Air travel and venous thromboembolism

ABSTRACT: There has recently been increased publicity on the risk of venous thrombosis after long-haul flights. This paper reviews the evidence base related to the association between air travel and venous thromboembolism. The evidence consists only of case reports, clinical case-control studies and...

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Main Authors: Mendis Shanthi, Yach Derek, Alwan Ala
Format: Article
Language:English
Published: The World Health Organization 2002-01-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000500012
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author Mendis Shanthi
Yach Derek
Alwan Ala
author_facet Mendis Shanthi
Yach Derek
Alwan Ala
author_sort Mendis Shanthi
collection DOAJ
description ABSTRACT: There has recently been increased publicity on the risk of venous thrombosis after long-haul flights. This paper reviews the evidence base related to the association between air travel and venous thromboembolism. The evidence consists only of case reports, clinical case-control studies and observational studies involving the use of intermediate end-points, or expert opinion. Some studies have suggested that there is no clear association, whereas others have indicated a strong relationship. On the whole it appears that there is probably a link between air travel and venous thrombosis. However, the link is likely to be weak, mainly affecting passengers with additional risk factors for venous thromboembolism. The available evidence is not adequate to allow quantification of the risk. There are insufficient scientific data on which to base specific recommendations for prevention, other than that leg exercise should be taken during travel. Further studies are urgently needed in order to identify prospectively the incidence of the condition and those at risk.
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spelling doaj.art-2356efdf9ecc4770b8debeb59f564f832024-03-02T16:03:28ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862002-01-01805403406Air travel and venous thromboembolismMendis ShanthiYach DerekAlwan AlaABSTRACT: There has recently been increased publicity on the risk of venous thrombosis after long-haul flights. This paper reviews the evidence base related to the association between air travel and venous thromboembolism. The evidence consists only of case reports, clinical case-control studies and observational studies involving the use of intermediate end-points, or expert opinion. Some studies have suggested that there is no clear association, whereas others have indicated a strong relationship. On the whole it appears that there is probably a link between air travel and venous thrombosis. However, the link is likely to be weak, mainly affecting passengers with additional risk factors for venous thromboembolism. The available evidence is not adequate to allow quantification of the risk. There are insufficient scientific data on which to base specific recommendations for prevention, other than that leg exercise should be taken during travel. Further studies are urgently needed in order to identify prospectively the incidence of the condition and those at risk.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000500012AircraftTravelVenous thrombosis/etiologyThromboembolism/etiologyCausalityRisk factorsEpidemiologic studies
spellingShingle Mendis Shanthi
Yach Derek
Alwan Ala
Air travel and venous thromboembolism
Bulletin of the World Health Organization
Aircraft
Travel
Venous thrombosis/etiology
Thromboembolism/etiology
Causality
Risk factors
Epidemiologic studies
title Air travel and venous thromboembolism
title_full Air travel and venous thromboembolism
title_fullStr Air travel and venous thromboembolism
title_full_unstemmed Air travel and venous thromboembolism
title_short Air travel and venous thromboembolism
title_sort air travel and venous thromboembolism
topic Aircraft
Travel
Venous thrombosis/etiology
Thromboembolism/etiology
Causality
Risk factors
Epidemiologic studies
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000500012
work_keys_str_mv AT mendisshanthi airtravelandvenousthromboembolism
AT yachderek airtravelandvenousthromboembolism
AT alwanala airtravelandvenousthromboembolism