Preflight medical screenings of patients. Analysis of health and flight characteristics.

Abstract:

:We evaluated the demographic, medical, and flight characteristics of 1,115 passengers who were routinely referred for preflight medical screening by a major domestic air carrier. The largest category consisted of 892 patients who requested in-flight oxygen therapy for cardiopulmonary conditions, of which COPD and cardiac disorders were the most frequent indications; 561 of these patients were 60 years or older. Overall, 386 passengers were recently hospitalized, 911 were using medications, 657 were receiving oxygen therapy, and 761 had flown previously. In the group using in-flight oxygen therapy, the average flight duration was 236 min and layover time, 87 min. These findings indicate that large numbers of patients undergoing preflight screening are receiving medication and have a wide range of medical diagnoses and variable health status. We conclude that preflight medical screening and counselling can be important and helpful in assuring safe and comfortable air travel in this patient population.

journal_name

Chest

journal_title

Chest

authors

Gong H Jr,Mark JA,Cowan MN

doi

10.1378/chest.104.3.788

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

788-94

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)38871-7

journal_volume

104

pub_type

杂志文章

相关文献

CHEST文献大全
  • Small- and moderate-size right-to-left shunts identified by saline contrast echocardiography are normal and unrelated to migraine headache.

    abstract:BACKGROUND:We suspected, based on clinical experience, that the prevalence of both intracardiac and pulmonary arteriovenous malformations (PAVMs) is higher than previously reported in a healthy population when using modern ultrasound technology combined with a rigorous saline contrast echocardiogram (SCE) protocol. We ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-2797

    authors: Woods TD,Harmann L,Purath T,Ramamurthy S,Subramanian S,Jackson S,Tarima S

    更新日期:2010-08-01 00:00:00

  • Transforming growth factor-beta 1 and extracellular matrix-associated fibronectin expression in pulmonary lymphangioleiomyomatosis.

    abstract:STUDY OBJECTIVES:Lymphangioleiomyomatosis (LAM) is a rare disorder of unknown etiology, affecting almost exclusively women of childbearing age, that is associated with the proliferation of spindle cells and cystic changes in the affected lung. The underlying processes that contribute to this disease are poorly understo...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.3.1063

    authors: Evans SE,Colby TV,Ryu JH,Limper AH

    更新日期:2004-03-01 00:00:00

  • CPAP reduces inspiratory work more than dyspnea during hyperinflation with intrinsic PEEP.

    abstract::Hyperinflation with intrinsic positive end-expiratory pressure (PEEPi) loads the respiratory muscles and causes dyspnea in obstructive lung disease. Continuous positive airway pressure (CPAP) has shown some efficacy in reducing inspiratory work and dyspnea. However, in obstructive lung disease, inspiratory work and dy...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.2.432

    authors: Fessler HE,Brower RG,Permutt S

    更新日期:1995-08-01 00:00:00

  • Increased major bleeding complications related to triple antithrombotic therapy usage in patients with atrial fibrillation undergoing percutaneous coronary artery stenting.

    abstract:BACKGROUND:The optimal antithrombotic therapy strategy for atrial fibrillation (AF) patients who undergo percutaneous coronary intervention with stent implantation (PCI-S) is unknown. We assessed the safety of antithrombotic therapy strategies in AF patients with indication for oral anticoagulation (OAC) undergoing PCI...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0350

    authors: Manzano-Fernández S,Pastor FJ,Marín F,Cambronero F,Caro C,Pascual-Figal DA,Garrido IP,Pinar E,Valdés M,Lip GYH

    更新日期:2008-09-01 00:00:00

  • Severe right ventricular outflow tract obstruction caused by an intracavitary cardiac neurilemoma: succesful surgical removal and postoperative diagnosis.

    abstract::A 32-year-old woman with a one-year history of progressive shortness of breath and chest pain was found to have a grade 4/6 systolic murmur at the base of the heart and left sternal border. Right ventricular enlargement was found by physical examination, ECG, and chest roentgenogram. Cardiac catheterization showed ele...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.4.522

    authors: Betancourt B,Defendini EA,Johnson C,De Jesús M,Pavía-Villamil A,Díaz Cruz A,Medina JC

    更新日期:1979-04-01 00:00:00

  • Coronary artery bypass graft and/or valvular operations following prior pneumonectomy: report of four new patients and review of the literature.

    abstract:BACKGROUND:The reported experience is sparse for patients with prior pneumonectomy who are undergoing surgery for ischemic or valvular heart disease. Such surgery poses special technical challenges. To expand the experience with this challenging clinical intervention, we reviewed the reported patients with prior pneumo...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.06-2545

    authors: Stoller JK,Blackstone E,Pettersson G,Mihaljevic T

    更新日期:2007-07-01 00:00:00

  • Relevance of latent TB infection in areas of high TB prevalence.

    abstract::About one-third of the world population has latent TB infection (LTBI), the majority of which is distributed in 22 high-burden countries. Early diagnosis and treatment of active TB remains the top priority in resource-poor countries with high TB prevalence. Notwithstanding, because LTBI contributes significantly to th...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.12-0142

    authors: Sharma SK,Mohanan S,Sharma A

    更新日期:2012-09-01 00:00:00

  • Rupture of the left main-stem bronchus with a polyvinylchloride double-lumen tube.

    abstract::Double-lumen tubes have proved to be a useful adjunct in thoracic surgery. Their use has become quite commonplace, particularly since the introduction of the softer polyvinylchloride (PVC) tubes, which are technically easier to use and may carry less risk for serious complications. Any such tube, however, can cause li...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.83.6.928

    authors: Burton NA,Fall SM,Lyons T,Graeber GM

    更新日期:1983-06-01 00:00:00

  • Dynamic expiratory tracheal collapse in COPD: correlation with clinical and physiologic parameters.

    abstract:BACKGROUND:COPD has been described as a risk factor for excessive expiratory tracheal collapse, but its prevalence and clinical correlates have not been fully determined. The purpose of this study is to prospectively determine the prevalence of excessive expiratory tracheal collapse among patients with COPD and to test...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-0299

    authors: Boiselle PM,Michaud G,Roberts DH,Loring SH,Womble HM,Millett ME,O'Donnell CR

    更新日期:2012-12-01 00:00:00

  • Utility of fiberoptic bronchoscopy in patients with hemoptysis and a nonlocalizing chest roentgenogram.

    abstract::The need for fiberoptic bronchoscopy in the patient with hemoptysis and a normal or nonlocalizing chest roentgenogram remains a subject of debate. Currently, diagnostic fiberoptic bronchoscopy is recommended as the investigative procedure of choice. To develop predictors that identify the patient in whom fiberoptic br...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.1.70

    authors: Poe RH,Israel RH,Marin MG,Ortiz CR,Dale RC,Wahl GW,Kallay MC,Greenblatt DG

    更新日期:1988-01-01 00:00:00

  • Nebulized 3% hypertonic saline solution treatment in hospitalized infants with viral bronchiolitis.

    abstract:OBJECTIVE:To determine the utility of inhaled hypertonic saline solution to treat infants hospitalized with viral bronchiolitis. DESIGN:Randomized, double-blind, controlled trial. Fifty-two hospitalized infants (mean +/- SD age, 2.9 +/- 2.1 months) with viral bronchiolitis received either inhalation of epinephrine, 1....

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.123.2.481

    authors: Mandelberg A,Tal G,Witzling M,Someck E,Houri S,Balin A,Priel IE

    更新日期:2003-02-01 00:00:00

  • Effects of aortic balloon pumping during cardiopulmonary bypass on myocardial perfusion, metabolism, and contractility.

    abstract::This study was undertaken to determine if the production of pulsatile flow by the intra-aortic balloon pump during cardiopulmonary bypass has any beneficial effect on coronary flow, regional myocardial flow, myocardial metabolism, and left ventricular function. Thirty-six conditioned dogs were subjected to one hour of...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.1.37

    authors: Grover FL,Fewel JG,Vinas J,Ghidoni JJ,Arom KV,Norton JB Jr,Trinkle JK

    更新日期:1979-01-01 00:00:00

  • Contribution of craniofacial risk factors in increasing apneic activity among obese and nonobese habitual snorers.

    abstract:STUDY OBJECTIVE:To determine the role of craniofacial risk factors in increasing apneic activity between nonobese and obese habitual snorers. DESIGN:Cross-sectional. SETTING:Care-seeking volunteers identified through advertisements, and referral-based volunteers from two sleep centers serving the greater Cleveland ar...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.1.154

    authors: Nelson S,Hans M

    更新日期:1997-01-01 00:00:00

  • Underutilization of isoniazid chemoprophylaxis in tuberculosis contacts 50 years of age and older. A prospective analysis.

    abstract:STUDY OBJECTIVES:To examine the utilization of chemoprophylaxis for tuberculosis in certain high-risk groups, ie, infected contacts 50 years and older, and to study the safety of isoniazid (INH) preventive therapy in such persons. DESIGN:From 1987 to 1992, two-part questionnaires were sent to each of the regional heal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.3.706

    authors: Sorresso DJ,Mehta JB,Harvill LM,Bentley S

    更新日期:1995-09-01 00:00:00

  • Pulmonary complications of hormone treatment in prostate carcinoma.

    abstract::Fever, dyspnea, dry cough and interstitial fibrosis occurred in a man with prostate carcinoma treated with nilutamide and buserelin for two and one-half months. The diagnosis of drug-induced fibrosis was established on the basis of chronologic and semiologic events. This is the first such case reported. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.5.1106

    authors: Seigneur J,Trechot PF,Hubert J,Lamy P

    更新日期:1988-05-01 00:00:00

  • Pitolisant for Residual Excessive Daytime Sleepiness in OSA Patients Adhering to CPAP: A Randomized Trial.

    abstract:BACKGROUND:Excessive daytime sleepiness (EDS) in individuals with OSA syndrome persisting despite good adherence to CPAP is a disabling condition. Pitolisant is a selective histamine H3-receptor antagonist with wake-promoting effects. RESEARCH QUESTION:Is pitolisant effective and safe for reducing daytime sleepiness i...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.09.281

    authors: Pépin JL,Georgiev O,Tiholov R,Attali V,Verbraecken J,Buyse B,Partinen M,Fietze I,Belev G,Dokic D,Tamisier R,Lévy P,Lecomte I,Lecomte JM,Schwartz JC,Dauvilliers Y,HAROSA I Study Group.

    更新日期:2020-10-26 00:00:00

  • Low-grade systemic inflammation and the response to exercise training in patients with advanced COPD.

    abstract:STUDY OBJECTIVE:Low-grade systemic inflammation may cause a chronic catabolic state that may affect trainability in patients with COPD as has been seen previously in healthy elderly. Therefore, the aim of the present study was to study the relationship between baseline circulating levels of inflammatory markers and the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3183

    authors: Spruit MA,Gosselink R,Troosters T,Kasran A,Van Vliet M,Decramer M

    更新日期:2005-11-01 00:00:00

  • Expression of CXC chemokine receptors 1 and 2 in human bronchial epithelial cells.

    abstract:INTRODUCTION:CXC chemokine receptor 1 (CXCR1) and CXC chemokine receptor 2 (CXCR2) have been shown to play an important role in transepithelial migration of neutrophil granulocytes during inflammation in various tissues. This study investigated the regulation of gene expression and surface expression of CXCR1 and CXCR2...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3724

    authors: Farkas L,Hahn MC,Schmoczer M,Jentsch N,Krätzel K,Pfeifer M,Schulz C

    更新日期:2005-11-01 00:00:00

  • Ciliary beat frequency in human bronchi and bronchioles.

    abstract:STUDY OBJECTIVE:This study aimed to determine the differences between ciliary beat frequencies of respiratory ciliated cells from peripheral bronchioles and from proximal bronchi in humans. DESIGN:Measurements were made from resected lungs. Ciliated cells were harvested by brushing the mucosa of each site immediately ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.3.692

    authors: Clary-Meinesz C,Mouroux J,Huitorel P,Cosson J,Schoevaert D,Blaive B

    更新日期:1997-03-01 00:00:00

  • Mask proportional assist vs pressure support ventilation in patients in clinically stable condition with chronic ventilatory failure.

    abstract:OBJECTIVE:To compare the short-term physiologic effects of mask pressure support ventilation (PSV) and proportional assist ventilation (PAV) in patients in clinically stable condition with chronic ventilatory failure (CVF). DESIGN:Randomized, controlled physiologic study. SETTING:Lung function units of two pulmonary ...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.122.2.479

    authors: Porta R,Appendini L,Vitacca M,Bianchi L,Donner CF,Poggi R,Ambrosino N

    更新日期:2002-08-01 00:00:00

  • Changing patterns in asbestos-induced lung disease.

    abstract:STUDY OBJECTIVES:To determine patterns in asbestos-induced lung diseases found in older, less exposed workers. DESIGN:Review of a database evaluating lung function, smoking status, form of asbestos-induced lung disease, and radiograph abnormalities. SETTING:Outpatient clinic. PARTICIPANTS:A total of 3383 asbestos-ex...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.2.744

    authors: Ohar J,Sterling DA,Bleecker E,Donohue J

    更新日期:2004-02-01 00:00:00

  • Daytime sleepiness in patients with congestive heart failure and Cheyne-Stokes respiration.

    abstract:STUDY OBJECTIVE:To determine whether patients with congestive heart failure who develop Cheyne-Stokes respiration (CSR) during sleep experience excessive daytime sleepiness. This was addressed by comparing sleep quality and daytime sleepiness in three groups: patients with CHF and CSR during sleep (CSR group), patients...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.107.4.952

    authors: Hanly P,Zuberi-Khokhar N

    更新日期:1995-04-01 00:00:00

  • A comparison of inhaled ipratropium, oral theophylline plus inhaled beta-agonist, and the combination of all three in patients with COPD.

    abstract::To evaluate the role of inhaled ipratropium bromide alone vs oral theophylline plus inhaled beta-agonist or the combination of all three in patients with stable COPD, the following double-blind, placebo-controlled study was conducted. Forty-eight patients with stable COPD (mean age, 61.8 years, with mean baseline FEV1...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.105.4.1089

    authors: Karpel JP,Kotch A,Zinny M,Pesin J,Alleyne W

    更新日期:1994-04-01 00:00:00

  • Simplified technique for permanent atrioventricular pacing via a single venipuncture.

    abstract::The use of physiologic pacing utilizing transvenous atrial and ventricular electrodes has recently taken on increased importance. A simple, safe, technique for electrode implantation has been used in 14 patients and enabled the implanting physicians to establish permanent atrioventricular (A-V) sequential pacing with ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.80.6.745

    authors: Fox S,Toonder FG

    更新日期:1981-12-01 00:00:00

  • Infectious complications following isolated lung transplantation.

    abstract:STUDY OBJECTIVE:To ascertain the incidence, types, morbidity, and mortality of infectious episodes in isolated lung transplant recipients. DESIGN:Retrospective chart review of patients who have undergone transplants over a six-year period in one institution. PATIENTS:Twenty-three single and 17 double lung transplants...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.4.1056

    authors: Maurer JR,Tullis DE,Grossman RF,Vellend H,Winton TL,Patterson GA

    更新日期:1992-04-01 00:00:00

  • Improved accuracy of the exercise electrocardiogram in detection of coronary artery and three-vessel coronary disease.

    abstract::The study objective was to assess the widespread applicability of ST/HR slope for the modified Bruce exercise test using a computerized electrocardiogram (ECG); compare the usefulness of the ST/HR slope with standard ECG criteria in detection of coronary artery disease (CAD) and identification of three-vessel or left ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.4.737

    authors: Sato I,Keta K,Aihara N,Ohe T,Shimomura K,Hasegawa Y

    更新日期:1988-10-01 00:00:00

  • Respiratory Disease and Lower Pulmonary Function as Risk Factors for Dementia: A Systematic Review With Meta-analysis.

    abstract:BACKGROUND:In addition to affecting the oxygen supply to the brain, pulmonary function is a marker of multiple insults throughout life (including smoking, illness, and socioeconomic deprivation). In this meta-analysis of existing longitudinal studies, the hypothesis that lower pulmonary function and respiratory illness...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.12.012

    authors: Russ TC,Kivimäki M,Batty GD

    更新日期:2020-06-01 00:00:00

  • A 38-Year-Old Man With a 2-Month History of Fever, Cough, Palpitations, and Weight Loss.

    abstract:CASE PRESENTATION:A 38-year-old man of Indian origin, who migrated to Greece 13 years prior to presentation, was admitted to our hospital with a 2-month history of nonprogressive, intermittent (mostly evening), low-grade (up to 38.5°C) fever, accompanied by night sweats, dry cough, mild dyspnea on exertion (modified Me...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.05.012

    authors: Papadopoulos D,Nakou A,Lymperopoulos K,Filaditaki V

    更新日期:2018-10-01 00:00:00

  • Gastroesophageal reflux-induced bronchoconstriction. An intraesophageal acid infusion study using state-of-the-art technology.

    abstract:STUDY OBJECTIVE:To study mechanisms of gastroesophageal reflux-induced bronchoconstriction during intraesophageal infusions. DESIGN:Prospective study blinded to the subject. SETTING:Outpatient pulmonary function laboratory at a 908-bed university hospital. PARTICIPANTS:Forty-seven adult subjects divided into four gr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.3.731

    authors: Schan CA,Harding SM,Haile JM,Bradley LA,Richter JE

    更新日期:1994-09-01 00:00:00

  • The snoring spectrum: acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography.

    abstract:STUDY OBJECTIVES:To quantify the snoring sound intensity levels generated by individuals during polysomnographic testing and to examine the relationships between acoustic, polysomnographic, and clinical variables. DESIGN:The prospective acquisition of acoustic and polysomnographic data with a retrospective medical cha...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.3.762

    authors: Wilson K,Stoohs RA,Mulrooney TF,Johnson LJ,Guilleminault C,Huang Z

    更新日期:1999-03-01 00:00:00