Stroke in Railway Workers, Pilots and Commercial Vehicle Operators: The Risk of a Future Event
Abstract
Medical guidelines, for individuals who have had a cerebrovascular event and who work in occupations where critical attention is required, lack consistency between occupations and across different areas of the world. Airline pilots, railway engineers and commercial vehicle operators are examples of individuals who cross international boarders frequently and need guidelines for safe return to work after an initial stroke. These individuals are at risk of a second catastrophic event including death, a myocardial infarction, syncope, seizures, or recurrent ischemic or hemorrhagic stroke. Medical guidelines should include occupational risk level, diagnosis of the initial event, assessment of the patient by medical evaluation and testing, risk factor evaluation and suggestions for further testing. A risk threshold to determine if an individual will go on to have a second event, stratified by diagnosis and other risk factors, should be stated in these guidelines. However, the risk that an individual in the working age group will go on to have a second event is not well understood. The first paper of this thesis is a narrative overview of the current medical guidelines in place for air, rail and road transport in Canada, the USA, the UK and Australia. The second paper is a systematic review and meta analysis looking at the risk that an individual with a first ever cerebrovascular event in the working age group will go on to have a catastrophic event.
Description
Keywords
Neuroscience
Citation
Klein, R. (2016). Stroke in Railway Workers, Pilots and Commercial Vehicle Operators: The Risk of a Future Event (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/27898