{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:53:10Z","timestamp":1781657590245,"version":"3.54.5"},"reference-count":0,"publisher":"Diving and Hyperbaric Medicine Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diving Hyperb Med"],"abstract":"<jats:p>Introduction: The aim of this review was to synthesise current knowledge and propose structured evidence-based recommendations for long-term care of individuals with spinal cord decompression illness (scDCI) drawing on experience from French clinical settings and the international literature.\nMethods: We conducted a systematic search of international and French guidelines for decompression illness (DCI) and spinal cord injury (SCI), including systematic reviews and consensus statements. Additional literature searches were performed in PubMed Central\u00ae (1996\u20132025) to identify evidence relevant to long-term care. Key domains were predefined based on SCI guidelines: lower urinary tract and gastrointestinal function, thromboembolic, autonomic dysreflexia, pulmonary function, pain, and spasticity.\nResults: Our findings confirmed the absence of specific long-term follow-up protocols for scDCI. Evidence from SCI guidelines was therefore adapted to this population. We propose structured, evidence-based recommendations that include systematic neurological and urological screening even in apparently recovered patients and risk-adapted follow-up during the first two years.\nConclusions: Long-term outcomes after scDCI remain poorly defined, but sequelae are frequent and may be underdiagnosed. Structured follow-up based on adapted SCI guidelines may improve prognosis, harmonise care, and generate robust data for future prospective studies.<\/jats:p>","DOI":"10.28920\/dhm56.2.161-169","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:04:32Z","timestamp":1781654672000},"page":"161-169","source":"Crossref","is-referenced-by-count":0,"title":["Evidence-based guidelines for long-term care in spinal cord-related decompression illness"],"prefix":"10.28920","volume":"56","author":[{"given":"Camille","family":"Dubois","sequence":"first","affiliation":[{"name":"Sorbonne University, GRC 01-GREEN, Paris, France, Neuro-Urology Department, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, AP-HP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Hentzen","sequence":"additional","affiliation":[{"name":"Sorbonne University, GRC 01-GREEN, Paris, France, Neuro-Urology Department, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, AP-HP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Schnitzler","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine, Le V\u00e9sinet Hospital, Le V\u00e9sinet, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucile","family":"Daubresse","sequence":"additional","affiliation":[{"name":"Department of Hyperbaric Medicine, Sainte-Anne Military Teaching Hospital, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Morin","sequence":"additional","affiliation":[{"name":"Department of Hyperbaric Medicine, Sainte-Anne Military Teaching Hospital, Toulon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11463","published-online":{"date-parts":[[2026,6,30]]},"container-title":["Diving and Hyperbaric Medicine Journal"],"original-title":[],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:04:34Z","timestamp":1781654674000},"score":1,"resource":{"primary":{"URL":"https:\/\/dhmjournal.com\/index.php?option=com_content&view=article&id=432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,6,30]]}},"URL":"https:\/\/doi.org\/10.28920\/dhm56.2.161-169","relation":{},"ISSN":["2209-1491"],"issn-type":[{"value":"2209-1491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]}}}