ORIGINAL STUDY
Drowning and near drowning victims in Chania area
 
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1
Resident in Respiratory Medicine Department, University Hospital of Larissa, Thessaly, Greece
 
2
Resident in Respiratory Medicine Department, Venizelio General Hospital of Heraklion, Crete, Greece
 
3
Resident in Respiratory Medicine Department, University Hospital of Heraklion, Crete, Greece
 
4
Director of Respiratory Medicine Department, General Hospital of Chania, Crete, Greece
 
5
Environmentalist, Research Associate Scientist of National Technical University of Athens, Greece
 
6
Professor of Respiratory Medicine Department, University Hospital of Larissa, Thessaly, Greece
 
 
Corresponding author
Ourania Kotsiou   

Respiratory Medicine Department, University of Thessaly School of Medicine, Biopolis, 4110 Larissa, Thessaly, Greece
 
 
Pneumon 2014;27(3):231-235
 
KEYWORDS
ABSTRACT
Aim:
The purpose of our study is to present the number of drowning and near-drowning victims that have been admitted to the Emergency Department of the General Hospital of Chania during the period of May 2012 to September 2013.

Disign:
Twenty-seven victims have been admitted to the Emergency Department(18 males and 9 females), aged 18-88 years old with a mean age 65.5 ± 3.75 years old. 60% of them were foreigners and the rest were Greeks. 25% were admitted dead, all in seawater. All patients who admitted alive in the Emergency Department had respiratory failure. All incidents occurred accidentally during swimming mainly in the seawater. The time that victims spent under the water was unknown, while nobody has had injuries. 30% were hospitalized in the Intensive Care Unit (with mean age: 71.6 years old) with approximately a three-day hospitalization.

Results:
There was a statistically significant relationship between the prognosis of the patients and their age, the degree of acidosis and the hypercapnia. Specifically, the advanced age, the great degree of acidosis and hypercapnia, were associated with the admission of patients in intensive care unit. None of the patients, who came alive, died subsequently.

Conclusions:
Acute respiratory failure with severe disorders in the blood gases, are able to prefigure the outcome of the victims. Elderly and tourists are specific subgroups on whom drowning prevention programs must target.

CONFLICTS OF INTEREST
None of the authors has any conflict of interest related to the present manuscript.
FUNDING
There was no funding for the present study. All the authors contributed equally in the shaping of the manuscript. They have read and approved it.
REFERENCES (15)
1.
Van Beeck EF, Branche CM, Szpilman D, Modell JH, Bierens J. A new definition of drowning: towards documentation and prevention of a global public health problem. Bull World Health Organ 2005; 83:853–6. [PMC free article] [PubMed].
 
2.
Groneberg DA et al. Drowning - a scientometric analysis and data acquisition of a constant global problem employing density equalizing mapping and scientometric benchmarking procedures. Int J Health Geogr 2011; 10:55. [PMC free article].
 
3.
ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA 2012; 307:2526-33 [PubMed].
 
4.
Dietz PE, Baker SP. Drowning. Epidemiology and prevention. Am J Public Health 1974; 64:303–12. [PubMed].
 
5.
Bierens JJLM, van der Velde EO, van Berkel M, et al. Submersion cases in the Netherlands. Ann Emerg Med 1989; 18:366–73. [PubMed].
 
6.
Centers for Disease Control and Prevention (CDC). Drowning 2005-2009. MMWR 2012; 61:344-47. [PubMed].
 
7.
Howland J, Hingson R, Mangione TW, Bell N, Bak S. Why are most drowning victims men? Sex differences in aquatic skills and behaviors. Am J Public Health 1996; 86:93-6. [PMC free article] [PubMed].
 
8.
Lindholm P, Steensberg J. Epidemiology of unintentional drowning and near-drowning in Denmark in 1995. Inj Prev 2000; 6:29–31. [PubMed].
 
9.
Bierens JJLM, van Berkel M, et al. Submersion cases in the Netherlands. Ann Emerg Med 1989; 18:366–73. [PubMed].
 
10.
Modell JH, Moya F, Williams HD, Weibley TC. Changes in blood gases and A- aDO2 during near-drowning. Anesthesiology 1968; 29:456-65. [PubMed].
 
11.
Ηasan S et al. Near-drowning in humans. Chest 1971; 59:191-7. [PubMed].
 
12.
Weinstein MD, Krieger BP. Near drowning: epidemiology, pathophysiology and initial treatment. JEM 1996; 14:461-7 [PubMed].
 
13.
Driscoll TR, Harrison JA, Steenkamp M. Review of the role of alcohol in drowning associated with recreational aquatic activity. Injury Prevention 2004; 10:107–13.
 
14.
Lhatoo SD, Sander JWAS. Cause-specific mortality in epilepsy. Epilepsia 2005; 46(Suppl. 11):36–9. [PubMed].
 
15.
Kreis R, Arcinue E, Ernst T, Shonk TK, Flores R, Ross BD. Hypoxic encephalopathy after near-drowning studied by quantitative 1H-magnetic resonance spectroscopy. J Clin Invest 1996; 97:1142–54. [PubMed].
 
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