Mosayebi Z, Movahedian A H, Mousavi G A
Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran.
Med J Malaysia. 2011 Aug;66(3):187-90.
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.
本研究的目的是确定一些预后因素与溺水结局之间可能存在的关联。在研究期间有47名溺水受害者，其中39人（83%）存活，8人（17%）死亡。所有死亡均发生在5岁以下儿童中，包括7名（87.5%）男性和1名（12.5%）女性受害者。7名（87.5%）是伊朗人，只有1名（12.5%）来自阿富汗。入院时无生命体征、需要进行复苏、格拉斯哥昏迷评分（GCS）<5以及酸中毒均与不良结局相关，具有统计学意义（P<0.05），但体温过低是不良结局的唯一独立预测因素（比值比13.7；95%置信区间2.27至82.7，P=0.003）。由于预后因素不能100%准确预测结局，在现场进行心肺复苏并在医院继续进行，可以为儿童提供更高的康复机会。
