Marisa Abbe, Kevin Rix, David Aguilar, Jesus Alderete, Alejandra Fernandez, Sarah Messiah
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This study examined differences between patients who were admitted compared with not admitted, and those who survived compared with those who did not survive.</p><p><strong>Results: </strong>Participants who had adult supervision at the time of their drowning were significantly less likely to be admitted (OR=0.31, 95% CI 0.22 to 0.43, p<0.001) and significantly more likely to survive (OR=6.9, 95% CI 3.2 to 15.4, p<0.001). The environment also played a significant role in drowning outcomes. Children who drowned in a pool compared with other bodies of water were significantly more likely to survive (OR=3.0, 95% CI 1.6 to 5.5, p<0.001). Children from communities with higher child opportunity compared with those from very low opportunity were both simultaneously more likely to be admitted (IRR=1.7-2.4, 95% CI 1.3 to 3.3, p<0.001) and more often survived (IRR=1.7-3.0, 95% CI 1.3 to 3.5, p<0.001).</p><p><strong>Conclusion: </strong>Our analysis revealed significant differences in drowning risk related to adult supervision, location of drowning and where a child lives. These findings can help drowning prevention strategies mitigate the severity of drowning by enhancing educational messages, resources and policy.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Characteristics of fatal and non-fatal drownings at a Texas level-1 paediatric trauma centre.\",\"authors\":\"Marisa Abbe, Kevin Rix, David Aguilar, Jesus Alderete, Alejandra Fernandez, Sarah Messiah\",\"doi\":\"10.1136/ip-2024-045296\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Drowning is a leading cause of death for young children and knowing what puts a child at risk helps efforts across the spectrum of prevention. 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Children who drowned in a pool compared with other bodies of water were significantly more likely to survive (OR=3.0, 95% CI 1.6 to 5.5, p<0.001). Children from communities with higher child opportunity compared with those from very low opportunity were both simultaneously more likely to be admitted (IRR=1.7-2.4, 95% CI 1.3 to 3.3, p<0.001) and more often survived (IRR=1.7-3.0, 95% CI 1.3 to 3.5, p<0.001).</p><p><strong>Conclusion: </strong>Our analysis revealed significant differences in drowning risk related to adult supervision, location of drowning and where a child lives. 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引用次数: 0
摘要
背景:溺水是导致幼儿死亡的主要原因,了解儿童溺水的危险因素有助于全面开展预防工作。本研究的目的是在一家大型一级儿科创伤中心确定与儿童溺水入院和死亡率相关的风险和保护因素:这项回顾性队列研究(n=698)纳入了 2017 年至 2023 年期间在急诊科就诊或因溺水事件入院的儿童(0-17 岁)。这项研究考察了入院患者与未入院患者之间的差异,以及存活患者与未存活患者之间的差异:结果:溺水时有成人监护的参与者入院的可能性明显较低(OR=0.31,95% CI 0.22 至 0.43,p):我们的分析揭示了溺水风险与成人监护、溺水地点和儿童居住地之间的重大差异。这些发现有助于溺水预防战略通过加强教育信息、资源和政策来减轻溺水的严重性。
Characteristics of fatal and non-fatal drownings at a Texas level-1 paediatric trauma centre.
Background: Drowning is a leading cause of death for young children and knowing what puts a child at risk helps efforts across the spectrum of prevention. The purpose of this study was to identify risk and protective factors associated with hospital admission and mortality following paediatric drowning from a large level-1 paediatric trauma centre.
Methods: Children (ages 0-17) who presented at an emergency department or were admitted for a drowning event between 2017 and 2023 were included in this retrospective cohort study (n=698). This study examined differences between patients who were admitted compared with not admitted, and those who survived compared with those who did not survive.
Results: Participants who had adult supervision at the time of their drowning were significantly less likely to be admitted (OR=0.31, 95% CI 0.22 to 0.43, p<0.001) and significantly more likely to survive (OR=6.9, 95% CI 3.2 to 15.4, p<0.001). The environment also played a significant role in drowning outcomes. Children who drowned in a pool compared with other bodies of water were significantly more likely to survive (OR=3.0, 95% CI 1.6 to 5.5, p<0.001). Children from communities with higher child opportunity compared with those from very low opportunity were both simultaneously more likely to be admitted (IRR=1.7-2.4, 95% CI 1.3 to 3.3, p<0.001) and more often survived (IRR=1.7-3.0, 95% CI 1.3 to 3.5, p<0.001).
Conclusion: Our analysis revealed significant differences in drowning risk related to adult supervision, location of drowning and where a child lives. These findings can help drowning prevention strategies mitigate the severity of drowning by enhancing educational messages, resources and policy.
期刊介绍:
Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.