The SANDHOG criteria and its validation for the diagnosis of DCS arising from bounce diving.

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The SANDHOG criteria and its validation for the diagnosis of DCS arising from bounce diving.

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dc.contributor.author Grover, I
dc.contributor.author Reed, W
dc.contributor.author Neuman, TS
dc.date.accessioned 2008-07-10T01:48:46Z
dc.date.available 2008-07-10T01:48:46Z
dc.date.issued 2007
dc.identifier.citation Undersea Hyperb Med. 2007 May-Jun;34(3):199-210. en
dc.identifier.issn 1066-2936
dc.identifier.issn PUBMED: 17672176
dc.identifier.uri http://archive.rubicon-foundation.org/7350
dc.description Undersea & Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc. en
dc.description.abstract PURPOSE: A three-point scale, the SANDHOG (SAN Diego Diving and Hyperbaric Organizations) criteria, was developed to diagnose DCS (decompression sickness), and then it was validated against a known database of diving related injuries. INTRODUCTION: There are currently no universally accepted diagnostic criteria for the diagnosis of DCS. The SANDHOG criteria were developed to address the need for a case definition of DCS. METHODS: A point scale and entrance criteria were developed for the diagnosis of DCS. Once the entrance criterion had been met, points were awarded based upon the diver's symptoms and their time of onset. The point system and time limits (SANDHOG criteria) were determined based upon US Navy and Royal Canadian diving reports. The SANDHOG criteria were then applied on a post hoc basis to the Duke Hyperbaric database of diving injuries. Sensitivity and specificity were then calculated using three points as the cut off. The ROC (receiver operating characteristic) analysis was performed to determine the area under the curve (AUC). RESULTS: The three point SANDHOG criteria had a specificity of 90.3% and a sensitivity of 52.7%. ROC analysis of the original SANDHOG criteria gave an AUC of 0.72. Using different point values for the diagnosis of DCS will subsequently affect the sensitivity and specificity of the SANDHOG criteria. CONCLUSIONS: The specificity of the SANDHOG criteria is good, and demonstrates that the SANDHOG criteria are a useful tool for the diagnosis of DCS. en
dc.format.extent 5001322 bytes
dc.format.mimetype application/pdf
dc.language.iso en en
dc.publisher Undersea and Hyperbaric Medical Society, Inc. en
dc.subject DIVING en
dc.subject decompression sickness en
dc.subject SANDHOG en
dc.subject scale en
dc.subject diagnostic criteria en
dc.subject diagnosis en
dc.subject epidemiology en
dc.subject.mesh Practice Guideline Validation Studies Area Under Curve Decompression Sickness/diagnosis* Decompression Sickness/etiology Diving/adverse effects* Humans Proportional Hazards Models Severity of Illness Index* en
dc.title The SANDHOG criteria and its validation for the diagnosis of DCS arising from bounce diving. en
dc.type Article en

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