ABSTRACT
BACKGROUND: Drowning is the third leading cause of unintentional death among children worldwide. Although natural waters pose a risk of drowning in low-income countries, swimming pools are more prevalent in high-income countries. In Saudi Arabia, injuries and drowning are a significant threat to population health. Local data is limited, which affects an understanding of the extent of the burden and the development of prevention strategies. OBJECTIVE: Determine the epidemiological characteristics, risk factors, and clinical outcomes of drowning among children. DESIGN: Retrospective chart review. SETTING: Patients admitted to the tertiary care unit of a hospital in Riyadh. PATIENTS AND METHODS: Data was collected on children who drowned (age 0-14) between January 2015 and August 2020. Cases were identified from the electronic health record system where the diagnosis was drowning. Differences in characteristics and outcomes between nonfatal cases with no neurological damage and fatal cases with neurological damage were analyzed. MAIN OUTCOME MEASURE: Drowning mortality and morbidity. SAMPLE SIZE: 99. RESULTS: Of the 99 drowning cases, 22 (22.2%) had a fatal outcome or resulted in neurological damage. The most-reported drowning site was private pools (82%). The majority of cases involved children younger than the age of two (54%). Eighty-four cases (84.8%) occurred on holidays. Cardiopulmonary resuscitation was performed in 61 (61.6%) of cases. A significant association was found between the delay in initiating resuscitation and an unfavorable outcome (P<.01). A high Glasgow Coma Scale score upon admission was a predictor of normal recovery (P<.01). CONCLUSION: These findings warrant investment to increase public awareness of the risks of leaving children unsupervised in swimming pools. In addition, there is a need to ensure early resuscitation of drowning victims by promoting life support courses in order to facilitate positive outcomes. LIMITATIONS: The study was conducted in one tertiary center located in a non-coastal city so the results may not be generalizable. CONFLICT OF INTEREST: None.
Subject(s)
Cardiopulmonary Resuscitation , Drowning , Adolescent , Child , Child, Preschool , Drowning/epidemiology , Humans , Infant , Infant, Newborn , Retrospective Studies , Saudi Arabia/epidemiology , Trauma CentersABSTRACT
BACKGROUND: Saudi females constitute less than 5% of blood donors and as demand for blood is ever increasing there is a need to identify the factors that discourage them from donating their blood and subsequently to find approaches to enhance their share as blood donors. The aim of this study is to find out the knowledge, attitude and motivation of Saudi female university students towards blood donation. METHODS: This is a questionnaire-based cross-sectional descriptive study among female students (n = 300) from six colleges: Medicine, Dentistry, Applied Medical Sciences, Science, Arts, and Business Administration at King Saud University, Riyadh. Questions covered their knowledge on blood donation and factors that discourage or motivate them to donate. RESULTS: The majority of participants are unaware that females constitute less than 5% of donors, but know that blood banks are in continuous need for donors to give support for needy patients particularly road traffic accidents and surgical patients. Fear from complications of the donation process prevailed widely. Most participants would donate as a religious obligation, need of a relative or friend, but not for money. The most prominent hurdle preventing them from donating is the difficulty of reaching the blood bank as they cannot drive cars or move alone in public transport. Most will donate if blood collection is done at their colleges and other places of gather- ing such as shopping malls. CONCLUSIONS: The attitude of Saudi female students towards blood donation is positive and few misconceptions that emerged could be corrected by health awareness campaigns. Careful organization of blood collection efforts that would observe the special status of women in the society by reaching them in their colleges and other gathering sites could enhance female donor input markedly.
