Economy Class Syndrome or Immobile Traveler's Syndrome?

Gispert, Pilar; Drobnic, María Estrella; Vidal, Rafael

doi:10.1016/s1579-2129(06)60546-6

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Introduction: Planes Trains Automobiles and Beyond …1

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2019

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“…While media hype has largely focused on VTE related to air travel, the possible association with overland travel has continued to be reported. Numerous case series have described the link between both air (Cruickshank et al , ; Eklof et al , ) and overland means of transport (Gispert et al , ). As the risk with non‐air travel may be similar to that associated with flights, the term ‘traveller's thrombosis’ has been encouraged (Giangrande, ).…”

Section: Introduction: Planes Trains Automobiles and Beyond …mentioning

confidence: 99%

Annotation: travel and thrombosis

Czuprynska

Arya

2019

Br J Haematol

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Travel appears to be a weak risk factor for venous thromboembolism (VTE) and is more relevant for passengers with additional VTE risk factors. The association is not limited to air travel and is related to duration of travel. Life‐threatening pulmonary embolism (PE) is rare. There is limited evidence to support interventions, including ‘sensible measures’, graduated compression stockings (GCS) and low‐molecular‐weight heparin (LMWH). It is difficult to confidently define a population who would benefit from thromboprophylaxis and no validated risk assessment exists for this purpose. LMWH has traditionally been used for flight thromboprophylaxis but a direct oral anticoagulant (DOAC) would be a more appealing oral option.

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Section: Introduction: Planes Trains Automobiles and Beyond …mentioning

confidence: 99%