C22. Prevalence and Unit Cost of Abnormalities Detected in Abdominal Sonography among Soldiers

Main Article Content

Napongpakorn Chumsri
Surachate Siripongsakun
Pooripat Waongenngam
Songpon Srisittimongkon
Chanisa Chotipanich

Abstract

Introduction:  According to military doctrine, soldiers must maintain their health in order to remain strong and healthy at all times. Furthermore, they must be physically fitter than those in other professions.


Objective: To determine the prevalence of detected abnormalities and the unit cost of clinically significant abnormalities discovered during health screening by abdominal ultrasound (US) in soldiers.study the prevalence of detected abnormalities and the unit cost of clinically significant abnormalities from health screening by abdominal ultrasound (US) among soldiers.


Methods: This was a retrospective study of 841 male and female soldiers who underwent abdominal US health screening at Chulabhorn hospital between February and September 2020. Data collection included abnormalities detected by ultrasound and diagnostic results classified by clinical significance into three categories: abnormality with no clinical significance, abnormality requiring follow-up, and abnormality requiring treatment. The unit cost for those abnormalities is calculated using the list of diagnostic procedures. The most common abnormalities in the United States are fatty liver, liver nodules, gallbladder polyps, renal stones, solid and cystic renal lesions, and prostate gland enlargement.


Results: There were 841 soldiers, 502 males and 339 females, with an average age of 51.8 years. There were 1,043 lesions detected in 643 (76.4 percent) soldiers. Fatty liver affects 364 (43.3 percent) of patients, liver nodules affect 46 (5.5 percent), gallbladder polyps affect 90 (10.7 percent), renal stones affect 41 (4.9 percent), solid and cystic renal lesions affect 128 (15.2%), and prostate gland enlargement affects 113 (22.5 percent). There were 79 abnormalities that were classified as requiring treatment.  The unit cost was 19,007 Baht.


Conclusion: The prevalence of abnormalities detected by abdominal US in this study is comparable to that reported in the literature for the general population. As a result, the expectation that soldiers will have fewer abnormalities detected on US soil may not be realized.

Article Details

How to Cite
Chumsri, N. ., Siripongsakun, S. ., Waongenngam, P. ., Srisittimongkon, S. ., & Chotipanich, C. . (2022). C22. Prevalence and Unit Cost of Abnormalities Detected in Abdominal Sonography among Soldiers. Journal of Health Science and Alternative Medicine. Retrieved from https://he01.tci-thaijo.org/index.php/jhealthscialternmed/article/view/257794
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Original Article

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