Jun 28, 2016

Relationship between drowning location and outcome after drowning-associated out-of-hospital cardiac arrest: nationwide study

The American Journal of Emergency Medicine
Joo JeongKi Ok Ahn

Abstract

Accidental drowning can cause out-of-hospital cardiac arrest (OHCA). We investigated the effect of drowning location on outcomes of individuals who experienced drowning-OHCA. All cases of emergency medical service-treated drowning-OHCA in South Korea from January 2006 to December 2013 were analyzed. Cases were excluded if there was a preceding injury, no information on event location, or suicide. Cases were divided into 4 groups: recreational water with mandatory safety regulations (group 1, public swimming pool; group 2, beach) and nonrecreational water without mandatory safety regulations (group 3, natural freshwater; group 4, seawater). The main outcome was survival to hospital discharge. Multiple logistic regression analysis was conducted using natural freshwater as the reference location. We analyzed 1691 drowning-OHCAs (public swimming pools, 3.4%; public beaches, 5.2%; unsupervised seawater, 33.8%; and unsupervised open freshwater, 57.6%). The rate of survival to discharge was 4.6% for all cases, 17.5% for cases in public swimming pools, 9.1% for cases in public beaches, 4.9% for cases in unsupervised seawater, and 3.3% for cases in unsupervised open freshwater (p<0.01). The adjusted odds ratios (95% confidence intervals...Continue Reading

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Citations

Mentioned in this Paper

Prevalence Studies
Acrocallosal Syndrome
Ventricular Fibrillation
Regulation of Biological Process
Awareness
FAIM2 gene
Logistic Regression
Basic Cardiac Life Support
Odds Ratio
Etiology

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