Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, 655 W 8th St, 32209, Jacksonville, FL, USA.
Lifeguards Without Borders, 757 S Iron Springs Ave, 83634, Kuna, ID, USA.
Scand J Trauma Resusc Emerg Med. 2017 Jul 17;25(1):72. doi: 10.1186/s13049-017-0405-x.
In 2002, the World Congress on Drowning developed a uniform definition for drowning. The aim of this study is to determine the prevalence of "non-uniform drowning terminology" (NUDT) and "non-uniform drowning definitions" (NUDD) in peer-reviewed scientific literature from 2010 to 2016, and compare these findings with those from our unpublished study performing a similar analysis on literature from 2003 to 2010.
A systematic review was performed using drowning-specific search terms in Pubmed and Web of Science. Titles and abstracts published between July 2010 and January 2016 were screened for relevance to the study focus. Articles meeting screening criteria were reviewed for exclusion criteria to produce the final group of studies. These articles were reviewed by four reviewers for NUDT and NUDD. The Fisher exact test was used to determine any statistically significant changes.
The final group of studies included 167 articles. A total of 53 articles (32%) utilized NUDT, with 100% of these including the term "near drowning". The proportion of articles utilizing NUDT was significantly less than reported by our previous study (p < 0.05). In addition, 32% of the articles included a definition for drowning (uniform or non-uniform), with 15% of these utilizing NUDD.
Our study reveals a statistically significant improvement over the past thirteen years in the use of uniform drowning terminology in peer-reviewed scientific literature, although year-to-year variability over the current study period does not yield an obvious trend.
Of the articles reviewed during the 2010-2016 study period, 32% included outdated and non-uniform drowning terminology and definitions. While this reveals an absolute decrease of 11% as compared with the previous study period (2003-2010), there is still significant room for improvement.
2002 年，世界溺水大会制定了溺水的统一定义。本研究旨在确定 2010 年至 2016 年同行评议科学文献中“非统一溺水术语”（NUDT）和“非统一溺水定义”（NUDD）的流行率，并将这些发现与我们在 2003 年至 2010 年进行类似分析的未发表研究进行比较。
在 Pubmed 和 Web of Science 中使用溺水特定的搜索词进行系统回顾。筛选 2010 年 7 月至 2016 年 1 月期间发表的标题和摘要，以确定与研究重点的相关性。符合筛选标准的文章将根据排除标准进行审查，以产生最终的研究组。四名审查员对 NUDT 和 NUDD 进行了审查。Fisher 确切检验用于确定任何统计学上显著的变化。
最终的研究组包括 167 篇文章。共有 53 篇文章（32%）使用了 NUDT，其中 100%包含“近乎溺水”一词。使用 NUDT 的文章比例明显低于我们之前的研究报告（p<0.05）。此外，32%的文章包括溺水定义（统一或非统一），其中 15%使用了 NUDD。
我们的研究表明，在过去十三年中，同行评议科学文献中统一溺水术语的使用有了统计学上的显著改善，尽管在当前研究期间，每年的变化并没有产生明显的趋势。
在 2010 年至 2016 年的研究期间，审查的文章中有 32%包含过时和非统一的溺水术语和定义。虽然这与上一个研究期（2003-2010 年）相比绝对减少了 11%，但仍有很大的改进空间。
