Awareness Level of Airline Pilots on Flight-Associated Venous Thromboembolism

2020 ◽  
Vol 91 (4) ◽  
pp. 343-347
Author(s):  
Bilal Kilic ◽  
Semih Soran

INTRODUCTION: Studies have identified a great number of physiological conditions, including venous thromboembolism and hypoxia, that may give rise to medical disqualifications and in-flight incapacitations that can be costly to individuals and organizations. Over the past three decades, much attention has been focused on venous thromboembolism among passengers. However, studies on venous thromboembolism among commercial airline pilots are very scarce. With this consideration in mind, differently from the literature, this study set out to examine pilots' awareness of venous thromboembolism signs, symptoms, risk factors, and countermeasures.METHODS: For this purpose, a venous thromboembolism questionnaire was developed and applied to collect data. There were 427 airline pilots who participated in the questionnaire. The analysis of variance (ANOVA) technique was used to analyze the results of the questionnaire.RESULTS: According to the results of this study, approximately one-half (57.1%) of the participants had just heard of this particular health issue and 63.9% of the participants were unaware of flight-associated venous thromboembolism. Airline pilots between 20 and 40 yr of age were much less aware of venous thromboembolism in comparison to pilots 41 yr or older, and pilots flying more than 90 h/mo were at a greater risk.DISCUSSION: Airline pilots between 20 and 40 yr have less knowledge about venous thromboembolism and preventive measures against it in comparison to older pilots. Therefore they may be more vulnerable to possible risk factors. The findings of this study will contribute to increasing pilots’ awareness on flight-related venous thromboembolism and can improve the overall safety of civil aviation.Kilic B, Soran S. Awareness level of airline pilots on flight-associated venous thromboembolism. Aerosp Med Hum Perform. 2020; 91(4):343–347.

2020 ◽  
Vol 91 (12) ◽  
pp. 940-947
Author(s):  
Matthias Albermann ◽  
Maria Lehmann ◽  
Christian Eiche ◽  
Joachim Schmidt ◽  
Johannes Prottengeier

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.


2014 ◽  
Vol 12 (8) ◽  
pp. 1260-1265 ◽  
Author(s):  
S. Kuipers ◽  
A. Venemans-Jellema ◽  
S. C. Cannegieter ◽  
M. van Haften ◽  
S. Middeldorp ◽  
...  

2021 ◽  
Author(s):  
LiJuan Liang ◽  
KeWei Wang ◽  
NanFei Hu ◽  
ShuaiZheng Gong ◽  
Li Liu ◽  
...  

Abstract In recent years, the incidence of accidental injuries among disabled children increased, including children with cerebral palsy(CP). However, there are few reports on the characteristics and risk factors of unintentional injuries in children with cerebral palsy. Therefore, we collected 117 children with CP as the research objects, and analyzed the characteristics and influencing factors of unintentional injuries of them to provide effective preventive measures and reduce the incidence of accidental injuries in children with CP. Results reveal that the incidence of once unintentional injuries in children with CP in the past 3 months was 32.47%, and the incidence of re-injury was 3.4%, which was lower than that of normal or disabled children. In addition, our research also found that the causes of unintentional injuries of children with CP were mainly fall. The injured parts were mainly lower limbs and head and neck. The injuries mainly occured indoors, and most unintentional injuries occurred during when resting, sleeping or relaxing. Multivariate logistic regression analysis of this study found that girls, low family income and less time with their parents were risk factors for unintentional injuries in children with CP.


2004 ◽  
Vol 17 (5) ◽  
pp. 289-307 ◽  
Author(s):  
Mike McGuire ◽  
Paul P. Dobesh

Venous thromboembolism (VTE) is a common condition that increases in incidence with age and risk factors. Therapies for VTE are aimed at either preventing the disease in high-risk individuals or treating patients who have developed VTE. Assessing risk and aggressively using the recommended therapies is primacy in preventing VTE in surgical and medical patients. Risk of VTE in medical patients has become more defined in recent years, and prophylaxis in this group can prevent scores of iatrogenic VTE. Treatment of VTE has evolved in the past decade from a condition that required hospitalization for 5 to 7 days to a disease state that can be conveniently and safely treated on an outpatient basis, largely due to the advent of low-molecular-weight heparins and patient self-directed treatment.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249572
Author(s):  
Ciao-Lin Ho ◽  
Wei-Fong Wu

The incidence of allergic rhinitis (AR) has increased rapidly in Taiwan during the past 30 years; however, potential risk factors of AR have yet to be examined. The purpose of this study is to explore the prevalence, personal and environmental risk factors of rhinitis. A cross-sectional survey was conducted in 26418 first graders (6–8 years old) in Taipei with a response rate of 94.6% (24999/26418). Modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires were completed by their parents or main caregivers. Logistic regression was used to examine possible personal and environmental (in early life and current) factors related to rhinitis. The prevalence of rhinitis in the past 12 months was 42.8% in 6–8 years old children. Multivariate logistic regression analysis for both males and females revealed that male gender, antibiotic use in first year of life, bronchiolitis before the age of two years, diagnosed asthma, and diagnosed eczema, having a cat the first year of life were associated with an increased risk of rhinitis. Having older siblings, on the other hand, may reduce the risk of rhinitis. Based on the present study, we may recommend less use of antibiotics the first year of life and not having a cat in the home in the child’s first year of life as preventive measures to reduce the risk of rhinitis. From the subgroup analysis, we can take preventive measures for the different risk factors of rhinitis and the severity of rhinitis in each subgroup.


2019 ◽  
Vol 35 (6) ◽  
pp. 791-800 ◽  
Author(s):  
Karina Mesarosova ◽  
Alex B. Siegling ◽  
Rachel A. Plouffe ◽  
Donald H. Saklofske ◽  
Martin M. Smith ◽  
...  

Abstract. The study examined the psychometric properties of the Revised NEO Personality Inventory (NEO PI-R, UK edition) in a large European sample of civil airline pilots. The NEO PI-R is a comprehensive and robust measure of personality that has been validated across cultures and contexts. Furthermore, the personality profile of the pilot sample was examined and compared to a normative sample representing the UK working population. Data from 591 pilots (95.1% male) were collected. Analyses include the internal reliability and factorial validity (precisely, Exploratory Structural Equation Modeling) to examine the measurement equivalence of the NEO PI-R with reference to UK norms ( N = 1,301). Internal reliability estimates of the NEO PI-R scores were good at the domain level, but generally weak at the facet level. The structural model in the pilot sample was congruent with the general working population sample. Furthermore, there was convincing evidence for a distinct personality profile of civil pilots, although the stability of this profile will require further validation. The NEO PI-R’s validity in the assessment of general personality in civil airline pilots is discussed, along with implications of the results for the utility of personality assessment in civil aviation contexts.


1990 ◽  
Vol 63 (01) ◽  
pp. 013-015 ◽  
Author(s):  
E J Johnson ◽  
C R M Prentice ◽  
L A Parapia

SummaryAntithrombin III (ATIII) deficiency is one of the few known abnormalities of the coagulation system known to predispose to venous thromboembolism but its relation to arterial disease is not established. We describe two related patients with this disorder, both of whom suffered arterial thrombotic events, at an early age. Both patients had other potential risk factors, though these would normally be considered unlikely to lead to such catastrophic events at such an age. Thrombosis due to ATIII deficiency is potentially preventable, and this diagnosis should be sought more frequently in patients with arterial thromboembolism, particularly if occurring at a young age. In addition, in patients with known ATIII deficiency, other risk factors for arterial disease should be eliminated, if possible. In particular, these patients should be counselled against smoking.


1996 ◽  
Vol 76 (05) ◽  
pp. 682-688 ◽  
Author(s):  
Jos P J Wester ◽  
Harold W de Valk ◽  
Karel H Nieuwenhuis ◽  
Catherine B Brouwer ◽  
Yolanda van der Graaf ◽  
...  

Summary Objective: Identification of risk factors for bleeding and prospective evaluation of two bleeding risk scores in the treatment of acute venous thromboembolism. Design: Secondary analysis of a prospective, randomized, assessor-blind, multicenter clinical trial. Setting: One university and 2 regional teaching hospitals. Patients: 188 patients treated with heparin or danaparoid for acute venous thromboembolism. Measurements: The presenting clinical features, the doses of the drugs, and the anticoagulant responses were analyzed using univariate and multivariate logistic regression analysis in order to evaluate prognostic factors for bleeding. In addition, the recently developed Utrecht bleeding risk score and Landefeld bleeding risk index were evaluated prospectively. Results: Major bleeding occurred in 4 patients (2.1%) and minor bleeding in 101 patients (53.7%). For all (major and minor combined) bleeding, body surface area ≤2 m2 (odds ratio 2.3, 95% Cl 1.2-4.4; p = 0.01), and malignancy (odds ratio 2.4, 95% Cl 1.1-4.9; p = 0.02) were confirmed to be independent risk factors. An increased treatment-related risk of bleeding was observed in patients treated with high doses of heparin, independent of the concomitant activated partial thromboplastin time ratios. Both bleeding risk scores had low diagnostic value for bleeding in this sample of mainly minor bleeders. Conclusions: A small body surface area and malignancy were associated with a higher frequency of bleeding. The bleeding risk scores merely offer the clinician a general estimation of the risk of bleeding. In patients with a small body surface area or in patients with malignancy, it may be of interest to study whether limited dose reduction of the anticoagulant drug may cause less bleeding without affecting efficacy.


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