title: Drowning in children in Iran: outcomes and prognostic factors.
abstract: The aim of this study was to determine possible associations between some prognostic factors and drowning outcome. There were 47 drowning victims during the study period, of whom 39 (83%) survived and 8 (17%) died. All deaths occurred in children aged under 5 including 7 (87.5%) male and 1 (12.5%) female victims. Seven (87.5%) were Iranian and only one (12.5%) was from Afghanistan. Absence of vital signs at hospital arrival, need for resuscitation, GCS < 5 and acidosis all were associated with adverse outcome with a statistical significance (P < 0.05), but hypothermia was the only idependent predictor of poor outcome (OR 13.7; 95% CI 2.27 to 82.7 , P = 0.003). Since prognostic factors do not predict outcome with 100% accuracy, performing cardiopulmonary resuscitation at the scene and continuing it in the hospital can provide higher chances of recovery for the children.
authors: Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran.
authors: Z
authors: Z
authors: Mosayebi
authors: A H
authors: AH
authors: Movahedian
authors: G A
authors: GA
authors: Mousavi
mesh_terms: D000293:Adolescent; D016887:Cardiopulmonary Resuscitation; D002648:Child; D002675:Child, Preschool; D004332:Drowning / Q000175:diagnosis* / Q000401:mortality*; D005260:Female; D006801:Humans; D007223:Infant; D007492:Iran; D008297:Male; D015701:Near Drowning / Q000628:therapy; D011379:Prognosis; D012189:Retrospective Studies