Reasons for hospitalizations, (medical) repatriation and causes of death among Dutch travellers - a retrospective study
- Conditions
- 10021879<p>Elderly, travellers, hospitalization, death, repatriation, ouderen, reizigers, ziekenhuisopname, overlijden, repatriëring</p>Every health condition is possible. Medical diagnosis is set using the ICD 9 and 10 classification.
- Registration Number
- NL-OMON21324
- Lead Sponsor
- eiden University Medical Center
- Brief Summary
Data was available for 77,741 travelers’ incidents: 75,385 medical consultations and 2,356 deaths. Four in five travelers received inpatient care, of which 36% concerned older travelers (65+) who had significantly longer hospital stays. Overall the top three diagnoses were: injuries (29%), infectious diseases (17%), and cardiovascular diseases (17%). Mental illness was reported in nearly 1.5% of the travelers. Incidence proportions were highest in South-Eastern Asia, with enteric infections as most common diagnosis. Injuries and communicable diseases occurred most often in South-Eastern Asia, while non-communicable diseases were mostly reported in South America. One in five travelers who consulted a physician was repatriated back home, mostly on a scheduled flight with or without medical escort. Cardiovascular diseases and injuries were the leading causes of death. Conclusions: Not only communicable diseases, but also injuries and chronic diseases (in particular cardiovascular diseases) frequently affected travelers’ health while staying abroad and frequently necessitated hospital-based care. This should be addressed during the pre-travel counseling."
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 77741
Dutch nationality or residency in the Netherlands
None
Study & Design
- Study Type
- Observational non invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Reason for hospitalization and/or repatriation and death (exacerbation or new illness), stratified per age group, gender and diagnosis.</p><br>
- Secondary Outcome Measures
Name Time Method <p>- Type of traveller<br /><br>- Travel purpose<br /><br>- Area of travel destination (western industrialised countries, developing countries)<br /><br>- Co-morbidity<br /><br>- Medication use<br /><br>- Country of hospitalization, repatriation or death<br /><br>- Length of hospital stay<br /><br>- Types of repatriation used (stratified per destination)<br /><br>- Mortality</p><br>