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- W78524332 abstract "The relationship between pulmonary embolism (PE) and air travel remained questionable for a long time, despite the increasing number of passengers on long-distance flights suffering from PE. It was proposed by some authors that the observed occurrence of PE in some individuals after air travel was caused by chance alone. We recently reviewed all documented cases of PE requiring medical care upon arrival at Roissy-Charles-de-Galle, the busiest airport in France. All patients requiring medical care and transport to a hospital because of suspected PE were included, if the diagnosis of PE was confirmed. Between November 1993 and December 2000, 56 patients with confirmed PE were included. All patients had traveled at least 4000 km. The incience of PE increased with the distance traveled, and the risk of PE increased as much as 11-fold after 5000 km. The total incidence of PE reached 4.8 cases per million passengers who traveled distances longer than 7500 km. A similar incidence of PE was found in a cohort of patients arriving at Madrid airport. As the role of other predisposing (risk) factors remains uncertain, the risk of suffering PE cannot be directly determined for each passenger. We therefore believe that risk assessment with regard to air-travel-related PE should take into account the usual predisposing conditions for PE in the general population. Given the risk associated with long-duration air travel, prophylactic measures should always be considered. Behavioral and mechanical prophylaxis, including use of graduated compression stockings and minor physical activity, are currently recommended, because they are safe, easy to apply, and inexpensive. Pharmacological prophylaxis also has been discussed. The indications should be individualized, taking into account travel duration, circumstances of travel, and the passenger’s preexisting risk factors for PE." @default.
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- W78524332 date "2007-12-31" @default.
- W78524332 modified "2023-10-10" @default.
- W78524332 title "Venous Thromboembolism in the Era of Air Travel" @default.
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- W78524332 doi "https://doi.org/10.1007/978-1-59745-287-8_18" @default.
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