Modelling the risk factors for accidents in recreational divers: results from a cross-sectional evaluation in Belgium.

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Diving and hyperbaric medicine Pub Date : 2024-12-20 DOI:10.28920/dhm54.4.287-295

Kurt G Tournoy, Martijn Vandebotermet, Philippe Neuville, Peter Germonpré

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Abstract

Introduction: Characterisation of the recreational diving community could help to identify scuba divers at risk for accidents.

Methods: We performed a cross-sectional evaluation in a federation for recreational scuba divers in Belgium (Duiken.Vlaanderen). Using binary logistic regression, factors predictive for accidents leading to hospitalisation were identified.

Results: Of the 710 members, 210 (29.6%) participated in the survey, representing 140,133 dives. Age was > 50 years in 55% and the median (interquartile range [IQR]) number of dives was 380 (IQR 140-935). Cardiac (9.5%), orthopaedic (11.0%), ear-nose-throat (ENT, 10.5%) and allergic diseases (30.5%) were the top four morbidities. Twenty percent reported taking cardiovascular medication. Decompression accidents, barotrauma of the ear and musculoskeletal injuries were reported in 11.0, 11.9 and 11.0%. Fifty-five divers (26.2%) reported incidents not necessitating a medical intervention. For 36 divers (17.1%), medical interventions were necessary. Among these, 13 divers (6.2%) were hospitalised at least once and 12 (5.7%) of these needed hyperbaric oxygen therapy (HBOT). The absolute risk for hospitalisation or HBOT was 0.01% per dive. Age, advanced diving qualification, more dives annually, cardiac or ENT pathology and cardiac medication were significantly associated with an increased likelihood of hospitalisation resulting from diving accidents. In a multivariate risk model, ENT comorbidity (odds ratio [OR] 9.3; P = 0.006) and cardiac medication (OR 5.6; P = 0.05) predicted hospitalisation due to a diving accident.

Conclusions: One in six recreational scuba divers required a medical intervention at least once during their career, while 6.2% were hospitalised or received HBOT. Ear nose and throat comorbidity and cardiac medication were strong predictors for accidents. These should be given sufficient weight in dive medical examination.

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模拟事故的危险因素在娱乐潜水员：结果从横断面评估在比利时。

简介：休闲潜水群体的特征有助于识别有事故风险的潜水员：对休闲潜水群体的特征描述有助于识别有事故风险的潜水员：方法：我们对比利时休闲潜水员联合会（Duiken.Vlaanderen）进行了横向评估。结果：在 710 名会员中，210 人（占总人数的 1.5%）因意外事故而住院：在 710 名成员中，有 210 人（29.6%）参加了调查，代表了 140,133 次潜水。55%的人年龄大于 50 岁，潜水次数的中位数（四分位数间距 [IQR]）为 380 次（IQR 140-935）。心脏病（9.5%）、骨科疾病（11.0%）、耳鼻喉科疾病（10.5%）和过敏性疾病（30.5%）是发病率最高的四种疾病。20%的人报告服用心血管药物。减压事故、耳部气压创伤和肌肉骨骼损伤分别占 11.0%、11.9% 和 11.0%。55 名潜水员（26.2%）报告了无需医疗干预的事故。有 36 名潜水员（17.1%）需要进行医疗干预。其中，13 名潜水员（6.2%）至少住院治疗过一次，12 名潜水员（5.7%）需要接受高压氧治疗（HBOT）。每次潜水住院或接受高压氧治疗的绝对风险为 0.01%。年龄、高级潜水资格、每年潜水次数、心脏病或耳鼻喉科疾病以及心脏病药物与潜水事故导致住院的可能性增加有显著相关性。在多变量风险模型中，耳鼻喉科合并症（几率比 [OR] 9.3；P = 0.006）和心脏病药物（OR 5.6；P = 0.05）预示着因潜水事故而住院的可能性：结论：每六名休闲潜水员中就有一人在其职业生涯中至少需要一次医疗干预，而 6.2% 的人曾住院或接受过 HBOT 治疗。耳鼻喉合并症和心脏病药物是预测事故的重要因素。在潜水体检中应充分重视这些因素。

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来源期刊

Diving and hyperbaric medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.70

自引率

22.20%

发文量

审稿时长

>12 weeks

期刊介绍： Diving and Hyperbaric Medicine (DHM) is the combined journal of the South Pacific Underwater Medicine Society (SPUMS) and the European Underwater and Baromedical Society (EUBS). It seeks to publish papers of high quality on all aspects of diving and hyperbaric medicine of interest to diving medical professionals, physicians of all specialties, scientists, members of the diving and hyperbaric industries, and divers. Manuscripts must be offered exclusively to Diving and Hyperbaric Medicine, unless clearly authenticated copyright exemption accompaniesthe manuscript. All manuscripts will be subject to peer review. Accepted contributions will also be subject to editing.