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[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
PubMed
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.

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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.

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  • 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.