Title
Author
DOI
Article Type
Special Issue
Volume
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Epidemiology and clinical outcomes of emergency medical events at an international airport
1Department of Emergency Medicine, Inha University Hospital, 22332 Incheon, Republic of Korea
2Department of Prevention and Management, Inha University School of Medicine, 22212 Incheon, Republic of Korea
3Department of Emergency Medicine, Inha University School of Medicine, 22212 Incheon, Republic of Korea
DOI: 10.22514/sv.2021.220 Vol.18,Issue 2,March 2022 pp.71-77
Submitted: 11 July 2021 Accepted: 05 August 2021
Published: 08 March 2022
*Corresponding Author(s): Yu Jin Lee E-mail: eyeblack99@gmail.com
The use of airplanes is becoming increasingly frequent worldwide. However, although the number of flight passengers is steadily increasing, there is no comprehensive database that accurately reflects the frequency of emergency medical events that occur in airports. We evaluated the characteristics and treatment outcomes of patients who had emergency medical events at an airport. We retrospectively reviewed cases of patients who had emergency medical events at International Airport between May 2013 and April 2018. A comparative analysis was conducted on gender, age, disease, temperament, and average length of stay between patients visiting the airport and the general population visiting the emergency room (ED). Among the 258,823 patients who visited our ED during the study period. A total of 846 patients (0.3%) were transferred from the airport; the proportion of men was 59.3%, the mean age of the subjects was 43.7 ± 20.1 years. The admission and mortality rates of the patients in the airport group were relatively higher (35.1% and 2.6%, respectively) than that of those in the direct ED visit group (21.6% and 0.5%, respectively). Abdominal disease was the most common medical problem, and the most common causes of death were sudden cardiac arrest and acute myocardial infarction. Future prospective studies are necessary to affirm its findings.
Epidemiology; Emergency; Airport
Dongjoon Yoo,Jin Hui Paik,Won Kyung Lee,Areum Durey,Soo Kang,Seung Baik Han,Ji Hye Kim,Yu Jin Lee. Epidemiology and clinical outcomes of emergency medical events at an international airport. Signa Vitae. 2022. 18(2);71-77.
[1] IATA. <iata-annual-review-2020.pdf>. Available at: https://www.iata.org/en/publications/annual-review/ (Accessed: 21 March 2021).
[2] Dowdall N. “Is there a doctor on the aircraft?” Top 10 in-flight medical emergencies. British Medical Journal. 2000; 321: 1336–1337.
[3] Buehrle E GA. Notfallmedizin im Flugzeug: Erste Hilfe über den Wolken. Deutsches Ärzteblatt. 2005; 102: 338–343. (In German)
[4] Martin-Gill C, Doyle TJ, Yealy DM. In-Flight Medical Emergencies: A Review. The Journal of the American Medical Association. 2018; 320: 2580.
[5] DeHart RL. Health issues of air travel. Annual Review of Public Health. 2003; 24: 133–151.
[6] Peterson DC, Martin-Gill C, Guyette FX, Tobias AZ, McCarthy CE, Harrington ST, et al. Outcomes of medical emergencies on commercial airline flights. The New England Journal of Medicine. 2013; 368: 2075–2083.
[7] Mahony PH, Myers JA, Larsen PD, Powell DMC, Griffiths RF. Symptom-based categorization of in-flight passenger medical incidents. Aviation, Space, and Environmental Medicine. 2011; 82: 1131–1137.
[8] Sand M, Bechara F, Sand D, Mann B. Surgical and medical emergencies on board European aircraft: a retrospective study of 10189 cases. Critical Care. 2009; 13: R3.
[9] Hung KKC, Cocks RA, Poon WK, Chan EYY, Rainer TH, Graham CA. Medical Volunteers in Commercial Flight Medical Diversions. Aviation, Space, and Environmental Medicine. 2013; 84: 491–497.
[10] Kim JH, Choi-Kwon S, Park YH. Comparison of inflight first aid performed by cabin crew members and medical volunteers. Journal of Travel Medicine. 2017; 24: 1–6.
[11] Sirven JI, Claypool DW, Sahs KL, Wingerchuk DM, Bortz JJ, Drazkowski J, et al. Is there a neurologist on this flight? Neurology. 2002; 58: 1739–1744.
[12] Kesapli M, Akyol C, Gungor F, Akyol AJ, Guven DS, Kaya G. Inflight Emergencies during Eurasian Flights. Journal of Travel Medicine. 2015; 22: 361–367.
[13] ACI world traffic rankings 2019. Available at: https://aci.aero/news/2019/03/13/preliminary-world-airport-traffic-rankings-released/ (Accessed: 21 March 2021).
[14] Bullard MJ, Unger B, Spence J, Grafstein E. Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) adult guidelines. Canadian Journal of Emergency Medicine. 2008; 10: 136–151.
[15] J Murray M. The Canadian Triage and Acuity Scale: a Canadian perspective on emergency department triage. Emergency Medicine. 2003; 15: 6–10.
[16] Choi H, Ok JS, An SY. Evaluation of Validity of the Korean Triage and Acuity Scale. Journal of Korean Academy of Nursing. 2019; 49: 26–35.
[17] Hu X, Cowl CT, Baqir M, Ryu JH. Air Travel and Pneumothorax. Chest. 2014; 145: 688–694.
[18] Pareés I, Horga A, Santamarina E, Mendióroz M, Fernández-Cádenas I, del Río-Espínola A, et al. Stroke after prolonged air travel associated with a pulmonary arteriovenous malformation. Journal of the Neurological Sciences. 2010; 292: 99–100.
[19] Humaidan H, Yassi N, Weir L, Davis SM, Meretoja A. Airplane stroke syndrome. Journal of Clinical Neuroscience. 2016; 29: 77–80.
[20] Kuipers S, Cannegieter SC, Middeldorp S, Robyn L, Büller HR, Rosendaal FR. The absolute risk of venous thrombosis after air travel: a cohort study of 8,755 employees of international organisations. PLoS Medicine. 2007; 4: e290.
[21] Makino T, Asano Y, Takuhiro K, Koido Y, Mashiko K, Yamamoto Y, et al. International airport and emergency medical care. Journal of Nippon Medical School. 2002; 69: 185–191.
[22] Tintinalli JE. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide (pp. 326). 9th edn. McGraw-Hill Education/medical : NY. 2019.
[23] Soteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, et al. Incidence and Prognosis of Syncope. New England Journal of Medicine. 2002; 347: 878–885.
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