Evidence map›Paper›PMID 28975560›Full record

ArticleSports medicine - open2017

Observational study of potential risk factors of immersion pulmonary edema in healthy divers: exercise intensity is the main contributor.

A Boussuges, K Ayme, G Chaumet, E Albier, M Borgnetta, O Gavarry

Open access · goldAbstract read
In one paragraph

Article in Sports medicine - open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. 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

6 authors at 2 institutions in 1 country.

A BoussugesUMR MD2, Dysoxie-Suractivité, Aix-Marseille Université et Institut de Recherche Biomédicale des Armées (IRBA), Faculté de Médecine Nord, Marseille, France. alain.boussuges@univ-amu.fr.
K AymeUMR MD2, Dysoxie-Suractivité, Aix-Marseille Université et Institut de Recherche Biomédicale des Armées (IRBA), Faculté de Médecine Nord, Marseille, France.
G ChaumetAltrabio, Lyon, SA, France.
E AlbierInstitut National de Plongée Professionnelle, Port de la Pointe Rouge, Marseille, France.
M BorgnettaInstitut National de Plongée Professionnelle, Port de la Pointe Rouge, Marseille, France.
O GavarryLaboratoire HandiBio EA 4322, Université de Toulon, La Garde, France.
Aix-Marseille Université · FRUniversité de Toulon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk factors of pulmonary edema induced by diving in healthy subjects are not well known. The aim of the present study was to assess the parameters contributing to the increase in extravascular lung water after diving.

methodsThis study was carried out in a professional diving institute. All divers participating in the teaching program from June 2012 to June 2014 were included in the study. Extravascular lung water was assessed using the detection of ultrasound lung comets (ULC) by chest ultrasonography. Clinical parameters and dive profiles were recorded using a questionnaire and a dive computer.

resultsOne-hundred six divers were investigated after 263 dives. They used an open-circuit umbilical supplying compressed gas diving apparatus in 202 cases and a self-contained underwater breathing apparatus in 61 cases. A generalized linear mixed model analysis was performed which demonstrated that the dive induced a significant increase in ULC score (incidence rate ratio: 3.16). It also identified that the predictive variable of increased extravascular lung water after the dive was the exercise intensity at depth (z = 3.99, p < 0.0001). The other parameters studied such as the water temperature, dive profile, hyperoxic exposure, or anthropometric data were not associated with the increase in extravascular lung water after the dive.

conclusionsIn this study, the exercise intensity was the main contributor to the increase in extravascular lung water in healthy divers. To improve the prevention of immersion pulmonary edema, the exercise intensity experienced during the dive should thus be adapted to the aerobic fitness level of the divers.

Indexed as

Chest ultrasonographyDiving medicinePulmonary edemaUltrasound

Identifiers

PMID28975560
PMCPMC5626674
OpenAlexW2763626845

What OpenQuestion holds

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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.