Stroke in Airplane Passengers: A Study from a Large International Hub

Imam, Yahia; Al-Salahat, Ali; Aljurdi, Salman; Mahfoud, Ziyad; Reyes, Cleo Zarina; Akhtar, Naveed; Abunaib, Mohammed; Al-Orphaly, Mahmood; Kim, Seon Woo; Khodair, Rola; Thekkumpurath, Thahira; Abumustafa, Rasha; al-Motawa, Aisha; Sameer, Saad; Elsetouhy, Ahmed; Own, Ahmed; Kamran, Saadat

doi:10.1016/j.jstrokecerebrovasdis.2022.106452

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…In contrast, the South Asian non-MENA group was notably younger by a margin of 10 years, had a higher male-to-female ratio, and had a greater occurrence of proximal strokes. The higher representation of men in our cohort mirrors Qatar’s demographic skew toward men, primarily influenced by a significant presence of able-bodied South Asian blue-collar workers in the construction and gas sectors ( 34 ).…”

Section: Discussionmentioning

confidence: 81%

Incidence, clinical features, and outcomes of posterior circulation ischemic stroke: insights from a large multiethnic stroke database

Imam,

Chandra,

Singh

et al. 2024

Front. Neurol.

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BackgroundPosterior cerebral circulation ischemic stroke (PCS) comprises up to 25% of all strokes. It is characterized by variable presentation, leading to misdiagnosis and morbidity and mortality. We aim to describe PCS in large multiethnic cohorts.MethodsA retrospective review of a large national stroke database from its inception on the 1st of January 2014 till 31 December 2020. Incidence per 100,000 adult population/year, demographics, clinical features, stroke location, and outcomes were retrieved. We divided the cohort into patients from MENA (Middle East and North Africa) and others.ResultsIn total, 1,571 patients were identified. The incidence of PCS was observed to be rising and ranged from 6.3 to 13.2/100,000 adult population over the study period. Men were 82.4% of the total. The mean age was 54.9 ± 12.7 years (median 54 years, IQR 46, 63). MENA patients comprised 616 (39.2%) while others were 954 (60.7%); of these, the majority (80.5%) were from South Asia. Vascular risk factors were prevalent with 1,230 (78.3%) having hypertension, 970 (61.7%) with diabetes, and 872 (55.5%) having dyslipidemia. Weakness (944, 58.8%), dizziness (801, 50.5%), and slurred speech (584, 36.2%) were the most commonly presenting symptoms. The mean National Institute of Health Stroke Score (NIHSS) score was 3.8 ± 4.6 (median 3, IQR 1, 5). The overall most frequent stroke location was the distal location (568, 36.2%). The non-MENA cohort was younger, less vascularly burdened, and had more frequent proximal stroke location (p < 0.05). Dependency or death at discharge was seen in 39.5% and was associated with increasing age, and proximal and multilocation involvement; while at 90 days it was 27.4% and was associated with age, male sex, and having a MENA nationality (p < 0.05).ConclusionIn a multiethnic cohort of posterior circulation stroke patients from the MENA region and South Asia, we noted a rising incidence over time, high prevalence of vascular risk factors, and poor outcomes in older men from the MENA region. We also uncovered considerable disparities between the MENA and non-MENA groups in stroke location and outcome. These disparities are crucial factors to consider when tailoring individualized patient care plans. Further research is needed to thoroughly investigate the underlying reasons for these variations.

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Section: Discussionmentioning

confidence: 81%

Incidence, clinical features, and outcomes of posterior circulation ischemic stroke: insights from a large multiethnic stroke database

Imam,

Chandra,

Singh

et al. 2024

Front. Neurol.

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“…Traveling by air transportation, such as airplanes and helicopters, also can increase the risk of stroke [8][9][10].…”

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confidence: 99%

Deterioration and Recurrence in Flight Passengers with Ischemic Stroke: An Evidence Based Case Report

Riski,

Saputera,

Hamdiyati

et al. 2023

Korean J Aerosp Environ Med

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Ischemic stroke is a non-communicable disease characterized by a sudden neurological deficit due to thrombotic or embolic event that disrupts blood flow in the brain. Disruption of blood flow due to the thrombotic is generally caused by a blood clot obstructed on blood vessels. This condition is usually related to atherosclerosis, artery dissection, etc. Furthermore, disruption of blood flow due to embolic occurs as a result of breaks of a blood clot that enters the bloodstream [1,2]. The American Stroke Association stated that 87% of cases were caused by ischemic stroke [2]. World Stroke Organization also reported over 12.2 million cases of a new onset of stroke in people aged >15 years old each year [3]. The largest proportion (62%) of the population who experience a stroke are people aged 50-69 years old [3]. The total number of ischemic stroke cases is 7.6 million each year, with 58% of cases

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Syncope after a long-haul flight revealing multiple embolic events: the management strategy dilemma

Eugénie

Laurence

Adnet

et al. 2022

Journal of Travel Medicine

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Stroke in Airplane Passengers: A Study from a Large International Hub

Cited by 3 publications

References 24 publications

Incidence, clinical features, and outcomes of posterior circulation ischemic stroke: insights from a large multiethnic stroke database

Incidence, clinical features, and outcomes of posterior circulation ischemic stroke: insights from a large multiethnic stroke database

Deterioration and Recurrence in Flight Passengers with Ischemic Stroke: An Evidence Based Case Report

Syncope after a long-haul flight revealing multiple embolic events: the management strategy dilemma

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