Citation

Blasco Alonso J, Moreno Perez D, Milano Manso G, Calvo Macias C, Jurado Ortiz A. An. Pediatr. 2005; 62(1): 20-24.

Vernacular Title

Ahogamientos y casi ahogamientos en ninos.

Affiliation

Servicio de Pediatria. Hospital Materno-Infantil. Hospital Regional Universitario Carlos Haya. Malaga. Espana.

Copyright

(Copyright © 2005, Asociacion Espanola de Pediatria, Publisher Elsevier Publishing)

DOI

unavailable

PMID

15642237

Abstract

Objective. Immersion accidents are still an important cause of morbidity and mortality in children. We performed a retrospective study to identify the prognostic factors associated with outcome in children who experience near-drowning, which could serve to guide decision-making. Our data were compared with other published data. Patients and methods. The medical records of children treated for near-drowning in our hospital from January 1995 to April 2003 were reviewed. The data analyzed referred to the patient, the accident, the patient's clinical status in the emergency unit, the unit to which the patient was admitted, and outcome. Results. Sixty-two patients were included. Of these, outcome was bad in 12 (death in seven and irreversible sequelae in five). Statistically significant predictors of bad prognosis were age >/= 4 years, female sex, immersion time >/= 5 min, cyanosis in the emergency room, cardiac arrest, apnea or severe distress, hypothermia (core temperature < 35 degrees C), metabolic acidosis (pH