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Scott RT, Sanders LM, Antonsen EL, Hastings JJA, Park SM, Mackintosh G, Reynolds RJ, Hoarfrost AL, Sawyer A, Greene CS, Glicksberg BS, Theriot CA, Berrios DC, Miller J, Babdor J, Barker R, Baranzini SE, Beheshti A, Chalk S, Delgado-Aparicio GM, Haendel M, Hamid AA, Heller P, Jamieson D, Jarvis KJ, Kalantari J, Khezeli K, Komarova SV, Komorowski M, Kothiyal P, Mahabal A, Manor U, Garcia Martin H, Mason CE, Matar M, Mias GI, Myers JG, Nelson C, Oribello J, Parsons-Wingerter P, Prabhu RK, Qutub AA, Rask J, Saravia-Butler A, Saria S, Singh NK, Snyder M, Soboczenski F, Soman K, Van Valen D, Venkateswaran K, Warren L, Worthey L, Yang JH, Zitnik M, Costes SV. Biomonitoring and precision health in deep space supported by artificial intelligence. NAT MACH INTELL 2023. [DOI: 10.1038/s42256-023-00617-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/28/2023]
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Tran KA, Pollock NW, Rhéaume C, Razdan PS, Fortier FA, Dutil-Fafard L, Morin C, Monnot DPM, Huot-Lavoie M, Simard-Sauriol P, Chandavong S, Le Pabic G, LeBlanc JP, Lafond D, Marion A, Archambault PM. Evidence Supporting the Management of Medical Conditions During Long-Duration Spaceflight: Protocol for a Scoping Review. JMIR Res Protoc 2021; 10:e24323. [PMID: 33779571 PMCID: PMC8088865 DOI: 10.2196/24323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 12/03/2020] [Accepted: 01/18/2021] [Indexed: 11/28/2022] Open
Abstract
Background Future long-duration space exploration missions, such as traveling to Mars, will create an increase in communication time delays and disruptions and remove the viability of emergency returns to Earth for timely medical treatment. Thus, higher levels of medical autonomy are necessary. Crew selection is proposed as the first line of defense to minimize medical risk for future missions; however, the second proposed line of defense is medical preparedness and crew member autonomy. In an effort to develop a decision support system, the Canadian Space Agency mandated a team of scientists from Thales Research and Technology Canada (Québec, QC) and Université Laval (Québec, QC) to create an evidence-based medical condition database linking mission-critical human conditions with key causal factors, diagnostic and treatment information, and probable outcomes. Objective To complement this database, we are currently conducting a scoping review to better understand the depth and breadth of evidence about managing medical conditions in space. Methods This scoping review will adhere to quality standards for scoping reviews, employing Levac, Colquhoun, and O’Brien's 6-stage methodology; the reported results will follow the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) extension for scoping reviews. In stage 1, we identified the research question in collaboration with the Canadian Space Agency (CSA), the main knowledge user. We prioritized 10 medical conditions: (1) acute coronary syndrome, (2) atrial fibrillation, (3) eye penetration, (4) herniated disk, (5) nephrolithiasis, (6) pulmonary embolism, (7) retinal detachment, (8) sepsis, (9) stroke, and (10) spaceflight associated neuro-ocular syndrome. In stage 2, with the help of an information specialist from Cochrane Canada Francophone, papers were identified through searches of the following databases: ARC, Embase, IeeeXplore, Medline Ovid, PsychINFO, and Web of Science. In stage 3, studies will be selected and assessed using a 3-step process and emerging, refined exclusion criteria. In stage 4, the data will be charted in a table based on parameters required by the CSA and developed using Google spreadsheets for shared access. In stage 5, evidence-based descriptive summaries will be produced for each condition, as well as descriptive analyses of collected data. Finally, in stage 6, the findings will be shared with the CSA to guide the completion of this project. Results This study was planned in December 2018. Stage 1 has been completed. The initial database search strategy with all target conditions combined identified a total of 10,403 citations to review through title and abstract screening and after duplicate removal. We plan to complete stages 2-6 by the beginning of 2021. Conclusions This scoping review will map the literature on the management of 10 priority medical conditions in space. It will also enable us to identify knowledge gaps that must be addressed in future research, ensuring successful and medically safe future missions as humankind embarks upon new frontiers of space exploration. International Registered Report Identifier (IRRID) DERR1-10.2196/24323
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Affiliation(s)
- Kim-Anh Tran
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada
| | - Neal William Pollock
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada
| | - Caroline Rhéaume
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,VITAM - Centre de recherche en santé durable, Université Laval, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Quebec, QC, Canada
| | - Payal Sonya Razdan
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada
| | | | | | - Camille Morin
- Faculty of Medicine, Université Laval, Quebec, QC, Canada
| | - David Pierre-Marie Monnot
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada
| | - Maxime Huot-Lavoie
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada
| | | | - Sam Chandavong
- Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada.,Faculty of Science and Engineering, Université Laval, Quebec, QC, Canada
| | | | | | - Daniel Lafond
- Research and Technology, Thales Canada, Quebec, QC, Canada
| | - Andréanne Marion
- Faculty of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Patrick Michel Archambault
- Faculty of Medicine, Université Laval, Quebec, QC, Canada.,Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centres intégrés de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada.,VITAM - Centre de recherche en santé durable, Université Laval, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Quebec, QC, Canada
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