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Updated: Aug 5, 2026
11:27
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
[Drowning in pediatric patients]
J Blasco Alonso1, D Moreno Pérez, G Milano Manso
1Servicio de Pediatría, Hospital Materno-Infantil, Hospital Regional Universitario Carlos Haya, Málaga, Spain. javicanario@eresmas.com
Anales De Pediatria (Barcelona, Spain : 2003)
|January 12, 2005
Summary
Near-drowning in children is a significant cause of death and disability. Key predictors of poor outcomes include age, immersion time, and initial clinical status, such as cyanosis and cardiac arrest.
Area of Science:
- Pediatric Emergency Medicine
- Toxicology
- Environmental Health
Context:
- Immersion accidents remain a critical cause of pediatric morbidity and mortality.
- Near-drowning incidents require careful prognostic evaluation for effective management.
- Limited predictive models exist for guiding early resuscitation efforts in pediatric near-drowning cases.
Purpose:
- To identify prognostic factors associated with outcomes in pediatric near-drowning.
- To compare findings with existing published data on near-drowning outcomes.
- To inform clinical decision-making and treatment strategies for affected children.
Summary:
- A retrospective study analyzed 62 pediatric near-drowning cases.
- Predictors of poor outcomes included advanced age, female sex, prolonged immersion, cyanosis, cardiac arrest, hypothermia, metabolic acidosis, and neurological impairment upon hospital arrival.
- Twelve patients experienced adverse outcomes, including seven deaths and five with irreversible sequelae.
Impact:
- Clinical status on hospital arrival is a strong determinant of near-drowning outcomes.
- Identifying early prognostic indicators can guide resuscitation and treatment decisions.
- Further development of predictive models is needed to optimize care for near-drowning victims.
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