https://doi.org/10.1590/1413-81232015214.15432015.
Ho, Z. J. M., Hwang, Y. F. J., & Lee, J. M. V. (2014). Emerging and re-emerging infectious diseases: challenges and opportunities for militaries. Military Medical Research, 1(1), 1-10. Retrieved from: https://doi.org/10.1186/2054-9369-1-21
IBGE. (2022). Biblioteca Retrieved from: https://biblioteca.ibge.gov.br/.
INCA - Instituto Nacional do Câncer José Alencar Gomes da Silva. (2020). ABC do câncer: abordagens básicas para o controle do câncer. Rio de Janeiro: Instituto Nacional do Câncer – INCA. Retrieved from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document/livro_abc_6ed_0.pdf
Medeiros, R. G. D., & Mialski, L. A. F. D. O. (2020). Medidas preventivas para doenças cardiovasculares em militares da ativa do Exército Brasileiro. Retrieved from: http://bdex.eb.mil.br/jspui/handle/123456789/7628
Miao, X. R., Chen, Q. B., Wei, K., Tao, K. M., & Lu, Z. J. (2018). Posttraumatic stress disorder: from diagnosis to prevention. Military Medical Research, 5(1), 1-7. doi: 10.1186/s40779-018-0179-0
Milgrom, C., Giladi, M., Kashtan, H., Simkin, A., Chisin, R., Margulies, J., ... & Stein, M. (1985). A prospective study of the effect of a shock-absorbing orthotic device on the incidence of stress fractures in military recruits. Foot & ankle, 6(2), 101-104. doi: 10.1177/107110078500600209
Nasioudis, D., Palaiodimos, L., Dagiasis, M., Katsarou, A., & Ntouros, E. (2015). Depression in military medicine cadets: a cross-sectional study. Military Medical Research, 2(1), 1-5. doi: 10.1186/s40779-015-0058-x
Lappe, J. M., Stegman, M. R., & Recker, R. R. (2001). The impact of lifestyle factors on stress fractures in female Army recruits. Osteoporosis international, 12(1), 35-42. doi: 10.1007/s001980170155
Leirner, P. D. C. (1997). Meia-volta, volver: um estudo antropológico sobre a hierarquia militar. Revista de Antropologia, 41(1), 71-111. Retrieved from: https://doi.org/10.1590/S0034-77011998000100008
Pereira, F. J. C. (2020). Lesões musculoesqueléticas em militares do Exército Brasileiro: epidemiologia e prevenção. Retrieved from: http://bdex.eb.mil.br/jspui/handle/123456789/5500
Rocha, S. (2018). A presença das Mulheres nas Forças Armadas Brasileiras: Uma análise da sua inserção e os desafios atuais. Revista de Iniciação Científica em Relações Internacionais, 6(11), 109-125. Retrieved from: https://doi.org/10.22478/ufpb.2318-9452.2018v6n11.41274
Teodoro, H. C., & Rosas, R. F. (2000). Prevalência de lesões musculoesqueléticas no treinamento físico militar do 63º batalhão de infantaria de Tubarão/SC. Retrieved from: https://docplayer.com.br/110682713-Universidade-do-sul-de-santa-catarina-henrique-cargnin-teodoro.html
Torres, A. S., Ferrari, D. M., Cirolini, V. X., Valente, A. M. D. S., & Muniz, A. M. D. S. (2014). Análise do impacto do tênis e coturno fornecidos pelo Exército Brasileiro durante a marcha. Revista Brasileira de Educação Física e Esporte, 28, 377-385. Retrieved from: https://doi.org/10.1590/1807-55092014000300377
Zellmer, G. N., & Lima, L. C. X. G. (2020). O ingresso do segmento feminino no Exército Brasileiro. Retrieved from: https://bdex.eb.mil.br/jspui/bitstream/123456789/7604/1/ART_ZELLMER_LUANA%20XAVIER_CFO.pdf
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Copyright (c) 2022 Pedro Henrique Della Garza Oiticica Moreira; Rafael Andrade Diniz; Arthur de Pinho Mendes da Silva; Geraldo Magela da Silva Júnior; Yan Gomes Nogueira de Sá; Karolina Bortolini Magevski; Danilo Bhering Martins; Isis de Freitas Espeschit; Waneska Alexandra Alves; Milena de Oliveira Simões
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