How fit are military hyperbaric personnel after an asymptomatic or mild symptomatic COVID-19 infection? A retrospective study.

Autor:	Schaap JP; Royal Netherlands Navy Diving and Submarine Medical Center, 1780 CA Den Helder, The Netherlands., Zuluaga Fernandez ME; Center for Man in Aviation, Royal Netherlands Air Force, 3769 DE Soesterberg, The Netherlands., Houtkooper A; Royal Netherlands Navy Diving and Submarine Medical Center, 1780 CA Den Helder, The Netherlands., Endert EL; Royal Netherlands Navy Diving and Submarine Medical Center, 1780 CA Den Helder, The Netherlands., van Ooij PAM; Royal Netherlands Navy Diving and Submarine Medical Center, 1780 CA Den Helder, The Netherlands.; Department of Pulmonary Medicine, Amsterdam University Medical Center, Amsterdam, The Netherlands.; Corresponding author: Dr Pieter-Jan AM van Ooij, Royal Netherlands Navy Diving and Submarine Medical Center, 1780 CA Den Helder, The Netherlands, pjam.v.ooij.01@mindef.nl.
Jazyk:	angličtina
Zdroj:	Diving and hyperbaric medicine [Diving Hyperb Med] 2023 Jun 30; Vol. 53 (2), pp. 120-128.
DOI:	10.28920/dhm53.2.120-128
Abstrakt:	Introduction: In the diving community there is a special need to know if asymptomatic or mild COVID-19 disease impacts the cardiopulmonary functioning of individuals with occupational exposure to extreme environments. To date, no controlled studies have been conducted comparing COVID-19-infected hyperbaric employees and non-COVID-19-infected peers in a military setting. Methods: Between June 2020 and June 2021, healthy, hyperbaric, military personnel aged between 18 and 54 years old, who had recovered from asymptomatic or subclinical COVID-19 disease at least one month earlier, were analysed. Non-COVID-infected peers with medical assessments during the same period were used as the control group. Somatometry, spirometry, VO₂ max, and DLCO were measured for each group. Results: No clinically relevant differences in somatometry, lung function tests, and exercise testing were found between the COVID-19 group and the controls. However, the percentage of individuals with a decrease in estimated VO2-max of 10% or more was significantly greater in the COVID group than in the control group (24 vs. 7.8%, P = 0.004). Conclusions: After asymptomatic or mild symptomatic COVID-19 infections, military hyperbaric employees are as fit as those who had not encountered COVID-19. As this research was based on a military population, it cannot be extrapolated to a nonmilitary population. Further studies in nonmilitary populations are necessary to determine the medical relevance of the present findings. (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.)
Databáze:	MEDLINE
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