Drowning, Drowning and Nonfatal Submersion, Drowning and Submersion, Undetermined Intent, Drowning and Submersion While in Bath-Tub, Drowning and Submersion While in Natural Water, Drowning and Submersion While in Swimming-Pool, Drowning; Asphyxia, Drowning, Near, Drowning or Immersion of Unknown Intent
Conditions
Keywords
Danish Drowning Formula, Drowning, Danish Prehospital Drowning Data, Registry, Database, Emergency Medical Service, Utstein, Register, Epidemiology
Brief summary
This nationwide, registry-based study aims to link Danish Prehospital Drowning Data data with inhospital data to develop a Utstein-style Danish Drowning Registry. This study will report mortality and neurological outcomes 30 days after a drowning incident since 2016.
Detailed description
Purpose The purpose of this study is to establish recommendations towards specific educational, preventative, rescue, or treatment strategies to reduce the number of fatal and non-fatal drowning incidents in Denmark (e.g., campaigns targeting high-risk groups, or fencing, allocating rescue equipment, or establishing lifeguard stations in high-risk areas). Objectives The primary objective is to estimate 30-day mortality of drowning incidents in Denmark treated by the Emergency Medical Services from 2016. The secondary objective is to explore risk factors associated with 30-day mortality. Study design A nationwide registry-based study linking data from the Danish Prehospital Drowning Data with data from the inhospital electronic medical records. from 2016 and follow-up on mortality 30 days after the drowning incident. Neurological outcomes will be assessed by trained observers through the inhospital electronic medical records.
Interventions
OTHERDrowning
Drowning is defined by the WHO in 2002 as the process of experiencing respiratory impairment from submersion or immersion in liquid
Sponsors
Prehospital Center, Region Zealand
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Drowning * Being registered in the Danish Prehospital Drowning Data with a valid civil registration number to allow for linkage with the inhospital electronic medical records
Exclusion criteria
* Obvious signs of irreversible death (decapitation, decomposition, post-mortem lividity, post-mortem rigidity). * Declared dead on scene. * A valid Do-Not-Attempt-Resuscitation order or other code status orders limiting life-sustaining therapies. * An invalid civil registration number.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30-day mortality | 30 days after the drowning incident | The patient died before 30 days after the drowning incident |
| Neurological outcome | 30 days after the drowning incident | Using the modified Ranking Scale (mRS) score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intensive care unit admission | Immediately after hospital discharge | Binary |
| Hospital length of stay | Immediately after hospital discharge | Continuous |
| Need for mechanical ventilation | Immediately after hospital discharge | Binary |
| Survival to hospital discharge | Immediately after hospital discharge | Binary |
| Duration of mechanical ventilation | Immediately after hospital discharge | Continuous |
| Intensive care unit length of stay | Immediately after hospital discharge | Continuous |
Countries
Denmark
Contacts
Primary ContactNiklas Breindahl, MD
Outcome results
None listed