Abstract：
UNASSIGNED: Routine dipstick urinalysis is part of many dive medical assessment protocols. However, this has a significant chance of producing false-positive or false-negative results in asymptomatic and healthy individuals. Studies evaluating the value of urinalysis in dive medical assessments are limited.
UNASSIGNED: All results from urinalysis as part of dive medical assessments of divers, submarines, and hyperbaric personnel of the Royal Netherlands Navy from 2013 to 2023 were included in this study. Additionally, any information regarding additional testing, referral, or test results concerning the aforementioned was collected.
UNASSIGNED: There were 5,899 assessments, resulting in 46 (0.8%) positive dipstick urinalysis results, predominantly microscopic haematuria. Females were significantly overrepresented, and revisions resulted in significantly more positive test results than initial assessments. Lastly, almost half of the cases were deemed fit to dive, while the other half were regarded as temporarily unfit. These cases required additional testing, and a urologist was consulted three times.
UNASSIGNED: To our knowledge, this is the most extensive study evaluating urinalysis in dive medical assessments. In our military population, the incidence of positive test results is very low, and there have not been clinically relevant results over a period of 10 years. Therefore, routinely assessing urine in asymptomatic healthy military candidates is not cost-effective or efficacious. The authors advise taking a thorough history for fitness to dive assessments and only analysing urine when a clinical indication is present.
UNASSIGNED: All results from urinalysis as part of dive medical assessments of divers, submarines, and hyperbaric personnel of the Royal Netherlands Navy from 2013 to 2023 were included in this study. Additionally, any information regarding additional testing, referral, or test results concerning the aforementioned was collected.
UNASSIGNED: There were 5,899 assessments, resulting in 46 (0.8%) positive dipstick urinalysis results, predominantly microscopic haematuria. Females were significantly overrepresented, and revisions resulted in significantly more positive test results than initial assessments. Lastly, almost half of the cases were deemed fit to dive, while the other half were regarded as temporarily unfit. These cases required additional testing, and a urologist was consulted three times.
UNASSIGNED: To our knowledge, this is the most extensive study evaluating urinalysis in dive medical assessments. In our military population, the incidence of positive test results is very low, and there have not been clinically relevant results over a period of 10 years. Therefore, routinely assessing urine in asymptomatic healthy military candidates is not cost-effective or efficacious. The authors advise taking a thorough history for fitness to dive assessments and only analysing urine when a clinical indication is present.
摘要：
■常规试纸尿液分析是许多潜水医学评估方案的一部分。然而,这在无症状和健康个体中很有可能产生假阳性或假阴性结果.评估潜水医学评估中尿液分析价值的研究有限。
■所有尿液分析结果，作为潜水员潜水医学评估的一部分，潜艇,和2013年至2023年荷兰皇家海军的高压人员被纳入本研究.此外,有关额外测试的任何信息，转介,或收集有关上述内容的测试结果。
■有5,899项评估，导致46（0.8％）阳性试纸尿液分析结果，主要是显微镜下的血尿。女性比例明显过高，和修订导致的阳性检测结果明显多于初始评估.最后,几乎一半的病例被认为适合潜水，而另一半被认为暂时不适合。这些情况需要额外的测试，一位泌尿科医生被咨询了三次。
■据我们所知，这是在潜水医学评估中评估尿液分析的最广泛的研究。在我们的军事人口中，阳性检测结果的发生率非常低，并且在10年内没有临床相关结果。因此,常规评估无症状健康军事候选人的尿液并不符合成本效益或有效.作者建议对潜水进行全面的健康评估，并且仅在存在临床指征时才分析尿液。
■所有尿液分析结果，作为潜水员潜水医学评估的一部分，潜艇,和2013年至2023年荷兰皇家海军的高压人员被纳入本研究.此外,有关额外测试的任何信息，转介,或收集有关上述内容的测试结果。
■有5,899项评估，导致46（0.8％）阳性试纸尿液分析结果，主要是显微镜下的血尿。女性比例明显过高，和修订导致的阳性检测结果明显多于初始评估.最后,几乎一半的病例被认为适合潜水，而另一半被认为暂时不适合。这些情况需要额外的测试，一位泌尿科医生被咨询了三次。
■据我们所知，这是在潜水医学评估中评估尿液分析的最广泛的研究。在我们的军事人口中，阳性检测结果的发生率非常低，并且在10年内没有临床相关结果。因此,常规评估无症状健康军事候选人的尿液并不符合成本效益或有效.作者建议对潜水进行全面的健康评估，并且仅在存在临床指征时才分析尿液。
