Evidence map›Paper›PMID 39316567›Full record

SynthesisPloS one2024

Mountain sickness in altitude inhabitants of Latin America: A systematic review and meta-analysis.

J Pierre Zila-Velasque, Pamela Grados-Espinoza, P Alejandra Goicochea-Romero, Gustavo Tapia-Sequeiros, J Enrique Pascual-Aguilar, Arturo J Ruiz-Yaringaño, Shamir Barros-Sevillano, Jhon Ayca-Mendoza, Wendy Nieto-Gutierrez

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Observational
  6. Altitude hypoxia and hypoxemia: pathogenesis and management.Signal transduction and targeted therapy · 2026
    Review
  7. Article
  8. Neurological Manifestations Associated with Exercise at Altitude.Current neurology and neuroscience reports · 2025
    Review
  9. Review
  10. Review
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

9 authors.

J Pierre Zila-VelasqueRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.ORCID 0000-0002-5338-076X
Pamela Grados-EspinozaRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.ORCID 0000-0002-7905-5607
P Alejandra Goicochea-RomeroRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.ORCID 0000-0001-5138-0275
Gustavo Tapia-SequeirosRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.ORCID 0000-0002-9277-2731
J Enrique Pascual-AguilarRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.
Arturo J Ruiz-YaringañoRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.ORCID 0000-0001-5936-8094
Shamir Barros-SevillanoFacultad de Ciencias de la Salud, Escuela de Medicina, Universidad César Vallejo, Trujillo, Perú.
Jhon Ayca-MendozaRed Latinoamericana de Medicina en la Altitud e Investigación (REDLAMAI), Pasco, Peru.
Wendy Nieto-GutierrezUnidad de Investigación para la Generación de Síntesis de Evidencia en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru.ORCID 0000-0001-8012-1520

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic and acute mountain sickness is known worldwide, but most of the available information comes from the eastern continent (Himalayas) without taking into account the west which has the most recent group located at altitude, the Andes. The aim of this study was to synthesize the evidence on the prevalence of acute and chronic mountain sickness in Latin American countries (LATAM).

methodsA systematic search of the variables of interest was performed until July 8, 2023 in the Web of Science, Scopus, PubMed and Embase databases. We included studies that assessed the prevalence of mountain sickness in high-altitude inhabitants (>1500 m.a.s.l) who lived in a place more than 12 months. These were analyzed by means of a meta-analysis of proportions. To assess sources of heterogeneity, subgroup analyses and sensitivity analyses were performed by including only studies with low risk of bias and excluding extreme values (0 or 10,000 ratio). PROSPERO (CRD42021286504).

resultsThirty-nine cross-sectional studies (10,549 participants) met the inclusion criteria. We identified 5 334 and 2 945 events out of 10,000 with acute and chronic mountain sickness in LATAM countries. The most common physiological alteration was polycythemia (2,558 events), while cerebral edema was the less common (46 events). Clinical conditions were more prevalent at high altitudes for both types of MS.

conclusionAcute mountain sickness (AMS) occurs approximately in 5 out of 10 people at high altitude, while chronic mountain sickness (CMS) occurs in 3 out of 10. The most frequent physiological alteration was polycythemia and the least frequent was cerebral edema.

Indexed as

AltitudeAltitude SicknessAcute DiseaseBrain EdemaCross-Sectional StudiesHumansLatin AmericaPolycythemiaPrevalence

Identifiers

PMID39316567
PMCPMC11421813

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Registered trials

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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.