Cardiac arrest & resuscitation

Drowning in the United States: Patient and scene characteristics using the novel Cardiac Arrest Registry to Enhance Survival (CARES) drowning variables

ResuscitationPublished Retrospective cohort study

Main finding · Neurologically favorable survivalResult — go to the resultOdds ratio 2.85 95% CI 2.02–4.01

Authors' conclusion

Bystander CPR was associated with improved neurological outcomes.

Study context

Population
Drowning patients in cardiac arrest in the US CARES registry, 2020–2021
Participants
1,767 drowning cases
Exposure
Bystander-initiated CPR vs EMS/First Responder-initiated CPR
Outcome
Survival to hospital discharge and neurological outcomes by who initiated CPR
Follow-up
Hospital discharge
Methodological detailsregistry-based, national cohort, Pearson's Chi-Squared tests
  • Registry-based
  • National cohort
  • Pearson's Chi-Squared tests

Main finding

Neurologically favorable survival

Odds ratio

2.85

95% CI 2.02–4.01

Bystander vs EMS/First Responder
OR 2.85 (95% CI 2.02–4.01)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Patient and scene characteristics (all cases)

Male
69.7%
White
47.1%
Survived to hospital discharge
11.9%
Natural body of water
36.2%
Swimming pool
25.9%
Bystanders removed the patient
42.7%
Swimming as activity at submersion
18.6%
Activity unknown or missing
50.2%

Original publication

Drowning in the United States: Patient and scene characteristics using the novel CARES drowning variables. Resuscitation. Published 6 April 2023. doi:10.1016/j.resuscitation.2023.109788

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