Actual aspects of traumatic pathology among servicemen of Ukrainіan Armed Forces in Joint Forces Operation

  • A. M. Halushka Ukrainian Armed Forces, Medical Forces Command, Kyiv, Ukraine
  • S. V. Khalik Ukrainian Armed Forces, Medical Forces Command, Kyiv, Ukraine
  • O. V. Rychka Ukrainian Military Medical Academy, Research Institute of Military Medicine, Kyiv, Ukraine
  • Ye. B. Lopin Ukrainian Military Medical Academy, Research Institute of Military Medicine, Kyiv, Ukraine
Keywords: non-battle trauma, structure of treated patients, servicemen of the Armed Forces of Ukraine (anti-terrorist operation), Joint Forces Operation, military mobile hospitals.

Abstract

The use of these traditional peacetime methodological approaches to accounting and analysis of non-combat injuries has led to an underestimation of its high level in the planning of inpatient care for servicemen of the Armed Forces of Ukraine in the area of the Joint Forces operation (anti-terrorist operation). The purpose of the study is a general assessment of the place of combat and non-combat injuries (including poisoning) in the structure of cases of hospitalization of servicemen of the Armed Forces of Ukraine in the area of the Joint Forces operation and anti-terrorist operation. Statistical mathematical processing was performed using computer programs Microsoft Excel and STATISTICA (version 6, StatSoft, Inc.). Based on annual medical reports on 3/med form, the ICD-10 structure of Ukrainian Armed Forces servicemen treated in MTF located in area of Joint Forces Operation for 2015-2020 has been presented. Ranks of disease classes have been calculated. Based on medical reports according Temporary instruction on codification of battle injures, non-battle trauma and diseases in Ukrainian Armed Forces, the structure of casualties admissions to MTF have been pointed out. The leading places in structure of treated servicemen belongs to patients with diagnoses on XIX class of ICD-10 (1st place for 2015-2019, 2nd place in 2020) that was stipulated by relative high levels of non-battle trauma in troops on the East of Ukraine. The comparison of structure of servicemen treated in MTF located in and out area of Joint Forces Operation as well as with structure of adult population (over 18 years old) treated in civil hospitals has been conducted. Prevalence of traumatic pathology levels among patients treated in MTF located in area of Joint Forces Operation in comparison with others treatment facilities data has been revealed. For 2015-2020 the shares of trauma and poison cases in structure of treated servicemen in MTF located in area of Joint Forces Operation significantly decreased that was connected with gradual lowing of battle actions intensity and non-battle trauma level. Based on result of research the necessity to improve curative and diagnostic base of military treatment facilities in area of Joint task operation as well as medical report and non-battle trauma prevention systems has been concluded.

References

[1] Antomonov, M.Yu. (2018). Математическая обработка и анализ медико-биологических данных. 2-е изд. [Mathematical processing and analysis of biomedical data. 2nd ed.]. К.: МИЦ “Мединформ”, 2018 – K.: MIC “Medinform”, 2018.
[2] Armed Forces. (1996). Injures in the military. А hidden epidemic. A report for the Armed Forces Epidemiological Board, November 1996. The Injury Prevention and Control Work Group of the Armed Forces Epidemiological Board.
[3] Halushka, A. N., Khalik, S. V., Shvets, A. V., & Rychka, O. V. (2019). Аналіз травматизму серед військовослужбовців Збройних Сил України в умовах повсякденної діяльності та зоні збройного конфлікту протягом останніх років [Analysis of injuries among servicemen of the Armed Forces of Ukraine in the conditions of daily activities and the zone of armed conflict in recent years]. Військова медицина України – Ukrainian Journal of Military Medicine, 19(2), 5-16.
[4] Khomenko, I. P. (2018). Інформаційно-аналітичні матеріали щодо результатів діяльності медичної служби Збройних Сил України в 2017 році [Information and analytical materials on the results of the medical service of the Armed Forces of Ukraine in 2017]. УВМА, НДІ ПВМ, Київ – UVMA, Research Institute of PVM, Kyiv.
[5] Ministry of Defence Ukraine. (2001). Про затвердження Табеля термінових донесень з медичної служби (№ 7) [About the statement of the Table of urgent reports from medical service (№ 7)]. Директива Начальника Генерального штабу Збройних Сил України № ДГШ-11 від 17 грудня 2001 року. Міністерство оборони України. К., 2001 – Directive of the Chief of the General Staff of the Armed Forces of Ukraine № DGS-11 of December 17, 2001. Ministry of Defence Ukraine. K., 2001.
[6] Ministry of Defence Ukraine. (2017). Про допуск до експлуатації в Збройних Силах України кабінету рухомого рентгенівського на базі автомобіля КрАЗ та кабінету рухомого хірургічного на базі автомобіля КрАЗ [About the admission to operation in the Armed Forces of Ukraine of a mobile X-ray room on the basis of the KrAZ car and a mobile surgical room on the basis of the KrAZ car]. Наказ Міністерства оборони України від 27.03.2017 № 179 – Order of the Ministry of Defense of Ukraine dated March 27, 2017 № 179. Access mode: http://www.mil.gov.ua/content/mou_orders/179_nm_2017.pdf
[7] Ministry of Defence Ukraine. (2017). Про затвердження норм постачання медичним майном військових мобільних госпіталів [About the statement of norms of supply of medical property of military mobile hospitals]. Наказ Директора Військово-медичного департаменту Міністерства оборони України від 03.11.2017 № 18. Міністерство оборони України. К., 2017 – Order of the Director of the Military Medical Department of the Ministry of Defense of Ukraine dated 03.11.2017 № 18. Ministry of Defense of Ukraine. K., 2017.
[8] Ministry of Defence Ukraine. (2019). Методичний посібник щодо класифікації та обліку втрат особового складу Збройних Сил України, затверджений начальником Генерального штабу – Головнокомандувачем Збройних Сил України 29.10.2019 [Methodical manual on classification and accounting of losses of personnel of the Armed Forces of Ukraine, approved by the Chief of the General Staff - Commander-in-Chief of the Armed Forces of Ukraine 10/29/2019]. Міністерство оборони України. К., 2019 – Ministry of Defence Ukraine. K., 2019.
[9] Ministry of Defence Ukraine. (2019). Настанова з медичного забезпечення Збройних Сил України на особливий період [Guidelines for medical support of the Armed Forces of Ukraine for a special period]. Наказ Генерального штабу Збройних Сил України від 11.02.2019 № 60. ГШ ЗС України. К., 2019 – Order of the General Staff of the Armed Forces of Ukraine dated 11.02.2019 № 60. General Staff of the Armed Forces of Ukraine. K., 2019.
[10] Ministry of Defence Ukraine. (2020). Наказ командувача Медичних сил Збройних Сил України від 15.05.2020 № 74 [Order of the Commander of the Medical Forces of the Armed Forces of Ukraine from 15.05.2020 № 74]. КМС ЗС України. К., 2020 – KMS of the Armed Forces of Ukraine. K., 2020.
[11] Ministry of Health of Ukraine. (2015). Показники здоров’я населення та використання ресурсів охорони здоров’я в Україні (загальний) [Indicators of population health and use of health resources in Ukraine (general)]. Центр медичної статистики МОЗ України– Center for Medical Statistics of the Ministry of Health of Ukraine. Access mode: http://medstat.gov.ua/im/upload/Zagaln2015.zip
[12] Ministry of Health of Ukraine. (2016). Показники здоров’я населення та використання ресурсів охорони здоров’я в Україні (загальний) [Indicators of public health and use of health resources in Ukraine (general)]. Центр медичної статистики МОЗ України – Center for Medical Statistics of the Ministry of Health of Ukraine. Access mode: http://medstat.gov.ua/im/upload/Zagaln2016.zip
[13] Ministry of Health of Ukraine. (2017). Показники здоров’я населення та використання ресурсів охорони здоров’я в Україні (загальний) [Indicators of public health and use of health resources in Ukraine (general)]. Центр медичної статистики МОЗ України – Center for Medical Statistics of the Ministry of Health of Ukraine. Access mode: http://medstat.gov.ua/im/upload/Zagaln2017.zip
[14] Ministry of Health of Ukraine. (2018). Показники здоров’я населення та використання ресурсів охорони здоров’я в Україні (загальний) [Indicators of public health and use of health resources in Ukraine (general)]. Центр медичної статистики МОЗ України – Center for Medical Statistics of the Ministry of Health of Ukraine. Access mode: http://medstat.gov.ua/im/upload/Zagaln2018.zip
[15] Ministry of Health of Ukraine. (2019). Показники здоров’я населення та використання ресурсів охорони здоров’я в Україні (загальний) [Indicators of public health and use of health resources in Ukraine (general)]. Центр медичної статистики МОЗ України – Center for Medical Statistics of the Ministry of Health of Ukraine. Access mode: http://medstat.gov.ua/im/upload/DOV_1_ZAG-2019.zip
[16] Ministry of Health of Ukraine. (2020). Показники здоров’я населення та використання ресурсів охорони здоров’я в Україні (загальний) [Indicators of public health and use of health resources in Ukraine (general)]. Центр медичної статистики МОЗ України – Center for Medical Statistics of the Ministry of Health of Ukraine. Access mode: http://medstat.gov.ua/im/upload/DOV_1_ZAG-2020.zip
[17] NATO Standardization database. (2015). STANAG 2228 Ed: 4 / AJP-4.10 Ed. C Ver. 1 Allied joint doctrine for medical support. NATO Standardization database. Access mode: https://nso.nato.int/nso/zPublic/ap/PROM/AJP-4.10%20EDC%20V1%20E.pdf
[18] NATO Standardization database. (2018). STANAG 2542 Ed: 2 / AJMedP-1 Ed. A Ver. 1 Allied joint medical planning doctrine. NATO Standardization database. Access mode: https://nso.nato.int/nso/zPublic/ap/PROM/AJMedP-1%20EDA%20V1%20E.pdf
[19] Rychka, O. V., & Lopin, Ye. B. (2019). Аналіз травматизму серед військовослужбовців в зоні проведення операції об’єднаних сил [Analysis of injuries among servicemen in the area of the joint force operation]. Проблеми військової охорони здоров’я: Зб. наук. праць Української військово-медичної академії – Problems of military health care: Collection of scientific works of the Ukrainian Military Medical Academy, 52, 257-263.
Published
2020-12-28
How to Cite
Halushka, A. M., Khalik, S. V., Rychka, O. V., & Lopin, Y. B. (2020). Actual aspects of traumatic pathology among servicemen of Ukrainіan Armed Forces in Joint Forces Operation. Biomedical and Biosocial Anthropology, (41), 30-35. https://doi.org/10.31393/bba41-2020-05