Evidence map›Paper›PMID 41600582›Full record

ReviewToxics2025

Submarine Indoor Air Quality and Crew Health: A Critical Narrative State-of-the-Art Review of Respiratory and Cardiovascular Risks.

Jérôme Sinquin, Aurélie Sachot, Fabrice Entine, Jean-Ulrich Mullot, Marco Valente, Samir Dekali

Abstract readReview
In one paragraph

Review in Toxics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Jérôme SinquinMedical Service for the Nuclear-Powered Ballistic Missile Submarine Squadron (ESNLE), 29240 Brest, CEDEX 9, France.ORCID 0009-0009-6934-4016
Aurélie SachotNaval Techniques (DGA TN), Directorate General of Armaments, 83000 Toulon, France.
Fabrice EntineMedical Service for the Nuclear-Powered Ballistic Missile Submarine Squadron (ESNLE), 29240 Brest, CEDEX 9, France.ORCID 0009-0003-2732-577X
Jean-Ulrich MullotCentral Direction of the Army Health Service (DCSSA), 75509 Paris, CEDEX 15, France.
Marco ValenteEmerging Technologies Risk Unit, French Armed Forces Biomedical Research Institute (IRBA), BP73, 91223 Brétigny-sur-Orge, CEDEX, France.
Samir DekaliEmerging Technologies Risk Unit, French Armed Forces Biomedical Research Institute (IRBA), BP73, 91223 Brétigny-sur-Orge, CEDEX, France.ORCID 0000-0002-9662-0284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubmarines represent extremely confined environments where breathing air is continuously recirculated for extended periods with minimal renewal, generating complex multipollutant atmospheres.

objectivesThis critical narrative review aims to (i) summarize sources and composition of submarine indoor air, (ii) evaluate respiratory and cardiovascular risks for crews, and (iii) assess current purification technologies.

methodsA narrative review was conducted following PRISMA recommendations applicable to non-systematic reviews. The PubMed search covered all years from inception to September 2025, complemented by backward citation tracking and technical reports.

resultsEligible studies consistently report elevated levels of CO

conclusionsSubmarine indoor air quality is a credible determinant of crew health. Existing filtration systems mitigate some risks but do not address multipollutant mixtures adequately. Improved real-time monitoring, advanced filtration, CFD-guided airflow optimization, and longitudinal medical surveillance are necessary.

Indexed as

bioaerosolscarbon dioxidecardiovascular healthindoor air qualityoccupational exposureoxidative stressPM2.5respiratory healthsubmarineVOCs

Identifiers

PMID41600582
PMCPMC12845886

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.