Cardiovascular complications and mortality determinants in near drowning victims: A 5-year retrospective analysis

Omar, Hesham R.; Mirsaeidi, Mehdi; Bosco, Gerardo; Morgan, Kevin; Dalvi, Prachiti; Helal, Engy; Mangar, Devanand; Camporesi, Enrico M.

doi:10.1016/j.jcrc.2016.09.010

Cited by 9 publications

(5 citation statements)

References 6 publications

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“…The findings from the 6 new papers identified in this update 359b , 368 , 370 , 375 , 376 , 383 are consistent with the 2015 treatment recommendation. The previously identified limitations of this review (exclusion of factors after the victim is rescued, for example, bystander CPR 383 , 384 , 385 ; specialist interventions, such as the use of extracorporeal membrane oxygenation 386 , 387 , 388 , 389 , 390 , 391 , 392 , 393 ; and the lack of prospective validation of submersion duration as a clinical decision rule) persist.…”

Section: Special Circumstancessupporting

confidence: 70%

“…For the critical outcome of survival, we identified very-low-certainty evidence (downgraded for risk of bias imprecision, inconsistency, indirectness, and imprecision) from 5 observational studies. 360 , 363 , 368 , 369 , 370 One reported better outcomes associated with salt water submersion (RR, 1.34; 95% CI, 1.19–1.52), 369 3 showed no association between water salinity and survival (RRs, 1.22 [95% CI, 0.95–1.56], 360 0.88 [95% CI, 0.40–1.92], 368 and 0.94 [95% CI, 0.62–1.4], 370 and 1 reported worse survival associated with salt water drowning (RR, 0.18; 95% CI, 0.03–1.43). 363 …”

Section: Special Circumstancesmentioning

confidence: 99%

“…362 Salinity. For the critical outcome of survival with favorable neurological outcome, we identified very-low-certainty evidence (downgraded for risk of bias, indirectness, and imprecision) from 6 observational studies 354,357 370 and 1 reported worse survival associated with salt water drowning (RR, 0.18; 95% CI, 0.03À 1.43). 363 Submersion Duration.…”

Section: Consensus On Sciencementioning

confidence: 99%

See 2 more Smart Citations

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

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This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 20 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 3 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

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Section: Special Circumstancessupporting

confidence: 70%

Section: Special Circumstancesmentioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

Adult Basic Life Support

Berg¹,

Soar²,

Andersen³

et al. 2020

Resuscitation

View full text Add to dashboard Cite

show abstract

“…Two reported that drowning in salt water was associated with better outcomes (RRs, 1.3 [95% CI, 1.12-1.5] 357 For the critical outcome of survival, we identified verylow-certainty evidence (downgraded for risk of bias imprecision, inconsistency, indirectness, and imprecision) from 5 observational studies. 360,363,[368][369][370] One reported better outcomes associated with salt water submersion (RR, 1.34; 95% CI, 1.19-1.52), 369 3 showed no association between water salinity and survival (RRs, 1.22 [95% CI, 0.95-1.56], 360 0.88 [95% CI, 0.40-1.92], 368 and 0.94 [95% CI, 0.62-1.4], 370 and 1 reported worse survival associated with salt water drowning (RR, 0.18; 95% CI, 0.03-1.43). 363…”

Section: Salinitymentioning

confidence: 99%

Adult Basic Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Olasveengen¹,

Mancini²,

Perkins³

et al. 2020

Circulation

165

177

View full text Add to dashboard Cite

This 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care Science With Treatment Recommendations on basic life support summarizes evidence evaluations performed for 22 topics that were prioritized by the Basic Life Support Task Force of the International Liaison Committee on Resuscitation. The evidence reviews include 16 systematic reviews, 5 scoping reviews, and 1 evidence update. Per agreement within the International Liaison Committee on Resuscitation, new or revised treatment recommendations were only made after a systematic review. Systematic reviews were performed for the following topics: dispatch diagnosis of cardiac arrest, use of a firm surface for CPR, sequence for starting CPR (compressions-airway-breaths versus airway-breaths-compressions), CPR before calling for help, duration of CPR cycles, hand position during compressions, rhythm check timing, feedback for CPR quality, alternative techniques, public access automated external defibrillator programs, analysis of rhythm during chest compressions, CPR before defibrillation, removal of foreign-body airway obstruction, resuscitation care for suspected opioid-associated emergencies, drowning, and harm from CPR to victims not in cardiac arrest. The topics that resulted in the most extensive task force discussions included CPR during transport, CPR before calling for help, resuscitation care for suspected opioid-associated emergencies, feedback for CPR quality, and analysis of rhythm during chest compressions. After discussion of the scoping reviews and the evidence update, the task force prioritized several topics for new systematic reviews.

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“…Patients who receive the above interventions are more likely to have had an unwitnessed or prolonged submersion injury and hence more likely to have a fatal outcome. In a study done on 29 adults, Omar et al 26 found that both tracheal intubation and CPR were more common in nonsurvivors versus survivors of drowning. Although ECMO is usually associated with increased severity of the underlying condition and was more commonly used in the fatal drowning group, we found that it was not associated with mortality in our study.…”

Section: Discussionmentioning

confidence: 99%

Incidence Trends and Predictors of In-Hospital Mortality in Drowning in Children and Adolescents in the United States: A National Inpatient Database Analysis

Umapathi

Thavamani

Dhanpalreddy

et al. 2019

Clin Pediatr (Phila)

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We sought to examine incidence and mortality trends of drowning-related hospitalizations in children aged <20 years and to study the presence of risk factors associated with in-hospital mortality. Retrospective analysis of the 2003-2016 Health Care Cost and Utilization Project National Inpatient Sample and Kids’ Inpatient Database was performed. The estimated annual incidence rate of drowning hospitalizations declined 31.5% from 2.73 to 1.87 per 100 000 population. Most drowning-related hospitalizations were seen in <5-year-old children (66.4%) and in males (65.3%), Caucasians (41.7%), and public insurance (46%). In-hospital mortality declined 46% from an estimated 290 deaths in 2003 to 156 deaths in 2016. On multivariate analysis, age <5 years, Caucasian ethnicity, uninsured status, pool/bathtub or undetermined location, arrhythmia (adjusted odds ratio [aOR] = 1.3, P = .001), acute kidney injury (aOR = 3.4, P < .001), cerebral edema (aOR = 2.8, P < .001), cardiopulmonary resuscitation (aOR = 12.1, P < .001), and invasive mechanical ventilation (aOR = 28.4, P < .001) were found to be independent predictors of mortality.

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Cardiovascular complications and mortality determinants in near drowning victims: A 5-year retrospective analysis

Cited by 9 publications

References 6 publications

Adult Basic Life Support

Adult Basic Life Support

Adult Basic Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Incidence Trends and Predictors of In-Hospital Mortality in Drowning in Children and Adolescents in the United States: A National Inpatient Database Analysis

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