[abstract] ASSOCIATION OF THE CLINICAL PRESENTATION OF DCI WITH TREATMENT OUTCOME

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[abstract] ASSOCIATION OF THE CLINICAL PRESENTATION OF DCI WITH TREATMENT OUTCOME

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Title: [abstract] ASSOCIATION OF THE CLINICAL PRESENTATION OF DCI WITH TREATMENT OUTCOME
Author: Vann, RD; Freiberger, JJ; DeNoble, PJ; Uguccioni, DM; Reed, WL; Perkins, RW
Abstract: BACKGROUND: We compared our clinical impression of the severity of decompression illness (DCI) with the presence of residual symptoms upon completion of all treatments (the outcome). METHODS: We defined six categories of presenting symptoms ranked in decreasing severity from 1 to 6 according to our clinical impression of seriousness and expected morbidity (see table). Each of 5,812 diving injury cases collected by the Divers Alert Network (DAN) from 1987-2000 was placed in the category of its (presumed) most severe symptom. We used logistic regression (SPSS v. 8.0) to assess the relative odds (adjusted for age, weight, height, and gender) of the outcome for each severity group. RESULTS: The percent Residual Symptoms and adjusted odds are presented in the table for each symptom category. Serious Neurological (45.7percent) had the highest proportion of residuals and Constitutional the lowest (30.7percent). Mild Neurological (39.5percent) and Pain (39.2percent) responded to treatment equally well. There were too few cases to assess the significance of Cardiopulmonary and Lymphatic/Skin. Symptom Category percent (N) Residuals Adjusted Odds of outcome compared to reference group 95percent CI 1. Serious Neurological. Bladder, bowel, coordination, consciousness, hearing, mental status, reflexes, strength, vision. 45.7 (740) 1.778 1.468, 2.153 2. Cardiopulmonary. Arrthymia, palpitations, cough, hemoptysis, pulmonary, respiratory distress, shortness of breath, voice change. 37.4 (76) NS 3. Mild Neurological. Paresthesia, numbness, tingling, sensation, twitching. 39.5 (766) 1.489 1.167, 1.701 4. Pain. Ache, cramps, discomfort, pain, pressure, pain, spasm, stiffness. 39.2 (539) 1.433 1.175, 1.747 5. Lymphatic/Skin. Swelling, burning of skin, itching, marbling, skin, rash. 28.8 (21) NS 6. Constitutional/Non-Specific. Dizziness, vertigo, fatigue, headache, nausea, vomiting, chills, diaphoresis, heaviness, lightheadedness, malaise, restlessness. 30.7 (221) 1 reference. CONCLUSION: A clinical perception of higher DCI severity was generally associated with more unfavorable treatment outcome. DCI, symptoms, residual, morbidity, outcome
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1250
Date: 2002

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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