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. 2015 Feb 25;10(2):e0117948.
doi: 10.1371/journal.pone.0117948. eCollection 2015.

Drowning mortality and morbidity rates in children and adolescents 0-19 yrs: a population-based study in Queensland, Australia

Belinda A Wallis  1 , Kerrianne Watt  2 , Richard C Franklin  3 , James W Nixon  4 , Roy M Kimble  1
Affiliations

Drowning mortality and morbidity rates in children and adolescents 0-19 yrs: a population-based study in Queensland, Australia

Belinda A Wallis et al. PLoS One. .

Abstract

Objective: To redress the lack of Queensland population incidence mortality and morbidity data associated with drowning in those aged 0-19 yrs, and to understand survival and patient care.

Design, setting and participants: Retrospective population-based study used data linkage to capture both fatal and non-fatal drowning cases (N = 1299) among children aged 0-19 years in Queensland, from 2002-2008 inclusive. Patient data were accessed from pre-hospital, emergency department, hospital admission and death data, and linked manually to collate data across the continuum of care.

Main outcome measures: Incidence rates were calculated separately by age group and gender for events resulting in death, hospital admission, and non-admission. Trends over time were analysed.

Results: Drowning death to survival ratio was 1:10, and two out of three of those who survived were admitted to hospital. Incidence rates for fatal and non-fatal drowning increased over time, primarily due to an increase in non-fatal drowning. There were non-significant reductions in fatal and admission rates. Rates for non-fatal drowning that did not result in hospitalisation more than doubled over the seven years. Children aged 5-9 yrs and 10-14 yrs incurred the lowest incidence rates 6.38 and 4.62 (expressed as per 100,000), and the highest rates were among children aged 0-4 yrs (all drowning events 43.90; fatal 4.04; non-fatal 39.85-comprising admission 26.69 and non-admission 13.16). Males were over-represented in all age groups except 10-14 yrs. Total male drowning events increased 44% over the seven years (P<0.001).

Conclusion: This state-wide data collection has revealed previously unknown incidence and survival ratios. Increased trends in drowning survival rates may be viewed as both positive and challenging for drowning prevention and the health system. Males are over-represented, and although infants and toddlers did not have increased fatality rates, they had the greatest drowning burden demonstrating the need for continued drowning prevention efforts.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Incidence rates for all drowning, admitted, and not admitted drowning events by age group, gender and trends over time for 2002–2008.
Fig 2
Fig 2. Drowning incidence rates in 0–19yr old Queensland residents by calendar year 2002–2008 stratified by severity.
See this image and copyright information in PMC

References

    1. WHO, World Health Organization (2008) Global Burden of Disease 2004 update (Disease and regional injury estimates for 2004) Geneva, Switzerland: World Health Organization.
    1. WHO, World Health Organization (2014) Drowning Fact Sheet No 347. Geneva: World Health Organization.
    1. WHO, World Health Organization (2004) Facts About Injuries: Drowning Geneva, Switzerland: WHO, Injuries and Violence Prevention; Available: http://www.who.int/violence_injury_prevention/publications/other_injury/.... Accessed: 2014 Sept.
    1. Franklin RC, Scarr JP, Pearn JH (2010) Reducing drowning deaths: the continued challenge of immersion fatalities in Australia. Med J Aust 192: 123–126. - PubMed
    1. Peden M, McGee K, Sharma G (2002) The injury chart book: a graphical overview of the global burden of injuries Geneva: WHO World Health Organisation.

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