Empirical Analysis of Operation Iraqi Freedom Combat Mortality Using the Navy-Marine Corps Combat Trauma Registry Expeditionary Medical Encounter Database for Applications to Tactical Medical Logistics Modeling and Simulation

摘要

Reducing U.S. forces. battlefield mortality is a paramount concern. Methods to more accurately forecast medical needs, for example by tactical medical logistics modeling and simulation, are constantly being developed. The Naval Health Research Center's (NHRC) Tactical Medical Logistics (TML+) simulation tool continues to gain respect in the planning community. However, further testing and improvement is needed to confirm or strengthen its capabilities to deliver accurate and useful information to planners. The main objectives of this study were describe a data-mining research effort, and determine if a probability model could adequately describe the mortality events in a casualty's medical treatment flow as recorded in the NHRC Combat Trauma Registry (CTR) database. Confirming or updating expert medical doctor (MD) panel (2003) outcomes with a statistical analysis of empirical mortality results was an obvious research goal. Results indicate that using subject matter expert (SME) input to provide missing timing data is a legitimate way to strengthen biomedical science data records. Additionally, statistical analysis results showed a strong graphical agreement with results estimated by the 2003 MD SME panel, thus bolstering the efficacy of TML+ output.