Irish Child Health Database - Peer Reviewed Papers
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Paediatric near-drowning: mortality and outcome in a temperate climate
Published in:
Ir Med J, Vol: 96, Page: 274-6
Publication Date:
October 2003
Aims & Objectives:
This study examined near drownings in a temperate climate and the decision whether to continue to resuscitate
Abstract:
The decision whether to continue to resuscitate the paediatric victim of near-drowning is influenced by potential poor neurological outcome. A low core body temperature at presentation is frequently cited as a reason to continue resuscitation. We report the case of an 11 month old infant admitted to the intensive care unit following near-drowning and a prolonged resuscitation. The infant's core body temperature was 29 degrees C. Cardiac output was restored, but the child remains in a persistent vegetative state. We present the results of a ten year review of near-drowning in a tertiary referral institution, to evaluate the mortality and outcome in a temperate climate. Thirteen patients were identified in the review. The mortality was 23%. The incidence of a persistent vegetative state was 15%. Asystole, immersion time greater than 15 minutes, resuscitation time longer than 30 minutes, the administration of epinephrine, and a low core body temperature were associated with a poor outcome.
Authors:
Study Type:
Study Papers » Case Series Study » Descriptive Studies - Without a comparision
Categories:
near drownings
International Classification:
Injury, poisoning and certain other consequences of external causes - near drowning
Keywords:
- Body Temperature
- Cardiopulmonary Resuscitation
- Humans
- Incidence
- Infant
- Male
- MORTALITY
- Near Drowning/ complications/ epidemiology/therapy
- Persistent Vegetative State/ epidemiology/ etiology
- Retrospective Studies
Geography:
Republic of Ireland (Dublin)