[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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dc.contributor.author Bond, JG
dc.contributor.author Moon, RE
dc.contributor.author Dovenbarger, JA
dc.contributor.author Morris, DL
dc.date.accessioned 2008-06-30T02:57:34Z
dc.date.available 2008-06-30T02:57:34Z
dc.date.issued 1990
dc.identifier.citation Undersea Biomedical Research, Vol. 16, No. 1 Supplement, March 1990 en
dc.identifier.uri http://archive.rubicon-foundation.org/7259
dc.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) en
dc.description.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. en
dc.description.sponsorship DAN en
dc.format.extent 193 bytes
dc.format.mimetype text/plain
dc.language.iso en en
dc.publisher Undersea and Hyperbaric Medical Society, Inc. en
dc.subject DIVING en
dc.subject DECOMPRESSION SICKNESS en
dc.subject Arterial Gas Embolism en
dc.subject recompression treatment en
dc.subject clinical outcome en
dc.subject Treatment outcome en
dc.subject statistical model en
dc.subject human en
dc.subject case review en
dc.title [abstract] A DESCRIPTIVE COMPARISON OF THE INITIAL RECOMPRESSION TREATMENT OF RECREATIONAL SCUBA DIVING RELATED INJURIES. en
dc.type Article en

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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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