Document Detail


A retrospective study of near-drowning victims admitted to the intensive care unit.
MedLine Citation:
PMID:  9777077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective study was conducted to evaluate the outcome of near-drowning patients admitted to the intensive care unit (ICU) comparing seawater and freshwater drownings. A chart review was used to identify near-drowning patients admitted to ICU from 1 April 1989 to 1 May 1996 for biodata, physiological data and outcome. Seventeen near-drowning patients were admitted to ICU over a period of nearly 7 years. There were 3 deaths (17.6%) and 8 patients (47%) required cardiopulmonary resuscitation. Freshwater near-drowning occurred in 8 patients and saltwater near-drowning occurred in 9 patients. Nearly all (94%) the patients had a PaO2/FiO2 ratio < 300 mm Hg. Pulmonary oedema was present on the chest radiographs of all patients. Mechanical ventilation was required for 8 patients (47%), and nearly all (94%) received prophylactic antibiotics. None of the patients developed pneumonia. Serum electrolytes and haemoglobin concentration were not grossly abnormal although, those with saltwater near-drowning had a significantly higher level of haemoglobin, sodium and urea compared to those with freshwater near-drowning. Patients that survived to hospital discharge had full neurological recovery and stayed an average of 4.5 days. We concluded that near-drowning victims that survive to be admitted to ICU have significant oxygenation defect with nearly half requiring ventilatory support. Mortality is appreciable, but those that survive to hospital discharge had full neurological recovery.
Authors:
K H Lee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  27     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-12-11     Completed Date:  1998-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  344-6     Citation Subset:  IM    
Affiliation:
Department of Medicine, National University Hospital, Singapore. mdcleekh@nus.edu.sg
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Female
Fresh Water
Glasgow Coma Scale
Humans
Intensive Care / methods*
Intensive Care Units
Length of Stay
Male
Middle Aged
Near Drowning / mortality*,  physiopathology,  therapy*
Patient Admission
Prognosis
Pulmonary Edema / etiology,  mortality*,  physiopathology
Retrospective Studies
Seawater
Singapore
Survival Rate
Treatment Outcome
Water-Electrolyte Imbalance / physiopathology

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


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