Freshwater submersion injuries in children: a retrospective review of seventy-five hospitalized patients.
Pediatrics
; 98(3 Pt 1): 368-71, 1996 Sep.
Article
em En
| MEDLINE
| ID: mdl-8784358
ABSTRACT
OBJECTIVE:
To determine whether or not selected victims of submersion accidents can be safely managed as outpatients.DESIGN:
Retrospective chart review.SETTING:
Children's Medical Center of Dallas. PATIENTS One hundred forty-eight charts reviewed, comprising all hospital admissions after submersion accidents from April 1987 to April 1994.RESULTS:
Of the 148 patient charts that were reviewed, 73 patients were excluded from the study for the following criteria endotracheal intubation before initial medical evaluation; transfer form an inpatient unit of another medical facility; history of preexisting neurologic, neurodevelopmental, and/or pulmonary disease. Of the 75 evaluable patients, 3 were directly admitted to the inpatient service with no documented initial medical evaluation reported in the medical record. Of the remaining 72 patients, 62 (86%) were symptomatic at the time of the initial medical evaluation in the emergency department; 10 patients (14%) were asymptomatic. Seventy percent of the initially asymptomatic patients and 57% of patients who were symptomatic at the time of initial medical evaluation were asymptomatic by 8 hours after the submersion event. By 18 hours postsubmersion, all patients who were initially asymptomatic and 72% of initially symptomatic patients were normal. Thirty-five percent and 80% of patients who had abnormal initial physical examinations and abnormal chest x-rays had a normal physical examination by 8 hours and 18 hours, respectively, and all remained normal.CONCLUSIONS:
Routine hospital admission of all children who have had immersion accidents is unnecessary.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
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Female
/
Humans
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Infant
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Male
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Newborn
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
1996
Tipo de documento:
Article