Abstract：
BACKGROUND:Few data are available on the incidence and predictors of serious altitude illness in travelers who visit pre-travel clinics. Travel health consultants advise on measures to be taken in case of serious altitude illness but it is not clear if travelers adhere to these recommendations. METHODS:Visitors to six travel clinics who planned to travel to an altitude of ≥3,000 m were asked to complete a diary from the first day at 2,000 m until 3 days after reaching the maximum sleeping altitude. Serious altitude illness was defined as having symptoms of serious acute mountain sickness (AMS score ≥ 6) and/or cerebral edema and/or pulmonary edema. RESULTS:The incidence of serious altitude illness in the 401 included participants of whom 90% reached ≥4,000 m, was 35%; 23% had symptoms of serious AMS, 25% symptoms of cerebral edema, and 13% symptoms of pulmonary edema. Independent predictors were young age, the occurrence of dark urine, travel in South America or Africa, and lack of acclimatization between 1,000 and 2,500 m. Acetazolamide was brought along by 77% of the responders of whom 41% took at least one dose. Of those with serious altitude illness, 57% had taken at least one dose of acetazolamide, 20% descended below 2,500 m on the same day or the next, and 11% consulted a physician. CONCLUSIONS:Serious altitude illness was a very frequent problem in travelers who visited pre-travel clinics. Young age, dark urine, travel in South America or Africa, and lack of acclimatization nights at moderate altitude were independent predictors. Furthermore, we found that seriously ill travelers seldom followed the advice to descend and to visit a physician.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Croughs M,Van Gompel A,Rameckers S,Van den Ende Jdoi
10.1111/jtm.12160subject
Has Abstractpub_date
2014-11-01 00:00:00pages
403-9issue
6eissn
1195-1982issn
1708-8305journal_volume
21pub_type
杂志文章abstract：BACKGROUND:Millions of Americans visit developing countries each year, however, little is known about their health during travel. This study describes health problems in a large cohort of American travelers during and after their trip. METHODS:A 2-year survey of 784 travelers (95% follow-up) was conducted for persons ...
journal_title：Journal of travel medicine
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journal_title：Journal of travel medicine
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journal_title：Journal of travel medicine
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journal_title：Journal of travel medicine
pub_type： 杂志文章
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journal_title：Journal of travel medicine
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journal_title：Journal of travel medicine
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journal_title：Journal of travel medicine
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更新日期：2000-11-01 00:00:00
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journal_title：Journal of travel medicine
pub_type： 杂志文章
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更新日期：2010-09-01 00:00:00
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journal_title：Journal of travel medicine
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更新日期：1997-06-01 00:00:00
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更新日期：2008-11-01 00:00:00
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更新日期：2010-11-01 00:00:00
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更新日期：2011-03-01 00:00:00
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journal_title：Journal of travel medicine
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更新日期：2012-05-01 00:00:00
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