Cardiac arrest & resuscitation
Drowning in the United States: Patient and scene characteristics using the novel Cardiac Arrest Registry to Enhance Survival (CARES) drowning variables
Main finding · Neurologically favorable survivalResult — go to the resultOdds ratio 2.85 95% CI 2.02–4.01Authors' 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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