Spectrum of diseases responsible for medical grounding in Chinese fighter pilots:a meta analysis
Objective To analyze the disease spectrum of grounded fighter pilots in terms of types of disease,patterns of change over time,and influencing factors so as to provide data for disease prevention,treatment,and health maintenance of fighter pilots in China.Methods The literature on disease spectrums of grounded fighter pilots was retrieved from the Chinese and English databases as of June 2022.After screening,the included literature was selected.The combination rate and publication bias of different components of disease were calculated using STATA 17 software before an appropriate effect model was chosen based on the heterogeneity test results.Subgroup analysis was made according to the time investigation was conducted to study the change of the disease spectrum,and Chi-squared test was performed using SPSS 26 software to find out whether the difference was statistically significant.Results Thirteen articles were included,involving 2 519 grounded pilots.Meta analysis results showed that the top ten diseases were occupational aviation diseases(18%),nervous system diseases(14%),motor system diseases(12%),cardiovascular diseases(12%),digestive system diseases(11%),psychosocial diseases(8%),respiratory system diseases(6%),ophthalmic diseases(5%),urinary system diseases(3%)and metabolic diseases(3%).After 2010,the prevalence of occupational aviation diseases(χ2=88.40,P＜0.001),nervous system diseases(χ2=5.98,P=0.014)and digestive system diseases(χ2=23.87,P＜0.001)among grounded fighter pilots decreased while the incidence of motor system diseases(χ2=12.32,P＜0.001),cardiovascular diseases(χ2=18.46,P＜0.001)and respiratory diseases(χ2=34.77,P＜0.001)increased.The difference was of statistical significance.Conclusion In the spectrum of diseases among grounded fighter pilots,the top two are occupational aviation diseases and nervous system diseases.The prevalence of motor system diseases,cardiovascular diseases and respiratory diseases has been on the rise in recent years.Related institutions need to take precautions to keep fighter pilots healthy in China and reduce the medical grounding rate.
GroundedDisease spectrumMeta analysisFighter pilots
NETL
NSTL
万方数据
