Evidence map›Paper›PMID 38448994›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024

Characteristics and critical care interventions in drowning patients treated by the Danish Air Ambulance from 2016 to 2021: a nationwide registry-based study with 30-day follow-up.

Niklas Breindahl, Signe A Wolthers, Thea P Møller, Stig N F Blomberg, Jacob Steinmetz, Helle C Christensen, Danish Drowning Validation Group

3 registry-linked trialsAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06310486 recruitingnot on this map

The Emergency Call on Drowning: A Registry-based Cohort Study of the Characteristics, Predictors, and Outcomes of Fatal and Non-fatal Drowning

TypeobservationalSponsorPrehospital Center, Region ZealandRan2016 to 2025Enrolled1,500ConditionsDrowning, Drowning, Anoxia, Drowning, NearArmsDrowning-related OHCA, Drowning-related non-OHCA
NCT06310525 active not recruitingnot on this map

Machine Learning-assisted Drowning Identification for the Danish Prehospital Drowning Data: Using Machine Learning to Optimise the Danish Drowning Formula

TypeobservationalSponsorPrehospital Center, Region ZealandRan2024 to 2025Enrolled1,500ConditionsDrowning, Drowning and Submersion While in Bath-Tub, Drowning and Submersion While in Natural Water, Drowning and Submersion While in Swimming-PoolArmsDrowning incident
NCT06322134 completednot on this map

Incidence and Characteristics of Drowning Patients at Sea Treated by the Royal Danish Air Force's Search And Rescue Helicopters From 2014-2023: a Nationwide Registry-based Study

TypeobservationalSponsorPrehospital Center, Region ZealandRan2014 to 2024Enrolled247ConditionsDrowning, Drown, Drowning, AnoxiaArmsDrowning incident
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Niklas BreindahlPrehospital Center Region Zealand, Ringstedgade 61, 13, 4700, Næstved, Denmark. niklas.breindahl@gmail.com.ORCID http://orcid.org/0000-0003-3016-3567
Signe A WolthersPrehospital Center Region Zealand, Ringstedgade 61, 13, 4700, Næstved, Denmark.
Thea P MøllerPrehospital Center Region Zealand, Ringstedgade 61, 13, 4700, Næstved, Denmark.
Stig N F BlombergPrehospital Center Region Zealand, Ringstedgade 61, 13, 4700, Næstved, Denmark.
Jacob SteinmetzDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Helle C ChristensenPrehospital Center Region Zealand, Ringstedgade 61, 13, 4700, Næstved, Denmark.
Danish Drowning Validation Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving oxygenation and ventilation in drowning patients early in the field is critical and may be lifesaving. The critical care interventions performed by physicians in drowning management are poorly described. The aim was to describe patient characteristics and critical care interventions with 30-day mortality as the primary outcome in drowning patients treated by the Danish Air Ambulance.

methodsThis retrospective cohort study with 30-day follow-up identified drowning patients treated by the Danish Air Ambulance from January 1, 2016, through December 31, 2021. Drowning patients were identified using a text-search algorithm (Danish Drowning Formula) followed by manual review and validation. Operational and medical data were extracted from the Danish Air Ambulance database. Descriptive analyses were performed comparing non-fatal and fatal drowning incidents with 30-day mortality as the primary outcome.

resultsOf 16,841 dispatches resulting in a patient encounter in the six years, the Danish Drowning Formula identified 138 potential drowning patients. After manual validation, 98 drowning patients were included in the analyses, and 82 completed 30-day follow-up. The prehospital and 30-day mortality rates were 33% and 67%, respectively. The National Advisory Committee for Aeronautics severity scores from 4 to 7, indicating a critical emergency, were observed in 90% of the total population. They were significantly higher in the fatal versus non-fatal group (p < 0.01). At least one critical care intervention was performed in 68% of all drowning patients, with endotracheal intubation (60%), use of an automated chest compression device (39%), and intraosseous cannulation (38%) as the most frequently performed interventions. More interventions were generally performed in the fatal group (p = 0.01), including intraosseous cannulation and automated chest compressions.

conclusionsThe Danish Air Ambulance rarely treated drowning patients, but those treated were severely ill, with a 30-day mortality rate of 67% and frequently required critical care interventions. The most frequent interventions were endotracheal intubation, automated chest compressions, and intraosseous cannulation.

Indexed as

Air AmbulancesDrowningCritical CareDenmarkFollow-Up StudiesHumansRetrospective StudiesDanish Air AmbulanceDanish drowning formulaDrowningEmergency medical service (EMS)Helicopter emergency medical service (HEMS)National Danish Drowning RegistryRegistry-based

Identifiers

PMID38448994
PMCPMC10916225

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.