Stroke in Airplane Passengers: A Study from a Large International Hub |
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| Institution: | 1. Neuroscience Institute, Hamad Medical corporation, Doha, Qatar;2. Weil Cornel Medicine, Doha, Qatar;1. Department of Vascular Surgery, Escuela de Medicina, Pontificia Universidad Católica de Chile;2. Department of Neurology, Escuela de Medicina, Pontificia Universidad Católica de Chile;3. Center for Endovascular Therapy, Pontificia Universidad Católica de Chile;4. Department of Radiology, Escuela de Medicina, Pontificia Universidad Católica de Chile;1. Department of Neurosciences, Eastern Health, Box Hill Hospital, Level 2, 5 Arnold St., Box Hill, Victoria 3128, Australia;2. Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia;3. Medical Imaging, Eastern Health, Box Hill Hospital, Victoria, Australia;1. School of Medicine and Research Center, Universidad Espíritu Santo, Urbanización Toscana, Apt 3H, Km 4.5 vía Puntilla-Samborondón, Samborondón 092301, Ecuador;2. Biostatistics/Epidemiology, Freenome, Inc., South San Francisco, CA, USA;3. Department of Neurology, Hospital Universitario Reina Sofía, Córdoba, Spain;4. Department of Cardiology, Hospital Luis Vernaza, Guayaquil, Ecuador;5. Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL, USA |
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| Abstract: | IntroductionStroke in air travelers is being increasingly recognized. We report on stroke among passengers arriving at or transiting through a busy air travel hub.MethodsThe stroke database of the sole tertiary care center for stroke in a large busy international hub was interrogated. Demographic data of transit passengers, their stroke risk factors, stroke severity, National Institutes of Health Stroke Scale (NIHSS), acute stroke interventions, discharge status and outcome utilizing the Modified Raking scale (mRS) were retrieved and compared between passengers and non-passenger controls.ResultsForty-three flight-related stroke patients were compared to 2564 non-passenger stroke patients. The mean age in the flight-related stroke group was 59.53±10.83 years, 30/43 (69.8%) were males. The stroke subtypes were ischemic in 30 (69.8%) patients, hemorrhagic in 9 (20.9%), and transient ischemic attack in 3 (7.0%), with one cerebral sinus venous thrombosis (2.3%). The mean NIHSS score was 7.79±6.44 in passengers, demonstrating moderate severity. Ten patients (23.3%) received thrombolysis, one (2.3%) received thrombectomy, and one (2.3%) received both thrombolysis and thrombectomy. Outcomes, 54.8% had a good outcome (mRS 0-2), and 45.2% had dependence/death (mRS 3-6).ConclusionAir passengers with stroke were found to be older with more severe strokes and a higher probability of receiving acute stroke treatment compared to non-passengers. Increased awareness with appropriate and timely recognition and triaging of transit passengers with stroke is warranted. |
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