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Key variables included 10-year age groups, body temperature measured at the scene, prehospital factors (e.g., bystander CPR, initial rhythm), and outcomes such as survival and neurological status (CPC, mRS) at hospital discharge.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of the 68,719 included patients 316 (0.5%) had D-OHCA with 50% of the cases occurring during the summer months (June, July and August). D-OHCA in comparison to ND-OHCA patients were younger (median age 50 years vs. 72.5 years, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), had a higher rate of asystole as initial rhythm (73.1 vs. 54.9%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and a lower initial body temperature (median of 31.1\u00a0\u00b0C vs. 35.8\u00a0\u00b0C, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). While overall survival and favourable neurological outcomes did not differ significantly between groups, stratified analysis showed that D-OHCA patients aged 0\u201310 years had significantly higher survival rates (44.7% vs. 16.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and favourable neurological outcomes at hospital discharge (34.0% vs. 7.6%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) compared to ND-OHCA patients under 11 years.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Drowning was a rare cause of out-of-hospital cardiac arrest in this study, often occurring during summer months. Outcome in D-OHCA was generally comparable to ND-OHCA and only better in children aged up to 10 years. Lower body temperatures were associated with unfavourable outcomes in most D-OHCA cases.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s13049-025-01469-1","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T08:13:14Z","timestamp":1759392794000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Characteristics and outcomes of out-of-hospital cardiac arrest due to drowning \u2013 a nationwide registry-based study"],"prefix":"10.1186","volume":"33","author":[{"given":"Christoph","family":"H\u00fcser","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Eimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Wnent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadrija","family":"Cukoski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias Johannes","family":"Hackl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan-Thorsten","family":"Gr\u00e4sner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Seewald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"key":"1469_CR1","volume-title":"Global report on drowning: preventing a leading killer","author":"World Health Organization","year":"2014","unstructured":"World Health Organization. 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