The comorbidity profile of the Russian Northern Fleet flying personnel disqualified for health reasons

Abstract

Analysis of 202 medical histories of the Northern Fleet naval pilots suggested the necessity to introduce the criteria of the comorbidity number and comorbidity formulation. It has been found that psychosomatic diseases with stress as a pathogenetic factor remain the leading cause for the medical disqualification of the Northern Fleet naval pilots (up to 60% of the cases). We recommend going from the nosologic level of diagnostics to the physiological level to optimize the aeromedical certification process. Methods of probabilistic modeling of chronic pathology pathogenesis are considered, which may become a basis for programming in the technology for anti-risk rehabilitation of pilots.