Evidence map›Paper›PMID 25261506›Full record

ArticleFamily practice2014

Travel-associated disease among US residents visiting US GeoSentinel clinics after return from international travel.

Stefan H F Hagmann, Pauline V Han, William M Stauffer, Andy O Miller, Bradley A Connor, DeVon C Hale, Christina M Coyle, John D Cahill, Cinzia Marano, Douglas H Esposito and 2 more

Open access · greenAbstract read
In one paragraph

Article in Family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 60 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. GeoSentinel: past, present and future†.Journal of travel medicine · 2020
    Review
  5. Article
  6. Journal de pediatrie et de puericulture · 2020
    Article
  7. Article
  8. EMC. Pediatria · 2019
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Genetic Diversity and Distribution ofBioMed research international · 2018
    Article
  17. Malaria-Related Hospitalizations in the United States, 2000-2014.The American journal of tropical medicine and hygiene · 2017
    Article
  18. Article
  19. Guidelines for the prevention of travel-associated illness in older adults.Tropical diseases, travel medicine and vaccines · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Stefan H F HagmannDivision of Pediatric Infectious Diseases, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY, USA, shagmann@bronxleb.org.
Pauline V HanDivision of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA.
William M StaufferDepartment of Medicine and Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Andy O MillerDivision of Infectious Diseases, Bronx-Lebanon Hospital Center, Bronx, NY, USA, Present address: Division of Infectious Diseases, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA.
Bradley A ConnorDivision of Gastroenterology and Hepatology, New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY, USA.
DeVon C HaleDepartment of Internal Medicine, University of Utah Medical Center, Salt Lake City, UT, USA.
Christina M CoyleDivision of Infectious Diseases, Jacobi Medical Center, Albert-Einstein College of Medicine, Bronx, NY, USA.
John D CahillSt. Luke's Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, Salt Lake City, UT, USA and.
Cinzia MaranoDivision of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA, Present address: GlaxoSmithKline Biologicals, Brussels, Belgium.
Douglas H EspositoDivision of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Phyllis E KozarskyEmory University Atlanta, GA, USA.
GeoSentinel Surveillance Network
Centers for Disease Control and Prevention · USAlbert Einstein College of Medicine · USBronx-Lebanon Hospital Center · USEmory University · USNewYork–Presbyterian Hospital · USUniversity of Minnesota · USUniversity of Utah · US

Funding

Intramural CDC HHS CC999999NCEZID CDC HHS 5U50CK000189NCEZID CDC HHS U50 CK000189
6 · The paper itself

Abstract

backgroundUS residents make 60 million international trips annually. Family practice providers need to be aware of travel-associated diseases affecting this growing mobile population.

objectiveTo describe demographics, travel characteristics and clinical diagnoses of US residents who present ill after international travel.

methodsDescriptive analysis of travel-associated morbidity and mortality among US travellers seeking care at 1 of the 22 US practices and clinics participating in the GeoSentinel Global Surveillance Network from January 2000 to December 2012.

resultsOf the 9624 ill US travellers included in the analysis, 3656 (38%) were tourist travellers, 2379 (25%) missionary/volunteer/research/aid workers (MVRA), 1580 (16%) travellers visiting friends and relatives (VFRs), 1394 (15%) business travellers and 593 (6%) student travellers. Median (interquartile range) travel duration was 20 days (10-60 days). Pre-travel advice was sought by 45%. Hospitalization was required by 7%. Compared with other groups of travellers, ill MVRA travellers returned from longer trips (median duration 61 days), while VFR travellers disproportionately required higher rates of inpatient care (24%) and less frequently had received pre-travel medical advice (20%). Illnesses of the gastrointestinal tract were the most common (58%), followed by systemic febrile illnesses (18%) and dermatologic disorders (17%). Three deaths were reported. Diagnoses varied according to the purpose of travel and region of exposure.

conclusionsReturning ill US international travellers present with a broad spectrum of travel-associated diseases. Destination and reason for travel may help primary health care providers to generate an accurate differential diagnosis for the most common disorders and for those that may be life-threatening.

Indexed as

Sentinel SurveillanceAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCommunicable DiseasesDiagnosis, DifferentialFemaleHumansInfantInfant, NewbornInternationalityMaleMiddle AgedDiagnosisepidemiologymorbiditypreventionsurveillancetravel.

Identifiers

PMID25261506
PMCPMC4624308
OpenAlexW2117262977

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.