Drowning Incidents in Danish Harbours

NCT06312202 — Unknown, 400 participants, Prehospital Center, Region Zealand

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Fatal and Non-fatal Drowning Incidents in Danish Harbours: a Nationwide Registry-based Study Using the Danish Prehospital Drowning Data From 2016-2023

RegistryNCT06312202, acronym DROWN_HARBOR
StatusUnknown
Study typeObservational
Enrollment400 (Estimated)
SponsorPrehospital Center, Region Zealand (Other)
ConditionsDrowning, Drown, Drowning; Anoxia, Drowning, Near, Drowning; Asphyxia, Drowning and Nonfatal Submersion, Drowning or Immersion of Unknown Intent, Drowning and Submersion, Undetermined Intent, Drowning and Submersion While in Natural Water, Drowning and Submersion Due to Sailboat Sinking, Drowning and Submersion Due to Fall Off Ship
InterventionsDrowning (Other)
Datesstart 2024-05-01 (estimated), primary completion 2024-12-31 (estimated), completion 2024-12-31 (estimated), first posted 2024-03-15, last updated 2024-03-25
Locations1 site in Denmark

Related Papers Related Patents Related Grants Related Experts
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-Summary

A recent study reported significantly increased mortality from drowning-related out-of-hospital cardiac arrest in Danish harbours compared to other public places (e.g., public pools, coastlines, and lakes). Accurate and reliable data are necessary before establishing specific educational, preventative, rescue, or treatment strategies to reduce the number of drowning incidents in Danish harbours and improve survival. Therefore, it is essential to characterise drowning incidents in Danish harbours and analyse risk factors associated with fatal drowning.

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+Detailed description

Based on the GPS coordinates and advanced text-searching, it is possible to identify drowning incidents in Danish harbours and extract data from the Danish Prehospital Drowning Data.

This study is a nationwide registry-based study with data from the Danish Prehospital Drowning Data from 2016 to 2023. In this study, we will use 30-day mortality to differentiate between fatal and non-fatal drowning.

The primary objective is to estimate the yearly incidence of fatal and non-fatal drowning incidents in Danish harbours treated by the EMS from 2016 to 2023 and calculate the fatal to non-fatal ratio. The secondary objective is to assess risk factors associated with 30-day mortality.

+Arms and interventions

ArmTypeInterventionsDescription
Fatal drowningOther: DrowningThis group of patients experienced a drowning incident defined as the process of experiencing respiratory impairment from submersion or immersion in liquid and died within 30 days after the incident as a consequence of the submersion injury.
Non-fatal drowningOther: DrowningThis group of patients experienced a drowning incident defined as the process of experiencing respiratory impairment from submersion or immersion in liquid and survived until 30 days after the incident.
  • Drowning (Other): Drowning is defined as the process of experiencing respiratory impairment from submersion or immersion in liquid.

+Outcome measures

Primary outcomes

  • Yearly incidence of drowning incidents [30 days after the drowning incident]: Yearly incidence of fatal and non-fatal drowning incidents in Danish harbours treated by the EMS from 2016-2023
  • Fatal to non-fatal drowning ratio [30 days after the drowning incident]: Cumulated counts of fatal to non-fatal drowning incidents from 2016-2023

Secondary outcomes

  • Assess risk factors associated with 30-day mortality [30 days after the drowning incident]: Hypothesis-driven assessment of risk factors associated with drowning-related 30-day mortality

+Eligibility

Sex: All

Inclusion Criteria:

* All the patients registered in the Danish Prehospital Drowning Data from 2016-2023 will be assessed for inclusion AND
* Incidents registered at GPS coordinates corresponding to a Danish harbour OR
* Incidents identified using advanced text-search algorithm searching for "harbour"-related words

Exclusion Criteria:

* Patients without a 30-day follow-up (e.g., due to missing or invalid civil registration numbers) and patients with a valid DNAR code will be excluded from the mortality analysis.

+Locations (1)

FacilityCityCountryStatus
Prehospital CenterNæstved, Region SjællandDenmark

+Publications

  • Breindahl N, Wolthers SA, Jensen TW, Holgersen MG, Blomberg SNF, Steinmetz J, Christensen HC; Danish Cardiac Arrest Group. Danish Drowning Formula for identification of out-of-hospital cardiac arrest from drowning. Am J Emerg Med. 2023 Nov;73:55-62. doi: 10.1016/j.ajem.2023.08.024. Epub 2023 Aug 15. PMID 37619443

+Investigators