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Long-term survival of divers cohort compared to the general population in the Czech Republic

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SRAMEK Martin HONEK Jakub TOMEK Ales SEFC Ludek JARKOVSKÝ Jiří KYSEĽOVÁ Andrea

Rok publikování 2026
Druh Recenzovaný odborný článek
Časopis / Zdroj BMC PUBLIC HEALTH
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://link.springer.com/article/10.1186/s12889-026-27848-6
Doi https://doi.org/10.1186/s12889-026-27848-6
Klíčová slova Diving; Relative survival; Hyperbaric exposure; Mortality; Epidemiology
Popis Background Diving involves unique physiological stressors and environmental exposures that may affect health outcomes. Long-term survival among divers results from a complex interaction between potentially harmful exposures related to the hyperbaric environment and oxidative stress, diving-related accidents, as well as protective factors such as physical fitness, psychological resilience, and socioeconomic status. The aim of this study was to evaluate long-term survival in a cohort of Czech divers compared with the general population.Methods Data from 1,076 divers registered in the DIVE-PFO Registry (2005-2024) were linked with the National Health Information System to determine mortality and causes of death. Observed survival was estimated using the Kaplan-Meier method; expected survival was based on national life tables to calculate relative survival via the Pohar-Perme method.Results Over 10,294 person-years of follow-up, there were 15 deaths (1.4%) among divers, of which four were classified as possible diving-related. No cardiovascular deaths were recorded. The annual diving-related mortality rate was 38.9 per 100,000 divers. Compared with the general population, our cohort of divers had significantly higher 10-year relative survival (101.9%, 95% CI 101.2-103.0). Divers also showed a lower prevalence of obesity, hypertension, and smoking compared to the general population.Conclusions The DIVE-PFO diver cohort demonstrated better long-term survival than the general population.

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