Submersion injuries in the United States: Patients characteristics and predictors of mortality and morbidity

Sibai, Rayan El; Bachir, Rana; Sayed, Mazen El

doi:10.1016/j.injury.2018.02.012

Cited by 20 publications

(25 citation statements)

References 10 publications

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“…Both adult and pediatric patients were included. [2] In comparison, overall mortality in our study was higher (n = 35, 16.5%). This higher mortality rate can be attributed to different factors including sample selection and characteristics of the different databases used for the studies.…”

Section: Discussioncontrasting

confidence: 65%

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Impact of trauma designation levels on survival of drowning victims

2019

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Drowning causes significant morbidity and mortality. Healthcare regionalization aims at improving patient outcomes. This study examines the impact of trauma center level designation on survival of drowning victims.Retrospective cohort study utilizing the National Trauma Data Bank (NTDB) 2015. Descriptive, bivariate and multivariate analyses were conducted.The 212 patients were included. Mean age was 33.58 (±20.02) years with 69.3% (n = 147) males. Patients were mostly taken to Level I (n = 107, 50.5%) and II (n = 81, 32.8%) centers, requiring admission (43.5% (n = 96), 23.1% (n = 49) and 8.5% (n = 18) to Intensive Care, floor, and Operating Room, respectively). Overall hospital discharge survival was 83.5% (n = 177). After adjusting for confounders, there was no significant difference in survival of patients taken to Level I compared to Level II and III centers.This study did not identify a survival benefit for patients with drowning related injuries when taken to Level I compared to Level II or III Trauma centers. Further outcome studies are needed in organized trauma systems to improve field triage criteria for specific injury mechanisms.

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Section: Discussioncontrasting

confidence: 65%

“…Predictors of poor outcomes include male gender, presence of specific chronic conditions and motor vehicle traffic injuries. [2] Complications of drowning include aspiration pneumonia, [3] and poor neurologic outcome resulting from hypoxic brain injury. [4]…”

Section: Introductionmentioning

confidence: 99%

Impact of trauma designation levels on survival of drowning victims

2019

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“…This is in similarity to previous studies done across all age groups where they reported a mortality rate of 10.1% (1990-2008) and 9.5% (in 2013). 17,19 Age group <5 years was associated with mortality in our study. Similarly, Nasrullah et al 20 reported a 15.4% mortality in the under 5 age range during the years 1999 to 2006.…”

Section: Discussionsupporting

confidence: 55%

“…9 However, the number of patients across all age groups who visited the ED for drowning were higher (9.29 per 100 000 ED visits) in 2013. 17 This shows that the hospitalization rate for drowning is less likely owing to the mild and nonfatal injury suffered by the victim. Cantu et al 18 found that children with submersion injury were significantly more likely to be discharged from the ED if no field intervention was done and the oxygen saturation remained within normal limits.…”

Section: Discussionmentioning

confidence: 98%

“…This is in partial agreement with a previous study, where males were both more likely to be affected and have poorer outcomes as compared with females. 17 This has been attributed to various factors like increased risk-taking behavior, overconfidence, and increased exposure to an aquatic setting. 21 Gilchrist et al 22 reported increased mortality rates in black population aged <30 years.…”

Section: Discussionmentioning

confidence: 99%

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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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Hypothermia and Near-Drowning

Lopyan

Gadepalli²

2022

Pediatric Trauma Care

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Submersion injuries in the United States: Patients characteristics and predictors of mortality and morbidity

Cited by 20 publications

References 10 publications

Impact of trauma designation levels on survival of drowning victims

Impact of trauma designation levels on survival of drowning victims

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

Hypothermia and Near-Drowning

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