An underappreciated cause of ocean-related fatalities: A systematic review on the epidemiology, risk factors, and treatment of snorkelling-related drowning

Dunne, Cody; Madill, Julia; Peden, Amy E.; Valesco, B.; Lippmann, John; Szpilman, David; Queiroga, Ana Catarina

doi:10.1016/j.resplu.2021.100103

Cited by 8 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on the results of the cross-tabulation analysis, there was a significant relationship between the age category and the severity of the injury with p 0.007 and the correlation coefficient r 14. 16, where major injuries were suffered mostly by tourists aged 19-60 years. This is because the cause of the injury is an accident using a motorized vehicle that occurs on the road or a traffic accident.…”

Section: Resultsmentioning

confidence: 99%

“…Years of driving, type of pavement, road slope and alignment, terrain, time and type of accident, condition of street lights, type of vehicle, speed limit, number of vehicles involved, and whether seat belt use were significant factors influencing the severity of the injury (14,15). Identifying high risk factors that influence the severity of injuries from fatigue-related accidents helps prevent driver fatigue and improve road safety conditions (16,17). Another study investigated the impact of various factors on injury severity, this study revealed important findings, drivers driving at high speed through the work zone at night (18,19).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk Factors of Injury Severity Level in Foreign Tourists Visiting Bali

Budiapsari,

Widhidewi,

Muliawan

et al. 2023

MMJ

View full text Add to dashboard Cite

Background: Injuries are the highest cause of death for international tourists, especially injuries caused by traffic accidents. The severity level of injury is the most cause of death. It is necessary to analyze the risk factor of injury severity among international travelers visiting Bali. Purpose: This study aimed to investigate the risk factors for injury severity in foreign tourists visiting Bali. Methods: This cross-sectional analytic study used foreign tourists visiting an international hospital in Bali as the research sample. This research was conducted by analyzing medical records using Injury Severity Score. Data on respondent characteristics, including age, gender, and injury characteristics, including location, type of injury, degree of severity, and injury mechanism, were analyzed using cross-tabulation. Results: The most types of trauma were closed fractures, 49 people (45.4%), and the most common causes were traffic accidents, namely 39 (36.1%) people. Based on the injury region, the lower Extremity is 36 (33.3%) mostly. Conclusion: Age, gender, type of injury, and mechanism of the accident was significant factor influencing the severity of injury among travelers visiting Bali (p<0.05).

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk Factors of Injury Severity Level in Foreign Tourists Visiting Bali

Budiapsari,

Widhidewi,

Muliawan

et al. 2023

MMJ

View full text Add to dashboard Cite

show abstract

“…The reason for this is unclear, and research is needed because ischemic heart disease in younger adults is increasing. 32 …”

Section: Discussionmentioning

confidence: 99%

The link between medical conditions and fatal drownings in Canada: a 10-year cross-sectional analysis

Dunne

Sweet

Clemens

2022

CMAJ

View full text Add to dashboard Cite

Background: Drowning accounts for hundreds of preventable deaths in Canada every year, but the impact of preexisting medical conditions on the likelihood of death from drowning is not known. We aimed to describe the prevalence of pre-existing medical conditions among people who fatally drowned in Canada and evaluate the risk of fatal drowning among people with common pre-existing medical conditions. Methods: We reviewed all Canadian unintentional fatal drownings (2007–2016) in the Drowning Prevention Research Centre Canada’s database. For each fatal drowning we established whether the person had pre-existing medical conditions and whether those conditions contributed to the drowning. We calculated relative risk (RR) of fatal drowning stratified by age and sex for each pre-existing medical condition using data from the Canadian Chronic Disease Surveillance System. Results: During 2007–2016, 4288 people fatally drowned unintentially in Canada, of whom one-third had a pre-existing medical condition. A pre-existing medical condition contributed to drowning in 43.6% ( n = 616) of cases. Fatal drowning occurred more frequently in people with ischemic heart disease (RR 2.7, 95% confidence interval [CI] 2.5–3.0) and seizure disorders (RR 6.3, 95% CI 5.4–7.3) but less frequently in people with respiratory disease (RR 0.12, 95% CI 0.10–0.15). Females aged 20–34 years with a seizure disorder had a 23 times greater risk than their age- and sex-matched cohort (RR 23, 95% CI 14–39). In general, fatal drowning occurred more often while people were bathing (RR 5.9, 95% CI 4.8–7.0) or alone (RR 1.99, 95% CI 1.32–2.97) and less often in males (RR 0.92, 95% CI 0.88–0.95) or in those who had used alcohol (RR 0.72, 95% CI 0.65–0.80), among those with pre-existing medical conditions. Interpretation: The risk of fatal drowning is increased in the presence of some preexisting medical conditions. Tailored interventions aimed at preventing drowning based on pre-existing medical conditions and age are needed. Initial prevention strategies should focus on seizure disorders and bathtub drownings.

show abstract

“…Methodological quality of the included studies was initially assessed using The National Health and Medical Research Council (NHMRC) Evidence Hierarchy ( 2009 ). Following the preliminary assessment, study quality was considered in greater detail using an amalgamation of two National Institute of Health (NIH) quality assessment tools (Dunne et al 2021 ). The amalgamated tool included a checklist of 15 questions which addressed sample size, instrument validity and reliability, statistical analysis and reporting, and appropriateness of the discussion.…”

Section: Main Textmentioning

confidence: 99%

A systematic review of demographic and background factors associated with the development of children’s aquatic competence

Duke¹,

Calverley²,

Petrass

et al. 2023

Inj. Epidemiol.

View full text Add to dashboard Cite

Background Globally, drowning is a leading cause of unintentional injury and death among children. Teaching aquatic competencies (swimming skills and water safety knowledge) to children has been proposed as a prevention strategy. In Australia, however, many children are not meeting standard aquatic competency benchmarks. Exploration of the connection between demographic and background factors and aquatic competencies could provide insight into why differences in acquisition of aquatic knowledge and skills occur. Main body A systematic literature review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses was performed to identify studies that reported on the association between demographic and background factors and aquatic competencies. Nine databases were searched for English language peer-reviewed studies published since 2000. Fourteen studies fulfilled all inclusion criteria. Studies were quasi-experimental or cross-sectional in design, which is considered quality level III-2 or IV, respectively, on the National Health and Medical Research Council Evidence Hierarchy. Study quality was moderate, and risk of bias was high. While aquatic competencies can be taught, this review found that factors including age, gender, geographic residence, medical conditions/disabilities, socioeconomic status, and swimming frequency were significantly associated with the demonstration and/or acquisition of aquatic competencies. Conclusion This review provides insight into demographic and background factors that are significantly associated with the development of aquatic competence. Whilst further investigation is required to increase the evidence base, these findings may assist in tailoring swimming and water safety programs to accommodate those at-risk of not achieving age-appropriate aquatic competencies.

show abstract

An underappreciated cause of ocean-related fatalities: A systematic review on the epidemiology, risk factors, and treatment of snorkelling-related drowning

Cited by 8 publications

References 22 publications

Risk Factors of Injury Severity Level in Foreign Tourists Visiting Bali

Risk Factors of Injury Severity Level in Foreign Tourists Visiting Bali

The link between medical conditions and fatal drownings in Canada: a 10-year cross-sectional analysis

A systematic review of demographic and background factors associated with the development of children’s aquatic competence

Contact Info

Product

Resources

About