| Titre : | Chronic multisymptom illness affecting Air Force veterans of the gulf War. (1998) |
| Auteurs : | K. FUKUDA ; D.H. BARRETT ; B.L. HERWALDT ; A.C. MAWLE ; R. NISENBAUM ; D.L. NOAH ; B. RANDALL ; W.C. REEVES ; L. ROBIN ; G. STEWART ; W.W. THOMPSON ; R.M. WASHKO ; Abt Associates Inc. Cambridge Mass. USA ; Division of Viral and Rickettsial Diseases. Centers for Disease Control and Prevention. Atlanta Ga. USA ; Epidemic Intelligence Service. Epidemiology Program Office. Centers for Disease Control and Prevention. Atlanta Ga. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 11, 1998) |
| Pagination : | 981-988 |
| Langues: | Anglais |
| Mots-clés : | Militaire ; Symptôme ; Prévalence ; Homme ; Etats Unis ; Amérique du Nord ; Amérique ; Maladie chronique ; Pathologie ; Epidémiologie |
| Résumé : | [BDSP. Notice produite par INIST R0xPrBA9. Diffusion soumise à autorisation]. Context. - Gulf War (GW) veterans report nonspecific symptoms significantly more often than their nondeployed peers. However, no specific disorder has been identified, and the etiologic basis and clinical significance of their symptoms remain unclear. Objectives. - To organize symptoms reported by US Air Force GW veterans into a case definition, to characterize clinical features, and to evaluate risk factors. Design. - Cross-sectional population survey of individual characteristics and symptoms and clinical evaluation (including a structured interview, the Medical Outcomes Study Short Form 36, psychiatric screening, physical examination, clinical laboratory tests, and serologic assays for antibodies against viruses, rickettsia, parasites, and bacteria) conducted in 1995. Participants and Setting. - The cross-sectional questionnaire survey included 3723 currently active volunteers, irrespective of health status or GW participation, from 4 air force populations. The cross-sectional clinical evaluation included 158 GW veterans from one unit, irrespective of health status. Main Outcome Measures. - Symptom-based case definition ; case prevalence rate for GW veterans and nondeployed personnel ; clinical and laboratory findings among veterans who met the case definition. Results. - We defined a case as having 1 or more chronic symptoms from at least 2 of 3 categories (fatigue, mood-cognition, and musculoskeletal). (...) |
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