Severe Pulmonary Embolism Associated with Air Travel
New England Journal of MedicinePublished 13 September 2001Open access
Frédéric Lapostolle, Vanessa Surget, Stephen W. Borron, Michel Desmaizières, Didier Sordelet, C Lapandry
Citations402
SJR quartileQ1
SJR score19.08
SNIP13.47
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TL;DR
A greater distance traveled is a significant contributing risk factor for pulmonary embolism associated with air travel.
Abstract
BACKGROUND: Air travel is believed to be a risk factor for pulmonary embolism, but the relation between pulmonary embolism and distance flown has not been documented. The aim of this study was to investigate whether the duration of air travel is related to the risk of pulmonary embolism. METHODS: From November 1993 to December 2000, we systematically reviewed all cases of pulmonary embolism requiring medical care on arrival at France's busiest international airport. Data on the geographic origins of all flights and the numbers of passengers were collected in order to evaluate the incidence of pulmonary embolism per 1 million passenger arrivals as a function of the distance traveled. RESULTS: A total of 135.29 million passengers from 145 countries or other areas arrived at Charles de Gaulle Airport during the period of the study, of whom 56 had confirmed pulmonary embolism. The incidence of pulmonary embolism was much higher among passengers traveling more than 5000 km (3000 mi) (1.5 cases per million, as compared with 0.01 case per million among those traveling less than 5000 km). The incidence of pulmonary embolism was 4.8 cases per million for those traveling more than 10,000 km (6000 mi). CONCLUSIONS: A greater distance traveled is a significant contributing risk factor for pulmonary embolism associated with air travel.
Keywords
Medicine
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