Incidence of Acute Mountain Sickness in Adolescents Backpacking at Philmont Scout Ranch.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Wilderness & Environmental Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI:10.1177/10806032241281230
Courtney Ll Sharp, Hayley Ditmars, Ky Stoltzfus, Tanya Filardi, Aidan F Mullan, Robert J Hyde
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引用次数: 0

Abstract

Introduction: Individuals ascending to elevations above 2500 m are at risk of developing altitude illness. We sought to establish the incidence and to determine what risk factors, if any, increased the likelihood of developing acute mountain sickness (AMS) in adolescents at Philmont Scout Ranch (PSR) in Cimarron, New Mexico. PSR, with elevations ranging from 2011 to 3792 m, attracts thousands of adolescent participants each year, many of whom arrive from lower elevations with little or no experience ascending to high altitude.

Methods: We conducted a prospective observational study of adolescent participants aged 14 to 19 years who ascended to a minimum of 3000 m while trekking from June to July 2021. Prior to the start of each participant's trek, pretrek survey data were obtained at PSR's basecamp (2011 m). During the trek at 3048 m, the Lake Louise AMS score was used to diagnose AMS.

Results: The incidence of AMS in our study was 13.7%. Participants reporting a history of daily headaches had more than four times the risk of developing AMS. A history of gastrointestinal problems carried three times the risk of developing AMS, and a prior history of AMS increased the risk of developing AMS by 44%.

Conclusions: Our findings enhance our understanding of AMS risk in adolescents and may provide guidance to youth for developing AMS. For individuals with a history of headaches or gastrointestinal problems or a prior history of AMS, there may be an opportunity to reduce the risk of developing AMS.

在菲尔蒙特童子军牧场背包旅行的青少年中急性晕山症的发病率。
导言:登上海拔 2500 米以上地区的人有可能患高山病。我们试图确定新墨西哥州西马伦的菲尔蒙特童子军牧场(PSR)青少年急性高山反应(AMS)的发病率,并确定哪些风险因素(如果有的话)会增加其发病的可能性。菲尔蒙特童子军牧场海拔从 2011 米到 3792 米不等,每年吸引数千名青少年参加,其中许多人是从海拔较低的地方来的,几乎没有登高经验:我们对 2021 年 6 月至 7 月期间徒步攀登海拔至少 3000 米的 14 至 19 岁青少年参与者进行了前瞻性观察研究。在每位参与者开始徒步旅行之前,我们在 PSR 的大本营(2011 米)获得了徒步旅行前的调查数据。在海拔 3048 米的徒步过程中,使用路易斯湖 AMS 评分来诊断 AMS:在我们的研究中,AMS 的发病率为 13.7%。报告有日常头痛病史的参与者罹患急性髓系综合征的风险是正常人的四倍多。有胃肠道疾病史的人罹患急性胃炎的风险是普通人的三倍,有急性胃炎病史的人罹患急性胃炎的风险增加了 44%:我们的研究结果加深了我们对青少年罹患急性颅内压增高症风险的了解,并可为青少年罹患急性颅内压增高症提供指导。对于有头痛或胃肠道疾病史或曾患过急性胰腺炎的人来说,可能有机会降低患急性胰腺炎的风险。
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来源期刊
Wilderness & Environmental Medicine
Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
7.10%
发文量
96
审稿时长
>12 weeks
期刊介绍: Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.
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