Publication: Kabin Ekibinde 2017-2021 Yılları Arasında Kalıcı Tıbbi Elverişsizlik Nedenleri
Abstract
Amaç: Ülkemizdeki yetkili havacılık tıp merkezlerinde sağlık muayenesine giren ve yapılan incelemeler sonucu gerekli sağlık standartlarını karşılayamayan kabin ekibinin kalıcı tıbbi elverişsizlik nedenlerinin ortaya konulması amaçlanmıştır. Gereç ve Yöntem: Çalışmamız 2017-2021 yılları arasında uçuştan kalıcı elverişsizlik kararı verilen kabin ekibi üyelerinde yapılmıştır. Kabin ekibinin demografik verileri, sağlık muayene bulguları, sağlığına etkisi yönünden sigara ve alkol kullanım durumları, yıllara ve yaş gruplarına göre kalıcı tıbbi elverişsizlik oranları ve nedenleri incelenmiştir. Bu araştırmada kullandığımız geriye dönük tüm veriler Sivil Havacılık Genel Müdürlüğü'nün Hava Sağlık Birimi'ndeki elektronik dosya arşivinden alınmıştır. Veriler SPSS paket istatistik programında değerlendirilmiştir. Bulgular: Bu retrospektif çalışmada muayene edilen kabin ekibi üyesi sayısı 19.035, kalıcı elverişsizlik kararı verilen kişi sayısı 65 (‰3,4)'tir. Olguların yaş ortalaması 31,71 ± 6,16 olup, 34 kadın 31 erkek kabin ekibi üyesi tespit edilmiştir. Çalışmamızda belirlenen vakaların sadece 5'i 40-49 yaş aralığında olup geri kalan vakaların hepsi 20-39 yaş aralığındadır. 2017 ve 2020 yılı için diğer yılların toplam muayene ve kalıcı tıbbi elverişsizlik sayılarıyla kıyaslandığında aralarında istatistiki olarak anlamlı fark saptanmıştır (p<0,05). Kalıcı elverişsizlik kararı verilen kabin ekibi üyelerinde en yaygın tanı kategorisi psikiyatrik hastalıklar (%29,2) olmuştur; ikinci sırada alkol ve psikoaktif madde kötüye kullanımı (%16,9), üçüncü sırada ise göz hastalıkları (%13,8) bulunmuştur. Kalan vakalar kas ve iskelet sistemi, kulak burun boğaz, nörolojik, metabolik ve endokrin sistem, sindirim sistemi, solunum sistemi ve onkolojik hastalıklardan kaynaklanmaktadır. Sonuç: Kabin ekibinin görevlerini yerine getirebilecek fiziksel ve zihinsel kapasiteye sahip olmaları gerektiği açıktır. Hem kabin ekibinin hem de havacılık tıbbı hekimlerinin çalışmamızda tespit edilen hastalıklar konusunda farkındalığı artırılmalıdır. Çalışmamızda saptanan hastalıkların/yaralanmaların önlenmesiyle havayolu sektöründe maddi ve işgücü kaybının azalacağı düşünülmektedir. Bu çalışma, klinik takibin yanı sıra erken teşhisin önemine dikkat çekmektedir. Anahtar kelimeler: Havacılık tıbbı, kabin ekibi üyesi, havacılık muayenesi, kalıcı tıbbi elverişsizlik
Objective: It is aimed to reveal the causes of permanent medical unfitness of the cabin crew who have undergone medical examination at the aeromedical centers in our country and cannot meet the required health standards as a result of the examinations. Material and Method: Our study was carried out on cabin crew members who were decided to be permanently unfit for flight between 2017-2021. Demographic data of the cabin crew, health examination findings, cigarette and alcohol use in terms of their effects on health, permanent medical inconvenience rates and causes by years and age groups were examined. All the retrospective data we used in this study were taken from the electronic file archive in the Air Health Unit of the General Directorate of Civil Aviation. The data were evaluated in the SPSS package statistics program. Results: In this retrospective study covering 5-year-period, the number of cabin crew members examined was 19035, and the number of people who were given a permanent unfit decision was 65 (‰3,4). The mean age of the cases was 31.71 ± 6.16, and 34 female and 31 male cabin crew members were identified. Only 5 of the cases identified in our study were between the ages of 40-49, and all the remaining cases were between the ages of 20-39. A statistically significant difference was found between 2017 and 2020 when compared with the total number of examinations and permanent medical unfit in other years (p<0.05). Psychiatric diseases (29.2%) were the most common diagnostic category among cabin crew members who were given a permanent unfit decision; alcohol and psychoactive substance abuse (16.9%) was in the second rank, and eye diseases (13.8%) were in the third rank. The remaining cases are due to diseases of the musculoskeletal system, otolaryngology, neurological, metabolic and endocrine system, digestive system, respiratory system and oncological diseases. Conclusion: It is clear that cabin crew must have the physical and mental capacity to perform their duties. Awareness of both the cabin crew and aviation medicine doctors about the diseases identified in our study should be increased. It is thought that the loss of material and labor in the airline industry will decrease by preventing the diseases/injuries detected in our study. This study draws attention to the importance of early diagnosis as well as clinical follow-up. Keywords: Aviation medicine, cabin crew member, aviation examination, permanent medical unfitness
Objective: It is aimed to reveal the causes of permanent medical unfitness of the cabin crew who have undergone medical examination at the aeromedical centers in our country and cannot meet the required health standards as a result of the examinations. Material and Method: Our study was carried out on cabin crew members who were decided to be permanently unfit for flight between 2017-2021. Demographic data of the cabin crew, health examination findings, cigarette and alcohol use in terms of their effects on health, permanent medical inconvenience rates and causes by years and age groups were examined. All the retrospective data we used in this study were taken from the electronic file archive in the Air Health Unit of the General Directorate of Civil Aviation. The data were evaluated in the SPSS package statistics program. Results: In this retrospective study covering 5-year-period, the number of cabin crew members examined was 19035, and the number of people who were given a permanent unfit decision was 65 (‰3,4). The mean age of the cases was 31.71 ± 6.16, and 34 female and 31 male cabin crew members were identified. Only 5 of the cases identified in our study were between the ages of 40-49, and all the remaining cases were between the ages of 20-39. A statistically significant difference was found between 2017 and 2020 when compared with the total number of examinations and permanent medical unfit in other years (p<0.05). Psychiatric diseases (29.2%) were the most common diagnostic category among cabin crew members who were given a permanent unfit decision; alcohol and psychoactive substance abuse (16.9%) was in the second rank, and eye diseases (13.8%) were in the third rank. The remaining cases are due to diseases of the musculoskeletal system, otolaryngology, neurological, metabolic and endocrine system, digestive system, respiratory system and oncological diseases. Conclusion: It is clear that cabin crew must have the physical and mental capacity to perform their duties. Awareness of both the cabin crew and aviation medicine doctors about the diseases identified in our study should be increased. It is thought that the loss of material and labor in the airline industry will decrease by preventing the diseases/injuries detected in our study. This study draws attention to the importance of early diagnosis as well as clinical follow-up. Keywords: Aviation medicine, cabin crew member, aviation examination, permanent medical unfitness
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