Predictors for hospital admission of asymptomatic to moderately symptomatic children after drowning

Cohen, Neta; Capua, Tali; Lahat, Sharon; Glatstein, Miguel; Sadot, Efraim; Rimon, Ayelet

doi:10.1007/s00431-019-03429-1

Cited by 11 publications

(12 citation statements)

References 12 publications

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“…Five studies were identified for final data abstraction, 70,71,100–102 all of which were retrospective observational studies, including 1 with both derivation and validation arms. 102 Four studies were performed in the United States, 70,100–102 and 1 was performed in Israel.…”

Section: Basic Life Supportmentioning

confidence: 99%

“…102 Four studies were performed in the United States, 70,100–102 and 1 was performed in Israel. 71 In total, 834 patients were analyzed, all of whom were <18 years of age.…”

Section: Basic Life Supportmentioning

confidence: 99%

“…Additional objective factors that were analyzed were chest radiography (341 patients) 70,71,101 and arterial blood gas results (161 patients). 70,71…”

Section: Basic Life Supportmentioning

confidence: 99%

“…These factors include pulmonary examination (744 patients), 71,[100][101][102] oxygen saturation in air (834 patients), 70,71,[100][101][102] pulse rate (673 patients), [100][101][102] blood pressure (673 patients), [100][101][102] mental status (744 patients), 71,[100][101][102] need for airway support (535 patients), 70,102 and dyspnea (744 patients). 71,[100][101][102] Three studies evaluated specific safe discharge times, specifically 6 hours 71,100 and 8 hours, 102 with the remaining studies solely comparing discharged patients to admitted patients. Additional objective factors that were analyzed were chest radiography (341 patients) 70,71,101 and arterial blood gas results (161 patients).…”

Section: Summary Of Evidencementioning

confidence: 99%

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2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Wyckoff¹,

Singletary²,

Soar³

et al. 2022

Circulation

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The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

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Section: Basic Life Supportmentioning

confidence: 99%

“…102 Four studies were performed in the United States, 70,100–102 and 1 was performed in Israel. 71 In total, 834 patients were analyzed, all of whom were <18 years of age.…”

Section: Basic Life Supportmentioning

confidence: 99%

“…Additional objective factors that were analyzed were chest radiography (341 patients) 70,71,101 and arterial blood gas results (161 patients). 70,71…”

Section: Basic Life Supportmentioning

confidence: 99%

Section: Summary Of Evidencementioning

confidence: 99%

See 2 more Smart Citations

2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Wyckoff¹,

Singletary²,

Soar³

et al. 2022

Circulation

View full text Add to dashboard Cite

show abstract

“…The stethoscope has the advantages of being non-invasive, easy to use, affordable, and non-radioactive, and stethoscope examinations can be repeated quickly, making this tool especially suitable for children with respiratory symptoms. Among its benefits, lung auscultation can improve the sensitivity of the diagnosis of pneumonia in children (1), help in building a discrimination model of admission signs for drowning children (2), and be applied to recognizing wheezing and judging the presence of an asthma attack (3), and changes in breathing sound parameters can indirectly reflect the clinical scenario, such as limited airflow in the lung (4). However, traditional auscultation technology has obvious limitations in clinical application, including the dependence of the auscultation results on the clinical experience and auditory perception ability of physicians, which is strongly subjective; the inability to save and share the auscultated sound signal; poor repeatability; and the inability to continuously monitor breath sounds.…”

Section: Introductionmentioning

confidence: 99%

Real-World Verification of Artificial Intelligence Algorithm-Assisted Auscultation of Breath Sounds in Children

Zhang

Wang

Zhou³

et al. 2021

Front. Pediatr.

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Objective: Lung auscultation plays an important role in the diagnosis of pulmonary diseases in children. The objective of this study was to evaluate the use of an artificial intelligence (AI) algorithm for the detection of breath sounds in a real clinical environment among children with pulmonary diseases.Method: The auscultations of breath sounds were collected in the respiratory department of Shanghai Children's Medical Center (SCMC) by using an electronic stethoscope. The discrimination results for all chest locations with respect to a gold standard (GS) established by 2 experienced pediatric pulmonologists from SCMC and 6 general pediatricians were recorded. The accuracy, sensitivity, specificity, precision, and F1-score of the AI algorithm and general pediatricians with respect to the GS were evaluated. Meanwhile, the performance of the AI algorithm for different patient ages and recording locations was evaluated.Result: A total of 112 hospitalized children with pulmonary diseases were recruited for the study from May to December 2019. A total of 672 breath sounds were collected, and 627 (93.3%) breath sounds, including 159 crackles (23.1%), 264 wheeze (38.4%), and 264 normal breath sounds (38.4%), were fully analyzed by the AI algorithm. The accuracy of the detection of adventitious breath sounds by the AI algorithm and general pediatricians with respect to the GS were 77.7% and 59.9% (p < 0.001), respectively. The sensitivity, specificity, and F1-score in the detection of crackles and wheeze from the AI algorithm were higher than those from the general pediatricians (crackles 81.1 vs. 47.8%, 94.1 vs. 77.1%, and 80.9 vs. 42.74%, respectively; wheeze 86.4 vs. 82.2%, 83.0 vs. 72.1%, and 80.9 vs. 72.5%, respectively; p < 0.001). Performance varied according to the age of the patient, with patients younger than 12 months yielding the highest accuracy (81.3%, p < 0.001) among the age groups.Conclusion: In a real clinical environment, children's breath sounds were collected and transmitted remotely by an electronic stethoscope; these breath sounds could be recognized by both pediatricians and an AI algorithm. The ability of the AI algorithm to analyze adventitious breath sounds was better than that of the general pediatricians.

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National trends in pediatric drowning — insights from the Israeli Ministry of Health registry-based cohort

Applbaum,

Cohen-Cymberknoh,

Avniel-Aran

et al. 2024

Eur J Pediatr

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This study analyzes the epidemiology of pediatric drowning in Israel from 2010 to 2022, focusing on differences across age groups, sex, and regions. We conducted a retrospective cohort study using data from the Ministry of Health’s administrative databases, covering all children aged 0–17 years who were seen in the emergency department, discharged after hospitalization, or died at the scene due to drowning, excluding cases of intentional harm or suicide. The primary outcome was the annual drowning rate per 100,000 children, categorized by age, sex, and region, along with hospitalization duration, intensive care unit admissions, and mortality rates. A total of 2101 drowning incidents were identified, with 9% resulting in death. Higher drowning rates were found in younger children (1–4 years) and teenagers (15–17 years), with notable differences by sex. Drowning rates were higher in coastal regions and more frequent during winter and spring. An increase in drowning rates was observed over the last 3 years of the study (2020–2022). Children hospitalized for more than 3 days had significantly higher mortality rates, both in general wards and intensive care units.Conclusions: Pediatric drowning is a persistent public health concern in Israel, with distinct seasonal, regional, age-specific, and sex-specific patterns in incidence and mortality. This study underscores the need for a comprehensive prevention strategy that includes year-round public education, environmental safety measures, and targeted interventions for high-risk groups to reduce drowning incidents and fatalities among children effectively. What is Known:• Pediatric drowning represents a significant public health challenge globally, with varying rates.• In Israel, pediatric drowning is the second leading cause of death from all injury-related deaths. Thus far, the measures and interventions to reduce fatalities were not proven effective enough. What is New:• Pediatric drowning in Israel, with a 9% mortality rate, revealed a biphasic rate varied by sex and is higher in coastal regions and during winter and spring.• There was a notable increase in drowning incidents during the last 3 years of the study period (2020–2022), coinciding with the COVID-19 pandemic.

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Predictors for hospital admission of asymptomatic to moderately symptomatic children after drowning

Cited by 11 publications

References 12 publications

Real-World Verification of Artificial Intelligence Algorithm-Assisted Auscultation of Breath Sounds in Children

National trends in pediatric drowning — insights from the Israeli Ministry of Health registry-based cohort

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