Data-Driven Estimation of the Impact of Diversions Due to In-Flight Medical Emergencies on Flight Delay and Aircraft Operating Costs.

Abstract:

:INTRODUCTION: In-flight medical emergencies (IFMEs) average 1 of every 604 flights and are expected to increase as the population ages and air travel increases. Flight diversions, or the rerouting of a flight to an alternate destination, occur in 2 to 13% of IFME cases, but may or may not be necessary as determined after the fact. Estimating the effect of IFME diversions compared to nonmedical diversions can be expected to improve our understanding of their impact and allow for more appropriate decision making during IFMEs.METHODS: The current study matched multiple disparate datasets, including medical data, flight plan and track data, passenger statistics, and financial data. Chi-squared analysis and independent samples t-tests compared diversion delays and costs metrics between flights diverted for medical vs. nonmedical reasons. Data were restricted to domestic flights between 1/1/2018 and 6/30/2019.RESULTS: Over 70% of diverted flights recover (continue on to their intended destination after diverting); however, flights diverted due to IFMEs recover more often and more quickly than do flights diverted for nonmedical reasons. IFME diversions introduce less delay overall and cost less in terms of direct operating costs and passenger value of time (averaging around 38,000) than do flights diverted for nonmedical reasons.DISCUSSION: Flights diverted due to IFMEs appear to have less impact overall than do flights diverted for nonmedical reasons. However, the lack of information related to costs for nonrecovered flights and the decision factors involved during nonmedical diversions hinders our ability to offer further insights.Lewis BA, Gawron VJ, Esmaeilzadeh E, Mayer RH, Moreno-Hines F, Nerwich N, Alves PM. Data-driven estimation of the impact of diversions due to in-flight medical emergencies on flight delay and aircraft operating costs. Aerosp Med Hum Perform. 2021; 92(2):99105.

journal_name

Aerosp Med Hum Perform

authors

Lewis BA,Gawron VJ,Esmaeilzadeh E,Mayer RH,Moreno-Hines F,Nerwich N,Alves PM

doi

10.3357/AMHP.5720.2021

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

99-105

issue

2

eissn

2375-6314

issn

2375-6322

journal_volume

92

pub_type

杂志文章
  • Statistical Evaluation of Causal Factors Associated with Astronaut Shoulder Injury in Space Suits.

    abstract:INTRODUCTION:Shoulder injuries due to working inside the space suit are some of the most serious and debilitating injuries astronauts encounter. Space suit injuries occur primarily in the Neutral Buoyancy Laboratory (NBL) underwater training facility due to accumulated musculoskeletal stress. We quantitatively explored...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4220.2015

    authors: Anderson AP,Newman DJ,Welsch RE

    更新日期:2015-07-01 00:00:00

  • A Large-Scale European Union Study of Aircrew Fatigue During Long Night and Disruptive Duties.

    abstract::INTRODUCTION: We examined aircrew fatigue during the following flight duty periods (FDPs) mentioned in the European Union (EU) Flight Time Limitations (FTLs): night FDPs longer than 10 h and FDPs typical of disruptive schedules (early starts, late finishes, and nights). An alternative way of classifying night FDPs was...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5561.2020

    authors: Sallinen M,van Dijk H,Aeschbach D,Maij A,Åkerstedt T

    更新日期:2020-08-01 00:00:00

  • Comparison of Simulated Microgravity and Hydrostatic Pressure for Chondrogenesis of hASC.

    abstract:BACKGROUND:Cartilage tissue engineering is a growing field due to the lack of regenerative capacity of native tissue. The use of bioreactors for cartilage tissue engineering is common, but the results are controversial. Some studies suggest that microgravity bioreactors are ideal for chondrogenesis, while others show t...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4743.2017

    authors: Mellor LF,Steward AJ,Nordberg RC,Taylor MA,Loboa EG

    更新日期:2017-04-01 00:00:00

  • Safety Implications of 6-Month vs. 1-Year First-Class Aeromedical Certificates.

    abstract::INTRODUCTION: This study explores the safety risk due to delayed detection of hazardous health conditions that would result from increasing the duration of U.S. first-class aeromedical certificates from 6 mo to 12 mo for pilots ages 40 yr old through 60 yr old.METHODS: All pilots who submitted a U.S. first-class appli...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5268.2019

    authors: Mills WD,DeJohn CA

    更新日期:2019-05-01 00:00:00

  • Integration of a Vestibular Model for the Disorientation Research Device Motion Algorithm Application.

    abstract::INTRODUCTION: Spatial disorientation (SD) remains a leading cause of Class A mishaps and fatalities in aviation. Motion-based flight simulators and other research devices provide the capacity to rigorously study SD in order to develop effective countermeasures. By applying mathematical models of human orientation perc...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5416.2019

    authors: Dixon JB,Etgen CA,Horning DS,Clark TK,Folga RV

    更新日期:2019-10-01 00:00:00

  • Semicircular Canal Size and Shape Influence on Disorientation.

    abstract:INTRODUCTION:Orientation in a 3-dimensional environment increases demands on the vestibular system. The anterior, lateral, and posterior semicircular canals sense pitch, roll, and yaw acceleration, respectively. The macular end organs sense linear acceleration and provide gravity reference. Creatures that evolved to fl...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章,评审

    doi:10.3357/AMHP.5104.2018

    authors: Cheung B,Ercoline W

    更新日期:2018-08-01 00:00:00

  • Clinical Herpes Zoster in Antarctica as a Model for Spaceflight.

    abstract:INTRODUCTION:Antarctica is a useful analog for spaceflight, as both environments are remote, isolated, and with limited resources. While previous studies have demonstrated increased asymptomatic viral shedding in both the Antarctic and spaceflight environments, clinical manifestations of reactivated viral disease have ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4450.2017

    authors: Reyes DP,Brinley AA,Blue RS,Gruschkus SK,Allen AT,Parazynski SE

    更新日期:2017-08-01 00:00:00

  • Portable radiography: a reality and necessity for ISS and explorer-class missions.

    abstract::On ISS missions and explorer class missions, unexpected medical and surgical emergencies could be disastrous. Lack of ability to rapidly assess and make critical decisions affects mission capability. Current imaging modalities on ISS consist only of ultrasound. There are many acute diagnoses which ultrasound alone can...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4110.2015

    authors: Lerner DJ,Parmet AJ

    更新日期:2015-02-01 00:00:00

  • Severe Arthritic Changes Following Acetabular Labral Repair and Femoroplasty in an Air Force Pilot.

    abstract:BACKGROUND:Acetabular labral tears in the hip have become an increasingly common finding in active duty members due to improved diagnostic capabilities. This has led to a dramatic increase in operative management despite a lack of evidence to support clear long-term benefits. Literature review demonstrated overwhelming...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4883.2018

    authors: Sardon CJ,Resnick ML

    更新日期:2018-02-01 00:00:00

  • Hypertension and Obesity Among Civil Aviation Pilots.

    abstract::BACKGROUND: Raised blood pressure (BP) is a risk factor for cardiovascular disease, which is a common cause of sudden in-flight incapacitation among pilots. Prevalence of hypertension (HT) among pilots as per new criteria is largely unknown. This study aims to understand the prevalence of hypertension and obesity in c...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5374.2019

    authors: Bhat KG,Verma N,Pant P,Singh Marwaha MP

    更新日期:2019-08-01 00:00:00

  • Ultrasound Guided Lumbar Puncture and Remote Guidance for Potential In-Flight Evaluation of VIIP/SANS.

    abstract::INTRODUCTION: Changes of visual function/neuro-opthalmic structures during spaceflight have been described as visual impairment and intracranial pressure syndrome (VIIP)/spaceflight-associated neuro-ocular syndrome (SANS). Although theories are suggested, the mechanism is unknown. Only indirect measurements of intracr...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5170.2019

    authors: Lerner DJ,Chima RS,Patel K,Parmet AJ

    更新日期:2019-01-01 00:00:00

  • Voice Reactivity as a Response to Acute Hypobaric Hypoxia at High Altitude.

    abstract::BACKGROUND: Although the understanding of hypobaric hypoxia is increasing, it remains a hazard in aviation medicine. This study examined the feasibility of detecting voice markers sensitive to acute hypobaric hypoxia in an early presymptomatic (PRE-SYMP) stage.METHOD: Eight subjects qualified with hypobaric training c...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5390.2020

    authors: Van Puyvelde M,Neyt X,Vanderlinden W,Van den Bossche M,Bucovaz T,De Winne T,Pattyn N

    更新日期:2020-06-01 00:00:00

  • Sleep on Long Haul Layovers and Pilot Fatigue at the Start of the Next Duty Period.

    abstract:INTRODUCTION:Layovers are critical for pilot recovery between flights and minimum layover durations are required by regulation. However, research on the factors affecting layover sleep and safety performance indicators (SPIs) before subsequent flights is relatively sparse. The present project combined data from 6 studi...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4965.2018

    authors: Cosgrave J,Wu LJ,van den Berg M,Signal TL,Gander PH

    更新日期:2018-01-01 00:00:00

  • Migraine Prophylaxis Using Novel Monoclonal Antibody Injections in a Commercial Pilot.

    abstract::BACKGROUND: Frequent migraine headaches are disabling and aeromedically disqualifying. Four new monoclonal antibody medications, targeting calcitonin gene-related peptide (CGRP), have been approved by the U.S. Food and Drug Administration (FDA) since 2018, with more expected in the coming years. These medications pres...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5688.2020

    authors: Garber MA,Sirven JI,Roth RS,Hemphill JM

    更新日期:2020-10-01 00:00:00

  • Exercise Countermeasure Hardware Evolution on ISS: The First Decade.

    abstract::The hardware systems necessary to support exercise countermeasures to the deconditioning associated with microgravity exposure have evolved and improved significantly during the first decade of the International Space Station (ISS), resulting in both new types of hardware and enhanced performance capabilities for init...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.EC02.2015

    authors: Korth DW

    更新日期:2015-12-01 00:00:00

  • The Ecology of Medical Care Among Israeli Military Aviators.

    abstract:BACKGROUND:The ecology of medical care model has been used in various populations with varying results. We aimed to apply this model in the population of Israeli Air Force (IAF) aviators. METHODS:An anonymous questionnaire was presented to all Israeli Air Force aviators during their mandatory yearly check-up over 1 yr...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4406.2016

    authors: Gordon B,Levy Y,Yemini T,Carmon E,Erlich Y,Hermoni D

    更新日期:2016-12-01 00:00:00

  • Assessment of a Prototype Apache Flight Eyewear.

    abstract:BACKGROUND:Apache pilots needing refractive correction are issued modified HGU-4/P aviator spectacles. However, a recently published survey found field of view (FOV) dissatisfaction with the current spectacles when sighting in with a Helmet Display Unit (HDU). A current Air Force flight frame was modified in-lab and th...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4581.2016

    authors: Walsh DV,Jurek GM,McLean WE,Statz JK,Allen RL,Riggs DW

    更新日期:2016-09-01 00:00:00

  • New ACC/AHA Blood Pressure Guidelines and the Operational Readiness of Naval Aviators and Aircrew.

    abstract::INTRODUCTION: Hypertension, also known as high blood pressure, is the "silent killer" and may lead to more severe conditions if left unmanaged. Hypertension in service members of the U.S. military has the potential to negatively impact readiness. The aim of this study was to assess the potential impact to readiness of...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5229.2019

    authors: Johnson MC,Banaag AL,Condie KJ,Servies TE,Pérez Koehlmoos TL

    更新日期:2019-04-01 00:00:00

  • CT Coronary Angiography vs. Coronary Artery Calcium Scoring for the Occupational Assessment of Military Aircrew.

    abstract:INTRODUCTION:To ensure flight safety military aircrew undergo regular clinical and occupational assessment. Coronary artery calcium scoring (CACS) has been established as an imaging modality to noninvasively assess coronary artery disease (CAD). CT coronary angiography (CTCA) potentially offers a more accurate assessme...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4636.2017

    authors: Parsons I,Pavitt C,Chamley R,d'Arcy J,Nicol E

    更新日期:2017-02-01 00:00:00

  • Working Memory Capacity and Surgical Performance While Exposed to Mild Hypoxic Hypoxemia.

    abstract:INTRODUCTION:Medical Emergency Response Team (MERT) helicopters fly at altitudes of 3000 m in Afghanistan (9843 ft). Civilian hospitals and disaster-relief surgical teams may have to operate at such altitudes or even higher. Mild hypoxia has been seen to affect the performance of novel tasks at flight levels as low as ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章,随机对照试验

    doi:10.3357/AMHP.4761.2017

    authors: Parker PJ,Manley AJ,Shand R,O'Hara JP,Mellor A

    更新日期:2017-10-01 00:00:00

  • Recurrence of Neurological Deficits in an F/A-18D Pilot Following Loss of Cabin Pressure at Altitude.

    abstract:INTRODUCTION:Supersonic, high altitude aviation places its pilots and aircrew in complex environments, which may lead to injury that is not easily diagnosed or simply treated. Decompression illness (either venous or arterial) and environmental conditions (e.g., abnormal gases and pressure) are the most likely adverse e...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4520.2016

    authors: Robinson T,Evangelista JS 3rd,Latham E,Mukherjee ST,Pilmanis A

    更新日期:2016-08-01 00:00:00

  • Middle Ear Resonance Frequency in Pilots and Pilot Candidates.

    abstract:BACKGROUND:Barotrauma is a frequent problem in aviation medicine. Eustachian tube dysfunction plays a critical role in the pathogenesis of barotrauma. Function of the Eustachian tube can be indirectly assessed by multifrequency tympanometry, which provides valuable information about the resistance and permeability of t...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4554.2016

    authors: Tuncer MM,Babakurban ST,Aydin E

    更新日期:2016-01-01 00:00:00

  • You're the Flight Surgeon.

    abstract::Mahakian CG. You're the flight surgeon: hypersensitivity pneumonitis. Aerosp Med Hum Perform. 2018; 89(1):74-77. ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4993.2018

    authors:

    更新日期:2018-01-01 00:00:00

  • Tolerance of centrifuge-simulated suborbital spaceflight in subjects with implanted insulin pumps.

    abstract:INTRODUCTION:With commercial spaceflight comes the possibility of spaceflight participants (SFPs) with significant medical conditions. Those with previously untested medical conditions, such as diabetes mellitus (DM) and the use of indwelling medical devices, represent a unique challenge. It is unclear how SFPs with su...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4134.2015

    authors: Levin DR,Blue RS,Castleberry TL,Vanderploeg JM

    更新日期:2015-04-01 00:00:00

  • You're The Flight Surgeon.

    abstract:: Beauvais A, Tate J, Kluesner JK. You're the flight surgeon: hypoglycemia. Aerosp Med Hum Perform. 2019; 90(9):826-829. ...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5405.2019

    authors:

    更新日期:2019-09-01 00:00:00

  • Squamous Cell Papilloma in a Student Aviator.

    abstract::BACKGROUND: Although oropharyngeal squamous cell papilloma (OSCP) is not uncommon in the general population, reports of OSCP in aviators are rare. This case report serves as a call for flight surgeons to consider all oropharyngeal pathology as a potential source of airway compromise during flight, and highlights regio...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5429.2019

    authors: Swinson K,Burlile J,Pavelites J

    更新日期:2019-11-01 00:00:00

  • On-Site 3D Printing of Functional Custom Mallet Splints for Mars Analogue Crewmembers.

    abstract:INTRODUCTION:The first off-Earth fused deposition modeling (FDM) 3D printer is investigating acrylonitrile butadiene styrene (ABS) thermoplastic manufacturing applications for long-duration space missions. This study assessed the feasibility of FDM 3D printing ABS thermoplastic customized mallet splints on site for Mar...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4259.2015

    authors: Wong JY

    更新日期:2015-10-01 00:00:00

  • Near-Infrared Spectra in Buccal Tissue as a Marker for Detection of Hypoxia.

    abstract:INTRODUCTION:Hypoxia caused by high altitude exposure can impair cerebral and mental functions. Blood flow and oxygenation of the buccal tissue can be reliable markers to detect hypoxia. In this study, near infrared spectroscopy was used in combination with a novel optical probe to evaluate the applicability of the nov...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4510.2016

    authors: Amini M,Hisdal J,Gjøvaag T,Kapetanovic N,Strand TE,Owe JO,Hørthe JR,Mirtaheri P

    更新日期:2016-05-01 00:00:00

  • Color Vision and Performance on Color-Coded Cockpit Displays.

    abstract:INTRODUCTION:Although there are numerous studies that demonstrate that color vision deficient (CVD) individuals perform less well than color vision normal (CVN) individuals in tasks that require discrimination or identification of colored stimuli, there remains a need to quantify the relationship between the type and s...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.4630.2016

    authors: Gaska JP,Wright ST,Winterbottom MD,Hadley SC

    更新日期:2016-01-01 00:00:00

  • Systemic Corticosteroids for Upper Respiratory Tract Infections in the Flyer.

    abstract::INTRODUCTION: The use of systemic corticosteroids for upper respiratory tract infections has become increasingly common, but remains controversial. Given their purported ability to decrease duration of illness and hasten recovery, systemic corticosteroids offer an attractive treatment modality for flight surgeons desi...

    journal_title:Aerospace medicine and human performance

    pub_type: 杂志文章

    doi:10.3357/AMHP.5548.2020

    authors: Tanael M

    更新日期:2020-05-01 00:00:00