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[Economic class syndrome: epidemiological features and preventive measures].
Carlo Signorelli1, Cesira Pasquarella, Valeria Trabacchi
1Dipartimento di Sanità Pubblica, Università degli Studi di Parma, Italy. carlo.signorelli@unipr.it
Igiene E Sanita Pubblica
|June 10, 2011
Summary
Travelers are at increased risk for venous thromboembolism (VTE), a condition involving blood clots, especially after long journeys. Prolonged immobility during travel is the primary cause, increasing VTE risk.
Area of Science:
- Medical Science
- Epidemiology
- Public Health
Context:
- Venous thromboembolism (VTE), commonly termed 'economic class syndrome,' is linked to long-distance air travel.
- VTE risk extends beyond economy class, affecting business class travelers and those immobilized during other transport modes (car, train, bus).
- VTE symptoms range from deep vein thrombosis and pulmonary embolism to less severe issues like headaches and respiratory problems.
Purpose:
- To discuss the epidemiological factors contributing to travel-related VTE.
- To explore the pathogenesis of VTE, focusing on Virchow's triad (venous stasis, vessel injury, hypercoagulability).
- To review prophylactic measures for preventing VTE during travel.
Summary:
- The risk of VTE doubles after flights exceeding four hours, increasing with travel duration.
- Prolonged immobility is the main VTE trigger, exacerbated by factors like dehydration and low air quality specific to air travel.
- Individual risk assessment (low, medium, high) combined with flight duration is crucial for VTE incidence.
Impact:
- Highlights the significant public health concern of travel-related VTE.
- Emphasizes the need for awareness and preventative strategies for travelers.
- Informs medical professionals and travelers about VTE risks and management.
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