Prevalence of traumatic injuries in drowning and near drowning in children and adolescents.

TitlePrevalence of traumatic injuries in drowning and near drowning in children and adolescents.
Publication TypeJournal Article
Year of Publication2003
AuthorsHwang V, Shofer FS, Durbin D, Baren JM
JournalArch Pediatr Adolesc Med
Volume157
Issue1
Pagination50-3
Date Published2003 Jan
ISSN1072-4710
KeywordsAdolescent, Age Distribution, Child, Child, Preschool, Diving, Drowning, Female, Glasgow Coma Scale, Humans, Male, Near Drowning, Prevalence, Retrospective Studies, Sex Distribution, Spinal Cord Injuries, United States
Abstract

OBJECTIVE: To determine the prevalence of traumatic injuries in children involved in drowning and near-drowning accidents.

DESIGN/METHODS: Ten-year retrospective medical chart review of patients at an urban tertiary care pediatric facility. Included patients had International Classification of Diseases, Ninth Revision, Clinical Modification codes for fatal/nonfatal drowning or E codes for fall into water, accidental drowning, and submersion. We recorded demographics, event characteristics, diagnostics, and outcome data. We used the chi(2) or the Fisher exact test to compare patients with and without injuries.

RESULTS: One hundred forty-three patients met inclusion criteria. Of these, 95 (66.4%) were male. Median age was 3.8 years, and 30 (23.4%) of 128 had preexisting conditions. Site of drowning was the pool (70.6%), the bathtub (19.0%), or natural water (10.4%). The prevalence of traumatic injury was 4.9% (95% confidence interval, 0%-28%). The predominant mechanism of injury was diving, and all injuries were to the cervical spine. Patients with injury were more likely to be older (mean age, 13.5 vs 5.1 years; P<.001) and to have a history of diving (85.7% vs 2.2%; P<.001). The presence of injury was not associated with sex, preexisting condition, or site of drowning (P>.05).

CONCLUSIONS: The prevalence of traumatic injury in drowning and near drowning is low. We identified only cervical spine injuries, and all but 1 patient had a clear history of diving. Use of specialized trauma evaluations may not be warranted for patients in drowning and near-drowning accidents without a clear history of traumatic mechanism.

Alternate JournalArch Pediatr Adolesc Med
PubMed ID12517194