[Submersion in children; the role of hypothermia and development of adult respiratory distress syndrome]. / Submersie bij kinderen; rol van hypothermie en ontstaan van 'adult respiratory distress'-syndroom.
Ned Tijdschr Geneeskd
; 138(18): 906-10, 1994 Apr 30.
Article
en Nl
| MEDLINE
| ID: mdl-8196776
ABSTRACT
OBJECTIVE:
To evaluate the occurrence of the adult respiratory distress syndrome (ARDS), and of hypothermia as a predictor of outcome in cases of submersion injury in children.DESIGN:
Retrospective analysis. PATIENTS All drowning cases admitted to the Intensive Care Unit of the Wilhelmina Children's Hospital in Utrecht between January 1986 and January 1993.RESULTS:
There were 45 patients, 29 boys and 16 girls, aged 0-13 years. Hypothermia was related to the duration of submersion and did not correlate with a good outcome. Asystole on arrival at the hospital was associated with demise in all but one patient, who was left with severe neurological impairment. ARDS occurred in 27/45 patients (60%), all within 6 h following admission. Of the 45 patients treated, 11 died. Of the 34 survivors, 7 were discharged from the Intensive Care Unit with neurological sequelae (2 with mild, 5 with serious sequelae).CONCLUSION:
In our patients with drowning accidents, hypothermia did not appear to provide any protective effect. ARDS, if it occurred, became evident within 6 h after admission.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Edema Pulmonar
/
Ahogamiento Inminente
/
Hipotermia
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
1994
Tipo del documento:
Article