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Drowning in Children and Predictive Parameters: A 15-Year Multicenter Retrospective Analysis
Francesca Peri1, Laura De Nardi1, Arianna Canuto1
1From the Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy.
Pediatric Emergency Care
|June 19, 2023
Summary
Prompt cardiopulmonary resuscitation (CPR) by bystanders or medical services shows no difference in drowning outcomes for pediatric patients. Immediate intervention is crucial for improving survival rates in drowning incidents.
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Resuscitation Science
Background:
- Drowning is a significant public health concern, particularly affecting children, with inadequate and non-standardized data on pediatric outcomes.
- Understanding pediatric drowning characteristics and management is crucial for improving public health strategies.
Purpose of the Study:
- To provide an overview of pediatric drowning victims in emergency departments.
- To analyze patient characteristics, management, and prognostic factors in pediatric drowning cases.
Main Methods:
- A retrospective, multicenter study involving eight Italian Pediatric Emergency Departments.
- Data collected from 2006-2021 for patients aged 0-16 years who drowned, analyzed using Utstein-style guidelines.
Main Results:
- 133 pediatric drowning patients analyzed; 60.9% were male, median age 5 years.
- 10% had pre-existing conditions (epilepsy most common); 26.3% hospitalized in a medical ward, 4.5% died.
- No significant difference in intensive care unit (ICU) admission rates between bystander and professional cardiopulmonary resuscitation (CPR).
Conclusions:
- Prompt cardiopulmonary resuscitation (CPR), regardless of provider (bystander or medical personnel), is vital for pediatric drowning victims.
- This study highlights the importance of immediate intervention in drowning cases, emphasizing that timely CPR can lead to similar outcomes.
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