[abstract] TWO-YEAR FOLLOW-UP OF DECOMPRESSION ILLNESS (DCI)

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[abstract] TWO-YEAR FOLLOW-UP OF DECOMPRESSION ILLNESS (DCI)

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Title: [abstract] TWO-YEAR FOLLOW-UP OF DECOMPRESSION ILLNESS (DCI)
Author: Lawler, WL; Hargasser, S; Moon, RE; Uguccioni, DM; Stolp, BW
Abstract: BACKGROUND: Four weeks after treatment of DCI in recreational divers 47percent have residual symptoms (DAN, 1995). Long term prognosis in this group of divers is unknown. METHODS: 115 cases of DCI 2 years post treatment were randomly selected from the 1993 DAN Database (n = 493). The presenting symptoms at the time of accident were characterized as pain only, severe neurological (symptoms involving cognitive or motor function, balance, consciousness or bladder/bowel function), and mild neurological (neurological symptoms excluding the ones classified severe). Attempts were made to contact each of the 115 divers in order to administer a standardized telephone questionnaire designed to detect current evidence of deficits in fine motor skills, emotional stability, musculoskeletal, cerebellar, functional or cognitive performance. RESULTS: Successful contact was made with 68 divers. This group was representative of the 1993 DAN dive accident population. :::Residual Symptoms 2 Years after Treatment:: Initial Symp. :N:Pain Only:Mild Neuro:Severe Neuro:Total Resid Pain only:10:2:1:0:3 (30percent) Minor neurol.:39:1:11:2:14 (36percent) Severe neurol.:19:0:5:4#:9(47percent) TOTAL:68:3:17:6:27 (40percent) Divers who appeared to worsen may have been initially misclassified or developed new symptoms. 1 patient: spinal meningitis and CSF leak repair - continued to dive; 1 patient: 2 bends since original. # 1 urinary hesitancy, 2 incontinence, 3 blurred vision, 1 memory problem, 1 attention span problem, 1 motor weakness. No patient had impairment of self-care. There was a correlation between treatment delay and the probability of residual symptoms. 11/19 initially classified as severe and 3/6 with residual severe symptoms continue to dive. CONCLUSION: DCI in recreational divers is associated with significant long-term morbidity. In this study, 24 of 68 cases (35percent) remained symptomatic 2 years after recompression treatment, and 2 had residual symptoms which interefere with quality of life.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/492
Date: 1996

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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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