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Master Thesis

Étude descriptive rétrospective d’une cohorte de patients pédiatriques noyés de 2014 à 2020

Abstract : Introduction: Drowning is a major public health problem, It is the leading cause of accidental death in children. Today, the most important medical cohort is the one made by Szpilman, described in 1997 ,for 1,831 cases. He created a management algorithm as well as a classification focused on organn failure . The main objective of our study was to compare the results of this study with that of a pediatric population today, in France. The secondary objective was to describe this population clinically and biologically. Method: We retrospectively included 159 patients aged 0 to 14 years, Grade Szpilman 2 to 6, transferred alive to the 5 Hospital Centers of Taone, Pointe-à-Pitre, Bordeaux and Marseille (La Timone, Hôpital Nord) in emergency and resuscitation services, from January 2014 to July 2020. Results: In our pediatric population: Grade 4 is completely absent. Grade 5 has a mortality and morbidity similar to Grade 3. Regarding the secondary objective, the factors of poor prognosis are cardiac arrest and the absence of a qualified witness. Our cohort shows a better prognosis for survival than the Szpilman population in 1997. Natremia and Kalemia disorders seem to depend on the type of water, saline or treated, but do not cause major complications. Patients of Grade less than 6 appear to have a good clinical course. Conclusion: The results on mortality and morbidity are growing to improve drowning prevention in this population (protection of swimming pools, first aid training, awareness in the most affected areas).It would be interesting to carry out studies of greater power to confirm these data and create a Szpilman classification adapted to pediatrics.
Keywords : Drowning Pediatrics
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03168953
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Submitted on : Monday, March 15, 2021 - 6:12:52 AM
Last modification on : Tuesday, October 19, 2021 - 5:56:43 PM
Long-term archiving on: : Wednesday, June 16, 2021 - 6:15:28 PM

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Alexandra Laval. Étude descriptive rétrospective d’une cohorte de patients pédiatriques noyés de 2014 à 2020. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03168953⟩

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