Clinical features and prognostic factors in drowning children: a regional experience / 소아과
Korean Journal of Pediatrics
; : 212-217, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-61665
Responsible library:
WPRO
ABSTRACT
PURPOSE:
This study aimed to evaluate the clinical features of children who have survived a water submersion incident, and to identify risk factors for prognosis.METHODS:
We retrospectively reviewed the medical records of patients who experienced submersion between January 2005 and December 2014. The patients were classified into 2 groups, according to complications, and prognostic factors were evaluated.RESULTS:
During the study period, 29 children experienced submersion (20 boys and 9 girls; mean age, 83.8±46.4 months). Submersion occurred most commonly in the summer, with the peak incidence in August. The most frequent Szpilman clinical score was grade 5 (13 patients; 44.8%), followed by grade 6 (7 patients; 24.1%), and grades 1 or 2 (3 patients; 10.3%). Five children (17.2%) in the poor prognosis group died or had hypoxic ischemic encephalopathy, and the overall mortality rate was 6.9%. Poor prognosis after submersion was associated with lower consciousness levels (P=0.003), higher Szpilman scores (P=0.007), greater need for intubation and mechanical ventilator support (P=0.001), and longer duration of oxygen therapy (P=0.015). Poor prognosis was also associated with lower bicarbonate levels (P=0.038), as well as higher sodium, aspartate transaminase (AST), and alanine transaminase (ALT) levels (P=0.034, P=0.006, and P=0.005, respectively). Szpilman clinical scores were positively correlated with consciousness levels (r=0.489, P=0.002) and serum liver enzyme levels (AST and ALT; r=0.521, P=0.004).CONCLUSION:
We characterized the prognostic factors associated with submersion outcomes, using the Szpilman clinical score, which is comparable to consciousness level for predicting mortality.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
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SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
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Cardiovascular Disease
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Cerebrovascular Disease
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Neonatal Healthcare
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Noncommunicable Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Oxygen
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Prognosis
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Aspartate Aminotransferases
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Sodium
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Water
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Ventilators, Mechanical
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Medical Records
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Incidence
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Retrospective Studies
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Risk Factors
Type of study:
Etiology study
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Incidence study
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Observational study
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Prognostic study
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Risk factors
Limits:
Child
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Female
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Humans
Language:
English
Journal:
Korean Journal of Pediatrics
Year:
2016
Document type:
Article