Prevalence of and risk factors for acute mountain sickness among a cohort of high-altitude travellers who received pre-travel counselling

Santantonio, Maud; Chapplain, Jean-Marc; Tattevin, Pierre; Leroy, Hélène; Mener, Éric; Gangneux, Jean‐Pierre; Michelet, Christian; Revest, Matthieu

doi:10.1016/j.tmaid.2014.08.004

Cited by 20 publications

(20 citation statements)

References 21 publications

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“…[16][17][18] The risk for AMS is as much as 2.06-fold (95% CI, 1.15-3.72) lower for people older than 50 years. 12,14,[19][20][21][22] Women may be more likely affected than men, 19,22,23 but this finding is not consistent. 11,13,14,24 Medical conditions such as migraine, 10,11,25 obesity, 22,26 and mood states (anxiety) might also play a role in the development of AMS, 27 whereas smoking and alcohol consumption do not appear to increase the risk for AMS.…”

Section: Clinical Scenariomentioning

confidence: 99%

Does This Patient Have Acute Mountain Sickness?

Meier

Collet

Locatelli

et al. 2017

JAMA

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The prevalence of acute mountain sickness increases with higher altitudes. The visual analog scale for the overall feeling of sickness at altitude, Acute Mountain Sickness-Cerebral, and clinical functional score perform similarly to the Lake Louise Questionnaire Score using a score of 5 or greater as a reference standard. In clinical and travel settings, the clinical functional score is the simplest instrument to use. Clinicians evaluating high-altitude travelers who report moderate to severe limitations in activities of daily living (clinical functional score ≥2) should use the Lake Louise Questionnaire Score to assess the severity of acute mountain sickness.

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Section: Clinical Scenariomentioning

confidence: 99%

Does This Patient Have Acute Mountain Sickness?

Meier

Collet

Locatelli

et al. 2017

JAMA

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“…There are some data to suggest that women may be also more vulnerable to both AMS development and worsening symptom severity compared with men (9,18,25).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Sex on Heart Rate Variability at High Altitude

Boos

Vincent

Mellor

et al. 2017

Medicine &Amp; Science in Sports &Amp; Exercise

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“…This was similar to the result of this study. Therefore, in travel organized by travel agencies, women and short-term travellers have more rigorous pre-travel consultations to prevent the occurrence of mountain sickness [39].…”

Section: Discussionmentioning

confidence: 99%

“…Returning to low-altitude areas is the principle treatment for relieving high-altitude diseases [38]. Acetazolamide [39], dexamethasone [40], nifedipine [41], and Rhodiola rosea [42,43] effectively alleviate the symptoms of mountain sickness. In uenced by internal and external factors and limited by travel time and route, the types and symptoms of tourist mountain sickness and the period and region of onset require further study.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the mountain sickness of tourists in China from 2015-2017

Xie

2020

Preprint

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Background: Mountain sickness significantly affects tourists who travel in plateau areas. Most studies have researched patients, climbers and local residents to analyse the identification, causes, symptoms and effects of mountain sickness, and only a few have assessed tourists.Methods: This study used the Jiangtai Insurance Broker, an exemplary underwriting platform for travel agency liability insurance in China, as the data acquisition platform to analyse tourist altitude sickness from an epidemiological perspective. The chi-square test was used to test the distribution of mountain sickness diseases and symptoms among different genders and ages. A geographic information system (GIS) was used to generate a spatial distribution map of tourist mountain sickness.Results: From 2015 to 2017, there were 361 cases of tourist mountain sickness, which were distributed in 4 altitudinal classes. The incidence of mountain sickness was higher in women than in men. Tourists aged 40-69 years were the main group of patients. Acute mountain sickness (AMS) and high-altitude pulmonary edema (HAPE) were the main high-altitude diseases and mainly occurred in the 2nd and 3rd class altitude regions. Hypoxia, dizziness, headache and chest tightness were the main symptoms of mountain sickness. Spring, summer and autumn were the peak seasons for the onset of mountain sickness. Mountain sickness cases were concentrated in a few cities in Western China.Conclusion: This study analysed the genders and characteristics of the main tourist population that suffered from mountain sickness and investigated the diseases and the temporal and spatial regularity of disease from an epidemiological perspective. The research showed that the onset of mountain sickness was related to the individual physique and age of tourists, speed of entering the plateau, season and altitude. This study is significant as a reference for the risk assessment of tourists visiting plateau areas.

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Prevalence of and risk factors for acute mountain sickness among a cohort of high-altitude travellers who received pre-travel counselling

Cited by 20 publications

References 21 publications

Does This Patient Have Acute Mountain Sickness?

Does This Patient Have Acute Mountain Sickness?

The Effect of Sex on Heart Rate Variability at High Altitude

Analysis of the mountain sickness of tourists in China from 2015-2017

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