| Symptom-based categorization of in-flight passenger medical incidents. | |
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MedLine Citation:
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PMID: 22195394 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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INTRODUCTION: The majority of in-flight passenger medical events are managed by cabin crew. Our study aimed to evaluate the reliability of cabin crew reports of in-flight medical events and to develop a symptom-based categorization system. METHODS: All cabin crew in-flight passenger medical incident reports for an airline over a 9-yr period were examined retrospectively. Validation of incident descriptions were undertaken on a sample of 162 cabin crew reports where medically trained persons' reports were available for comparison using a three Round Delphi technique and testing concordance using Cohen's Kappa. A hierarchical symptom-based categorization system was designed and validated. RESULTS: The rate was 159 incidents per 106 passengers carried, or 70.4/113.3 incidents per 106 revenue passenger kilometres/miles, respectively. Concordance between cabin crew and medical reports was 96%, with a high validity rating (mean 4.6 on a 1-5 scale) and high Cohen's Kappa (0.94). The most common in-flight medical events were transient loss of consciousness (41%), nausea/vomiting/diarrhea (19.5%), and breathing difficulty (16%). DISCUSSION: Cabin crew records provide reliable data regarding in-flight passenger medical incidents, complementary to diagnosis-based systems, and allow the use of currently underutilized data. The categorization system provides a means for tracking passenger medical incidents internationally and an evidence base for cabin crew first aid training. |
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Authors:
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Paul H Mahony; Julia A Myers; Peter D Larsen; David M C Powell; Robin F Griffiths |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Aviation, space, and environmental medicine Volume: 82 ISSN: 0095-6562 ISO Abbreviation: Aviat Space Environ Med Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501714 Medline TA: Aviat Space Environ Med Country: United States |
Other Details:
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Languages: eng Pagination: 1131-7 Citation Subset: IM; S |
Affiliation:
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Occupational and Aviation Medicine Unit, Department of Medicine, University of Otago Wellington, Wellington South, New Zealand. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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