[P3-93] Characteristics and Neurological Outcome in Children suffering from Drowning in A Pediatric Intensive Care Unit
[Introduction]
Drowning in children results in different consequences from completely normal to severe brain injury and even death. The aim of the study is to clarify the clinical features and long-term outcomes of the drowned child in our pediatric intensive care unit (PICU).
[Methodology]
During the past fifteen years, the patients suffering from drowning and admitted to the PICU of Kaohsiung medical university hospital were retrospectively analyzed. Clinical characteristics including age, gender, underlying diseases, location of drowning, and length of ICU stay were recorded. Long-term sequels and mortality rate were also highlighted.
[Results]
Based on the medical record, total 27 patients (mean age=6.28, SD=4.55) were admitted to PICU due to drowning. Male predominance was noted (M:F=20:7). Before ICU admission, 70% of the patients (n=19) present with altered consciousness, 22.2% without-hospital cardiac arrest (n=6), and 15% with seizure (n=4). The places of drowning located from swimming pool (33.3%), river (22.2%), pond(18.5%), bathtub(14.8%) and sea(11.1%). During ICU stay, 92.6% of the patient developed pneumonia or respiratory failure and 37% with heart failure. Mean ICU stay is 7.1 days (SD=10.3) and mean hospital stay is 10.9 days (SD=11.6). 29.6% of the patients was found to developed new-onset epilepsy and motor dysfunction, 4 patients (14.8%) result in mortality.
[Conclusions]
Various complications occur in the patients of drowning in PICU and need multidisciplinary care. Our results revealed early childhood and teenagers as the most common age groups in drowning. Safety education to the parents should be emphasized.
Drowning in children results in different consequences from completely normal to severe brain injury and even death. The aim of the study is to clarify the clinical features and long-term outcomes of the drowned child in our pediatric intensive care unit (PICU).
[Methodology]
During the past fifteen years, the patients suffering from drowning and admitted to the PICU of Kaohsiung medical university hospital were retrospectively analyzed. Clinical characteristics including age, gender, underlying diseases, location of drowning, and length of ICU stay were recorded. Long-term sequels and mortality rate were also highlighted.
[Results]
Based on the medical record, total 27 patients (mean age=6.28, SD=4.55) were admitted to PICU due to drowning. Male predominance was noted (M:F=20:7). Before ICU admission, 70% of the patients (n=19) present with altered consciousness, 22.2% without-hospital cardiac arrest (n=6), and 15% with seizure (n=4). The places of drowning located from swimming pool (33.3%), river (22.2%), pond(18.5%), bathtub(14.8%) and sea(11.1%). During ICU stay, 92.6% of the patient developed pneumonia or respiratory failure and 37% with heart failure. Mean ICU stay is 7.1 days (SD=10.3) and mean hospital stay is 10.9 days (SD=11.6). 29.6% of the patients was found to developed new-onset epilepsy and motor dysfunction, 4 patients (14.8%) result in mortality.
[Conclusions]
Various complications occur in the patients of drowning in PICU and need multidisciplinary care. Our results revealed early childhood and teenagers as the most common age groups in drowning. Safety education to the parents should be emphasized.