[abstract] A DESCRIPTIVE COMPARISON OF THE INITIAL RECOMPRESSION TREATMENT OF RECREATIONAL SCUBA DIVING RELATED INJURIES.

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[abstract] A DESCRIPTIVE COMPARISON OF THE INITIAL RECOMPRESSION TREATMENT OF RECREATIONAL SCUBA DIVING RELATED INJURIES.

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Title: [abstract] A DESCRIPTIVE COMPARISON OF THE INITIAL RECOMPRESSION TREATMENT OF RECREATIONAL SCUBA DIVING RELATED INJURIES.
Author: Bond, JG; Moon, RE; Dovenbarger, JA; Morris, DL
Abstract: This retrospective, nonrandomized study compared the treatment outcomes for recreational scuba divers suffering from DCS and/or AGE using two arbitrarily defined categories of initial recompression treatment: standard tables, consisting of USN Table 6, Table 5 or shorter-shallower tables; and enhanced tables, consisting of USN Table 6 with extensions or USN Table 6A. Stratified and logistic regression analyses were used to examine final clinical outcome two weeks after completion of treatment as a function of initial treatments with these two table types. 327 consecutive cases of decompression illness with adequate documentation were obtained from the DAN files from 1987-88. A total of 113 divers were treated with enhanced tables, of whom 54 had complete resolution two weeks after completion of therapy. A total of 214 divers were treated with standard tables, of whom 135 had complete resolution after completion of treatment. The logistic statistical model, after adjusting for confounding factors (age, sex, delay to treatment, disease severity using DAN code*, body mass index, diving within USN limits and pre-chamber O2) found a higher probability of successful treatment outcome for divers treated with standard tables (adjusted odds ratio =0.47; 95% confidence intelVal =0.28 -0.78). Odds ratio of 1.0 would be expected if there were no difference between initial treatment tables. These apparently paradoxical results are most likely due to an unrecognized clinical modifier not included in the confounding variables listed above, which may have caused the treating physician to use an enhanced table for what may have appeared to be a more serious or more resistant case. *DAN Disease Severity Code: see Report on 1987 Diving Accidents, Divers Alert Network, 1988.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Joint Annual Scientific Meeting with the International Congress for Hyperbaric Medicine and the European Undersea Biomedical Society held 11-18 August 1990. Okura Hotel, Amsterdam, The Netherlands (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/7259
Date: 1990

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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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