Travel Practices and Associated Risks in Adult Thoracic Transplant Recipients: A Monocentric Survey

IF 1.9 4区医学 Q2 SURGERY

Clinical Transplantation Pub Date : 2025-08-23 DOI:10.1111/ctr.70206

Benoît Henry, Aurélie Garraffo, Paul-Henri Consigny, Claire Rouzaud, Fanny Lanternier, Pierre Frange, Ngoc-Tram To, Pierre Buffet, Benoît Pilmis, Shahid Husain, Elie Fadel, Jérôme Le Pavec, Olivier Lortholary

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Abstract

Background

Little is known regarding the travel practices of thoracic organ transplant recipients and their potential associated morbidity.

Methods

A questionnaire was distributed to thoracic organ transplant recipients to capture demographics, risk perception, knowledge regarding vaccination, history of travel outside metropolitan France, pre-travel advice, health issues during travel outside Europe, and travel intentions in the following year. Comparisons were performed between travelers and non-travelers through univariable then multivariable logistic regression.

Results

134 patients completed the survey (72% lung, 11% heart, and 17% heart–lung transplant recipients). Twenty-four percent considered themselves at moderately to significantly increased risk of travel-related health issues. Sixty-two patients (47%) had traveled outside metropolitan France. Among 29 subjects who had traveled outside Europe, 22 had received pre-travel advice. Among 62 respondents who had traveled outside metropolitan France, 6 (10%) experienced health issues (all outside Europe), which led to consultation in three cases and hospitalization in one case. Among 117 respondents, 68 (58%) intended to travel within the following year, and 57 (84%) to seek medical advice before departure, predominantly from their transplant physician. In multivariable analysis, being a lung transplant recipient and higher education level were associated with travel outside Europe. The time post-transplantation was longer for all types of travel, when compared to non-travelers.

Conclusions

Almost half of adult thoracic transplant recipients had traveled outside metropolitan France, 22% outside Europe, and 10% of travelers experienced health issues. The suboptimal preparation of these patients underlines the potential benefits of closer interaction between travel medicine specialists and transplant physicians.

Abstract Image

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成人胸腔移植受者的旅行习惯和相关风险：一项单中心调查

背景：关于胸部器官移植受者的旅行实践及其潜在的相关发病率，我们知之甚少。方法对胸腔器官移植受者进行问卷调查，包括人口统计学、风险认知、疫苗接种知识、法国大城市以外旅行史、旅行前建议、欧洲以外旅行期间的健康问题以及次年的旅行意向。通过单变量和多变量logistic回归对出行者和非出行者进行比较。结果134例患者完成调查，其中肺移植患者占72%，心脏移植患者占11%，心肺移植患者占17%。24%的人认为自己与旅行有关的健康问题的风险中度到显著增加。62名患者（47%）曾到法国大都市以外的地方旅行。在29名去过欧洲以外旅行的受试者中，22人在旅行前收到了建议。在62名去过法国大都市以外地区旅行的答复者中，6人（10%）遇到健康问题（均在欧洲以外），导致3例求诊，1例住院。117名受访者中，68人（58%）打算在接下来的一年内旅行，57人（84%）在出发前寻求医疗建议，主要是向他们的移植医生咨询。在多变量分析中，作为肺移植接受者和高等教育水平与欧洲以外的旅行相关。与非旅行者相比，所有类型的旅行的移植后时间都更长。结论：近一半的成人胸腔移植受者曾在法国大都市以外旅行，22%曾在欧洲以外旅行，10%的旅行者有过健康问题。这些患者的次优准备强调了旅行医学专家和移植医生之间更密切的互动的潜在好处。

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来源期刊

Clinical Transplantation 医学-外科

CiteScore

3.70

自引率

4.80%

发文量

286

审稿时长

2 months

期刊介绍： Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.