Table 2.
Relative outcomes investigated for included studies and their direction of findings.
| Year | Cardiovascular mortality | CHD-mortality | CHD/MI | Stroke | Abdominal aortic aneurysms | Carotid Intimal thickness | Diabetes mellitus | HTN | Metabolic syndrome | Increased lipid profile | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Combat + Traumatic injury | |||||||||||
| Hrubec and Ryder [9] | 1980 | ↑ | ↑ | - | - | - | - | - | - | - | - |
| Labouret et al. [35] | 1983 | - | - | - | - | - | - | - | ↑ | - | - |
| Rose et al. [36] | 1987 | - | - | - | - | - | - | - | ↑ | - | ↔ |
| Vollmar et al. [34] | 1989 | - | - | - | - | ↑ | - | ↔ | ↔ | - | ↔ |
| Yekutiel et al. [26] | 1989 | - | - | ↑ | - | - | - | ↑ | ↔ | - | - |
| Lorenz et al. [25] | 1994 | - | - | ↔ | ↔ | ↔ | - | ↔ | ↔ | - | ↔ |
| Peles et al. [43] | 1995 | - | - | - | - | - | - | ↑ | ↔ | - | ↔ |
| Modan et al. [19] | 1998 | ↑ | ↔ | ↔ | - | - | ↔ | ↔ | - | ↔ | |
| Kunnas et al. [24] | 2011 | - | ↑ | - | - | - | - | ↔ | - | - | ↔ |
| Shariar et al. [37] | 2009 | - | - | - | - | - | - | ↑ | ↑ | - | ↑ |
| Stewart et al. [27] | 2015 | - | – | ↑ | - | - | - | ↑ | ↑ | - | - |
| Ejtahed et al. [46] | 2017 | - | - | - | - | - | - | - | ↑ | ↑ | ↑ |
|
| |||||||||||
| Combat only | |||||||||||
| Bullman et al. [20] | 1990 | ↓ | - | - | - | - | - | - | - | - | - |
| O'Toole et al. [40] | 1996 | - | - | - | - | - | - | ↑ | ↑ | - | ↑ |
| MacFarlane et al. [21] | 2000 | ↔ | - | - | - | - | - | - | - | - | - |
| Eisen et al. [42] | 2005 | - | - | - | - | - | - | ↔ | ↔ | - | - |
| Granado et al. [41] | 2009 | - | - | ↑ | - | - | |||||
| Kang et al. [28] | 2009 | - | - | ↑ | ↑ | - | - | ↔ | ↑ | - | - |
| Johnson et al. [33] | 2010 | - | - | - | - | - | ↑ | - | - | ||
| Johnson et al. [44] | 2010 | - | - | ↔ | ↔ | - | - | ↑ | ↔ | - | ↔ |
| Crum-Cianflone et al. [30] | 2014 | - | - | ↑ | - | - | - | ↓ | ↓ | - | - |
| Schlenger et al. [22] | 2015 | ↔ | ↔ | - | - | - | - | - | - | - | - |
| Barth et al. [23] | 2016 | ↔ | - | - | - | - | - | - | - | - | - |
| Sheffler et al. [32] | 2016 | - | - | ↔ | ↔ | - | - | ↓ | ↔ | - | - |
| Thomas et al. [31] | 2017 | - | - | ↔ | ↑ | - | - | ↔ | ↔ | - | ↔ |
| Hinojosa [29] | 2018 | - | - | ↑ | ↑ | - | - | - | ↑ | - | - |
CHD, coronary heart disease; MI, myocardial infarction; HTN, hypertension; Number refer to study findings in terms of direction of effect in relation to combat/injury versus control population: ↑, significantly increased/positive; ↔, no significant difference; ↓ lower risk; - unreported.