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Occupational Epidemiology/Clinical data monitoring and indicators for repatriation program

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The research questions

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  1. How is the development over time of the clinical data values ?
  2. Are there any valid clinical indicators to be used for preventing repatriation? [1]

Objectives

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  1. To monitor and evaluate the basic clinical data from the health examinations
  2. To find clinical tests with high sensitivity and predictive value for +/- being repatriated

Project methodology

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  1. Cross-sectional study with prevalence of the clinical data over years for trends (a)
  2. Case-control study with logistic regression analysis

a) Google Forms program has to be developed for clinics without a dataprogram. This program can be of benefit in the future for all clinics. The first step is to describe all the variables in Word.

The study populations

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  1. Samples of clinical data from the health examinations in many clinics
  2. Samples of repatriated seafarers as the cases and non-repatriated seafarers as the controls

Hypotheses

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  1. < 40 BMI is not a risk for repatriation
  2. Prediabetes and prehypertension either
  3. No specific "extra" lab test predict repatriation

References

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  1. Lefkowitz RY, Slade MD, Redlich CA. Risk factors for merchant seafarer repatriation due to injury or illness at sea. International Maritime Health. 2015;66(2):61–6.