Berecki-Gisolf Janneke, Matthews Bernadette, Calverley Hannah, Abrahams Jonathan, Peden Amy E
Monash University Accident Research Centre, Monash University, Clayton, Victoria, Australia.
Research and Health Promotion, Life Saving Victoria, Port Melbourne, Victoria, Australia.
Inj Prev. 2025 Jan 23;31(1):40-44. doi: 10.1136/ip-2023-045206.
To examine trends in hospitalisation following drowning in Victoria, Australia, before and after the emergence of the COVID-19 pandemic.
Retrospective analysis of administrative hospital admission records.
Hospital admissions recorded in the Victorian Admitted Episodes Dataset.
Hospital-admitted patients with ≥1 drowning-related International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification diagnosis code.
Incidence and incidence rate ratios (IRR; 95% CIs) of hospital-admitted drowning that occurred before (July 2017 to June 2019), during (July 2019 to June 2021) and after (July 2021 to June 2022) the onset of the COVID-19 pandemic.
There were 736 hospital admissions related to drowning in the study period; the incidence was 2.6 per 100 000 population pre-COVID-19 and dropped to 2.0 per 100 000 during (2019/2020-2020/2021) and after (2021/2022) the onset of the pandemic. Among Victorian residents, drowning was positively associated with younger age, male sex and regional/remote residence. Drowning was negatively associated with the onset of COVID-19 (IRR 0.76 (0.64, 0.90)) as well as the post-COVID-19 period (0.78 (0.64, 0.97)), compared with pre-COVID-19. Natural water drowning rates were consistently higher than pool or bathtub drowning rates. Pool or bathtub drowning rates decreased with the onset of COVID-19; no significant change was observed in the natural water drowning rate.
Pool and bathtub drowning rates declined since the onset of the COVID-19 pandemic, despite more time spent at home, while natural water drowning rates remained consistently high. Hospital admissions provide a valuable data source for monitoring of drowning, which is crucial to ensure a targeted, evidence-based approach to mitigate drowning risk.
研究澳大利亚维多利亚州在新冠疫情出现前后溺水住院情况的趋势。
对医院行政入院记录进行回顾性分析。
维多利亚州入院病例数据集记录的医院入院情况。
有≥1个与溺水相关的国际疾病分类第十版澳大利亚修订版诊断代码的住院患者。
新冠疫情爆发前（2017年7月至2019年6月）、期间（2019年7月至2021年6月）和之后（2021年7月至2022年6月）住院溺水的发病率和发病率比（IRR；95%可信区间）。
研究期间有736例与溺水相关的住院病例；新冠疫情前发病率为每10万人2.6例，疫情期间（2019/2020 - 2020/2021）和之后（2021/2022）降至每10万人2.0例。在维多利亚州居民中，溺水与年轻、男性和地区/偏远居住呈正相关。与新冠疫情前相比，溺水与新冠疫情的爆发（IRR 0.76（0.64，0.90））以及新冠疫情后时期（0.78（0.64，0.97））呈负相关。天然水域溺水率一直高于泳池或浴缸溺水率。随着新冠疫情的爆发，泳池或浴缸溺水率下降；天然水域溺水率未观察到显著变化。
自新冠疫情爆发以来，尽管在家时间增加，但泳池和浴缸溺水率下降，而天然水域溺水率一直居高不下。住院病例为溺水监测提供了宝贵的数据来源，这对于确保采取有针对性的、基于证据的方法降低溺水风险至关重要。
