PROGNOSTIC FACTORS OF SPINAL CORD DECOMPRESSION SICKNESS IN FISHERMEN-DIVERS AT MILITARY HOSPITAL 87

Quách Hoàng Kiên1,, Trần Xuân Toại1, Bùi Mạnh Hùng1, Trịnh Đức Trung1, Lê Bá Thành1
1 Military Hospital 87, Nha Trang, Khanh Hoa

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Abstract

Objectives: A study to determine the potential risk factors associated with the development of severe diving-related spinal cord decompression sickness (DCS). Subjects and methods: A descriptive cross-sectional study was conducted with 41 cases of spinal cord DCS in the military hospital 87 from January 2022 to July 2022. Results: Results indicated that 73.2 percent of DCS had poor recovery after 1 month. Multivariate analysis revealed several independent factors associated with a bad recovery: the initial clinical severity scores, in–water recompression to depths > 19 meters of seawater breathing air, and the choice of initial HBOT regimen. Conclusions: Initial clinical presentation, initial treatment options, and the choice of initial hyperbaric procedure play an important role in the recovery.

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References

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