Evidence map›Paper›PMID 28357819›Full record

ArticleDiving and hyperbaric medicine2017

A comparative evaluation of two decompression procedures for technical diving using inflammatory responses: compartmental versus ratio deco.

Enzo Spisni, Claudio Marabotti, Luigia De Fazio, Maria Chiara Valerii, Elena Cavazza, Stefano Brambilla, Klarida Hoxha, Antonio L'Abbate, Pasquale Longobardi

Abstract readComparative Study
In one paragraph

Article in Diving and hyperbaric medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.4field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Decompression illness: a comprehensive overview.Diving and hyperbaric medicine · 2024
    Article
  7. Oxy-Inflammation in Humans during Underwater Activities.International journal of molecular sciences · 2024
    Review
  8. Article
  9. Observational
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Enzo SpisniDepartment of Biological, Geological and Environmental Sciences, Translational Physiology and Nutrition Unit, University of Bologna, Via Selmi 3, 40126 Bologna, Italy, enzo.spisni@unibo.it.
Claudio MarabottiDepartment of Biological, Geological and Environmental, Sciences, University of Bologna, Italy.
Luigia De FazioDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Italy.
Maria Chiara ValeriiDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Italy.
Elena CavazzaDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Italy.
Stefano BrambillaInstitute for Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Klarida HoxhaHyperbaric Center of Ravenna, Via Augusto Torre 3, Ravenna, Italy.
Antonio L'AbbateInstitute for Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Pasquale LongobardiInstitute for Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
University of Bologna · ITOspedale "Santa Maria delle Croci" di Ravenna · ITScuola Superiore Sant'Anna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to compare two decompression procedures commonly adopted by technical divers: the ZH-L16 algorithm modified by 30/85 gradient factors (compartmental decompression model, CDM) versus the 'ratio decompression strategy' (RDS). The comparison was based on an analysis of changes in diver circulating inflammatory profiles caused by decompression from a single dive.

methodsFifty-one technical divers performed a single trimix dive to 50 metres' sea water (msw) for 25 minutes followed by enriched air (EAN50) and oxygen decompression. Twenty-three divers decompressed according to a CDM schedule and 28 divers decompressed according to a RDS schedule. Peripheral blood for detection of inflammatory markers was collected before and 90 min after diving. Venous gas emboli were measured 30 min after diving using 2D echocardiography. Matched groups of 23 recreational divers (dive to 30 msw; 25 min) and 25 swimmers were also enrolled as control groups to assess the effects of decompression from a standard air dive or of exercise alone on the inflammatory profile.

resultsEchocardiography at the single 30 min observation post dive showed no significant differences between the two decompression procedures. Divers adopting the RDS showed a worsening of post-dive inflammatory profile compared to the CDM group, with significant increases in circulating chemokines CCL2 (P = 0.001) and CCL5 (P = 0.006) levels. There was no increase in chemokines following the CDM decompression. The air scuba group also showed a statistically significant increase in CCL2 (P < 0.001) and CCL5 (P = 0.003) levels post dive. No cases of decompression sickness occurred.

conclusionThe ratio deco strategy did not confer any benefit in terms of bubbles but showed the disadvantage of increased decompression-associated secretion of inflammatory chemokines involved in the development of vascular damage.

Indexed as

AlgorithmsAirBiomarkersCase-Control StudiesChemokinesDecompressionDivingEchocardiographyEmbolism, AirHeliumHumansInflammation MediatorsInterleukinsNitrogenOxygenSeawaterBiomarkersChemokinesHeliumInflammation MediatorsInterleukinsNitrogenOxygentrimixBubblesChemokinesDecompression tablesEchocardiographyInflammationScuba diving

Identifiers

PMID28357819
PMCPMC6147226
OpenAlexW2979184540

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.