Document Detail


Pediatric drowning: a 20-year review of autopsied cases: III. Bathtub drownings.
MedLine Citation:
PMID:  16738427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bathtub drownings are a significant cause of mortality in the pediatric population. Infants and preambulatory children are disproportionately affected, and several studies have suggested that preventative campaigns have been ineffective in the prevention of such deaths. To obtain a better understanding of the factors associated with bathtub drownings, a retrospective review of autopsy records over a 20-year period (1984-2003) was performed. Eighteen consecutive cases of bathtub drownings were identified in 8 males and 10 females (ratio, 0.8; P = 0.6374). The age ranged from 6 months to 70 months (mean, 17 months; median, 11 months), and most cases occurred in infants aged 12 months or less (72%). Males tended to be older than females (mean, 23 months versus 11 months; P = 0.1889). Associated factors included inadequate adult supervision (89%), cobathing (39%), the use of infant bath seats (17%), and coexistent medical disorders predisposing the infant or child to the drowning episode (17%). The pathologic findings included a frothy exudate (28%), pleural effusion (28%), and increased lung weight (61%). All toxicologic samples submitted for analysis were negative. The present study highlights the factors associated with bathtub drownings and may aid in the prevention of such deaths in the pediatric population.
Authors:
Gino R Somers; David A Chiasson; Charles R Smith
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  27     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-01     Completed Date:  2006-11-21     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-6     Citation Subset:  IM    
Affiliation:
Division of Pathology, Department of Pediatric Laboratory Medicine, Hospital for Sick Children, Toronto, Ontario, Canada. gino.somers@sickkids.ca
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Baths / adverse effects*
Child, Preschool
Drowning / mortality*
Female
Forensic Medicine
Humans
Infant
Lung / pathology
Male
Ontario / epidemiology
Pleural Effusion / pathology
Retrospective Studies
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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