Clinical characteristics and aeromedical evaluation of flying personnel with acute ischemic stroke:a retrospective analysis
ZHAO Cong
ZHANG Guangyun
SHI Jin
CHEN Dawei
Abstract：Objective To review the clinical data on acute ischemic stroke(AIS)in aircrews and to provide reference for diagnosis,treatment and aeromedical evaluation.Methods Related cases and reports were retrieved from the electronic medical record system of Air Force Medical Center and databases of CNKI and PubMed.The clinical characteristics and results of aeromedical evaluations of these aircrews were summarized.Results A total of nine cases with AIS were retrieved,all of whom were male and aged 36 to 50.There were six pilots,one correspondent,one mechanist and one aviator.The National Institute of Health Stroke Scale(NHISS)scores of all these aircrews were 3 at most.According to the Trial of Org 10172 in Acute Stroke Treatment(TOAST)classification,two cases were attributed to small-artery occlusion,two cases to cardiogenic embolism and one case to eosinophilia.Four cases were classified as stroke of undetermined etiology due to multiple possible causes or incomplete evaluation.A total of eight aircrews underwent aeromedical evaluation.Four of these aircrews had no recurrence or sequelae after follow-up and were identified as qualified for flying.Two cases were still under ground observation and another two were identified as disqualified for flying.Conclusion AIS among aircrews is mostly mild.The capability of aircrews after AIS should be assessed in combination with such factors as the severity of health conditions,etiology,recurrence risk,outcomes,jobs,aircraft types and intentions.
Keywords：Ischemic strokeRetrospective analysisAviation medical identificationAircrews
Publication Date：2023-10-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 395-398 )