کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3392969 1221305 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prevalence of and risk factors for acute mountain sickness among a cohort of high-altitude travellers who received pre-travel counselling
ترجمه فارسی عنوان
شیوع و عوامل خطر بیماری حاد کوه در میان گروهی از مسافران بالایی که مشاوره قبل از سفر را دریافت کرده بودند
کلمات کلیدی
بیماری کوهی حاد، مسافرت رفتن، ارتفاع بالا، استازولامید، جلوگیری
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروبیولوژی و بیوتکنولوژی کاربردی
چکیده انگلیسی

SummaryBackgroundAcute mountain sickness (AMS) is common in high-altitude travellers, and may lead to life-threatening high-altitude cerebral oedema. To better target pre-travel counselling, we aimed to characterize the risk factors for AMS that may be identified prior to departure.MethodsWe performed a descriptive study of high-altitude travellers who consulted at a travel clinic before departure. Data were collected by phone after their return, using a standardized questionnaire.Results162 adults were enrolled. Most subjects (81.5%) were informed about AMS before departure, by a medical doctor in 40% of cases. AMS symptoms were reported by 77 travellers (47.5%). Variables significantly associated with AMS symptoms were female sex (56% versus 38.5%, p = 0.01), trip organised by a travel agency (55.2% versus 43.3%, p = 0.03), travel duration (mean, 4.2 ± 3.5 weeks in patients with AMS, versus 6.6 ± 7.5 weeks in patients without AMS, p = 0.014), and acetazolamide use (71.4% versus 47.5%, p = 0.045). In multivariate analysis, only female sex was independently predictive of AMS (adjusted OR 2.15 [1.14–4.40]).ConclusionsAMS symptoms occur in almost half of high-altitude travellers. Women, and travellers leaving for short duration, within trips organised by travel agencies, should be targeted for enhanced pre-travel counselling to prevent AMS.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Travel Medicine and Infectious Disease - Volume 12, Issue 5, September–October 2014, Pages 534–540
نویسندگان
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