{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:17:23Z","timestamp":1784697443911,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["High Altitude Medicine &amp; Biology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    Berendsen, Remco R., Dirk C.A.A. de Vries, Alea Steger, Nadine Herold, Feico J.J. Halbertsma, Adriaan F. Norbart, Hannes Gatterer, and Bengt Kayser. Lack of altitude medicine knowledge among mountaineers in the Italian Alps.\n                    <jats:italic toggle=\"yes\">High Alt Med Biol.<\/jats:italic>\n                    26:361\u2013373, 2025.\n                  <\/jats:p>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In 2022, expert consensus defined a set of minimum altitude medicine knowledge statements for laypersons traveling to high altitudes (STAK: strengthening altitude knowledge). We used these statements to assess knowledge among mountaineers in the Italian Alps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Mountaineers in a hut (3,647 m) completed an online STAK-based questionnaire, also indicating their confidence after each answer. A score of \u226519\/28 was used as a statistical threshold, exceeding chance alone. Logistic regression assessed the link between confidence and correctness; multivariate regression explored demographic, educational, and behavioral predictors of achieving an above-threshold score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 576 participants, 412 (72%) were included in the final analysis and 115 (28%) scored \u226519. Among them, 59% of medical professionals, 36% of mountain guides, and 23% of general participants reached the threshold; the medical professionals scored significantly higher than the general participants (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Both being a mountain guide (odds ratios [OR]: 2.3, 95% confidence intervals [CI]: 1.0\u20135.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05) and being a medical professional (OR: 4.5, 95% CI: 2.1\u201310.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) were associated with higher scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Using STAK as a benchmark, we found a substantial lack of altitude medicine knowledge in mountaineers, even among guides and medical professionals. These findings suggest a potential for targeted educational interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/ham.2025.0028","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T05:13:36Z","timestamp":1749100416000},"page":"361-373","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Lack of Altitude Medicine Knowledge Among Mountaineers in the Italian Alps"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2848-8699","authenticated-orcid":false,"given":"Remco R.","family":"Berendsen","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Leiden University Medical Center, Leiden, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk C.A.A.","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Spaarne Gasthuis, Haarlem, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alea","family":"Steger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Herold","sequence":"additional","affiliation":[{"name":"Department of Sport Science, University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feico J.J.","family":"Halbertsma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maxima Medical Centre, Veldhoven, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriaan F.","family":"Norbart","sequence":"additional","affiliation":[{"name":"Centre of Innovation in Medical Education, Leiden University Medical Center, Leiden, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5084-2930","authenticated-orcid":false,"given":"Hannes","family":"Gatterer","sequence":"additional","affiliation":[{"name":"Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9776-7501","authenticated-orcid":false,"given":"Bengt","family":"Kayser","sequence":"additional","affiliation":[{"name":"Institute of Sport Sciences, University of Lausanne, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2021.12.004"},{"issue":"5","key":"e_1_3_4_3_1","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1152\/jappl.1988.65.5.1929","article-title":"Atrial natriuretic peptide in acute mountain sickness","volume":"65","author":"Bartsch P","year":"1988","unstructured":"Bartsch P, , Shaw S, , Franciolli M, et al. 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