{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:10:29Z","timestamp":1777950629460,"version":"3.51.4"},"reference-count":20,"publisher":"King Faisal Specialist Hospital and Research Centre","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Saudi Med"],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Pediatric drowning is a preventable cause of mortality and morbidity worldwide, yet detailed outcome data from the Gulf region remain scarce.<\/jats:p>\n <\/jats:sec>\n \n OBJECTIVES:<\/jats:title>\n To describe the epidemiology, clinical characteristics, neurological outcomes, and predictors of poor prognosis in pediatric drowning cases in Qatar.<\/jats:p>\n <\/jats:sec>\n \n DESIGN:<\/jats:title>\n Retrospective observational study<\/jats:p>\n <\/jats:sec>\n \n SETTING:<\/jats:title>\n Sidra Medicine, the only level I pediatric trauma and tertiary care center in Qatar.<\/jats:p>\n <\/jats:sec>\n \n PATIENTS AND METHODS:<\/jats:title>\n Records of all pediatric drowning cases (0\u201318 years old) over a 6.5-year period from May 2018 to November 2024 were reviewed. Data included demographics, incident details, prehospital interventions, clinical presentation, laboratory findings, and outcomes using the Pediatric Cerebral Performance Category Scale (PCPCS). Predictors of mortality were analyzed.<\/jats:p>\n <\/jats:sec>\n \n MAIN OUTCOME MEASURES:<\/jats:title>\n Neurological status at discharge (PCPCS), mortality, and associations between clinical variables and outcome.<\/jats:p>\n <\/jats:sec>\n \n SAMPLE SIZE:<\/jats:title>\n 225 pediatric drowning cases<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n Median age was 3.0 years (IQR 2.0\u20136.0), and 65.3% were male. Incidents occurred in freshwater (76.4% [n=172]), predominantly residential pools (67.6% [n=152]). Mortality was 12.0% (n=27). Good neurological outcomes at discharge (PCPCS=1) occurred in 81.3% (n=183) of children, while 2.7% (n=6) survived with neurological disability (PCPCS 3\u20135). Prolonged submersion duration and lower initial arterial pH were independently associated with mortality. CPR duration and lactate were associated with mortality in univariate analysis but lost statistical significance after adjustment.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Pediatric drowning in Qatar predominantly involves preschool-aged boys in residential pools. Mortality is strongly associated with prolonged submersion and severe acidosis at presentation. Prevention strategies should prioritize pool safety regulation, supervision, and early rescue to reduce hypoxic injury.<\/jats:p>\n <\/jats:sec>\n \n LIMITATIONS:<\/jats:title>\n Retrospective single-center design with incomplete prehospital details and no long-term follow-up.<\/jats:p>\n <\/jats:sec>","DOI":"10.5144\/0256-4947.2026.121","type":"journal-article","created":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T07:54:12Z","timestamp":1776585252000},"page":"121-127","source":"Crossref","is-referenced-by-count":0,"title":["Morbidity and mortality of pediatric drowning in Qatar: an epidemiological analysis of submersion encounters at a level I pediatric trauma center"],"prefix":"10.5144","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9061-7620","authenticated-orcid":false,"given":"Omar Khaled","family":"Abbas","sequence":"first","affiliation":[{"name":"From the Department of Medical Education, Sidra Medicine, Ar-Rayyan, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safa","family":"Mahgoub","sequence":"additional","affiliation":[{"name":"From the Department of Pediatric Critical Care, Sidra Medicine, Ar-Rayyan, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nesreen","family":"Faqih","sequence":"additional","affiliation":[{"name":"From the Department of Pediatric Critical Care, Sidra Medicine, Ar-Rayyan, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3134","reference":[{"issue":"11","key":"e_1_3_1_2_2","first-page":"853","article-title":"A new definition of drowning: towards documentation and prevention of a global public health problem","volume":"83","author":"Van Beeck EF","year":"2005","unstructured":"Van Beeck EF, Branche CM, Szpilman D, Modell JH, Bierens JJ. 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The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 study. Inj Prev. 2020;26(Suppl 1):i83\u201395.","journal-title":"Inj Prev."},{"issue":"1","key":"e_1_3_1_5_2","first-page":"e34","article-title":"Global burden of drowning and risk factors across 204 countries and territories, 1990\u20132021: a systematic analysis for the Global Burden of Disease Study 2021","volume":"9","author":"Xie Z","year":"2024","unstructured":"Xie Z, Liang Y, Wang Y, Liu Y, Li W, Zhang X, et al. Global burden of drowning and risk factors across 204 countries and territories, 1990\u20132021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Public Health. 2024;9(1):e34\u201345.","journal-title":"Lancet Public Health."},{"issue":"1","key":"e_1_3_1_6_2","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1186\/s12889-017-4239-2","article-title":"The epidemiology of drowning in low- and middleincome countries: a systematic review","volume":"17","author":"Tyler MD","year":"2017","unstructured":"Tyler MD, Richards DB, Reske-Nielsen C, Saghafi O, Morse EA, Carey R, et al. The epidemiology of drowning in low- and middleincome countries: a systematic review. BMC Public Health. 2017;17(1):413.","journal-title":"BMC Public Health."},{"issue":"1","key":"e_1_3_1_7_2","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.1136\/injuryprev-2013-041110","article-title":"Unintentional drowning mortality, by age and body of water: an analysis of 60 countries","volume":"21","author":"Lin CY","year":"2015","unstructured":"Lin CY, Wang YF, Lu TH, Kawach I. Unintentional drowning mortality, by age and body of water: an analysis of 60 countries. Inj Prev. 2015;21(e1):e43\u201350.","journal-title":"Inj Prev."},{"issue":"6059","key":"e_1_3_1_8_2","first-page":"1231","article-title":"Swimming pool immersion accidents: diagnosis, treatment, and outcome","volume":"1","author":"Pearn J","year":"1977","unstructured":"Pearn J, Nixon J. Swimming pool immersion accidents: diagnosis, treatment, and outcome. BMJ. 1977;1(6059):1231\u20134.","journal-title":"BMJ."},{"issue":"3","key":"e_1_3_1_9_2","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/S0300-9572(01)00478-6","article-title":"Impact of age, submersion time and water temperature on outcome in near-drowning","volume":"52","author":"Suominen P","year":"2002","unstructured":"Suominen P, Baillie C, Korpela R, Rautanen S, Niskanen M. Impact of age, submersion time and water temperature on outcome in near-drowning. Resuscitation. 2002;52(3):247\u201354.","journal-title":"Resuscitation."},{"issue":"7","key":"e_1_3_1_10_2","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/PEC.0000000000002987","article-title":"Drowning in children and predictive parameters: a retrospective analysis","volume":"39","author":"Peri F","year":"2023","unstructured":"Peri F, Ricci V, Gasparetto N, Rizzo F, Orso D, et al. Drowning in children and predictive parameters: a retrospective analysis. Pediatr Emerg Care. 2023;39(7):465\u201370.","journal-title":"Pediatr Emerg Care."},{"issue":"3","key":"e_1_3_1_11_2","first-page":"e2023061056","article-title":"Drowning and nonfatal drowning in children: risk factors and outcomes","volume":"153","author":"Berger S","year":"2024","unstructured":"Berger S, O'Connell K, Rehder K, Goodman D, Schenk J, et al. Drowning and nonfatal drowning in children: risk factors and outcomes. Pediatrics. 2024;153(3):e2023061056.","journal-title":"Pediatrics."},{"issue":"4","key":"e_1_3_1_12_2","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1542\/peds.86.4.586","article-title":"Outcome and predictors of outcome in pediatric submersion victims receiving prehospital care in King County, Washington","volume":"86","author":"Quan L","year":"1990","unstructured":"Quan L, Wentz KR, Gore EJ, Copass MK. Outcome and predictors of outcome in pediatric submersion victims receiving prehospital care in King County, Washington. Pediatrics. 1990;86(4):586\u201393.","journal-title":"Pediatrics."},{"issue":"9","key":"e_1_3_1_13_2","first-page":"6834","article-title":"Epidemiology, clinical aspects, and management of drowning","volume":"20","author":"Pellegrino F","year":"2023","unstructured":"Pellegrino F, Semeraro F, Scapigliati A, Paal P, Ristagno G. Epidemiology, clinical aspects, and management of drowning. 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J Pediatr Surg. 2025;60(2):219\u201326.","journal-title":"J Pediatr Surg."},{"key":"e_1_3_1_18_2","first-page":"41","article-title":"The epidemiology and outcomes of hospitalized drowning in Thailand: a nationwide study","volume":"32","author":"Niamsanit S","year":"2024","unstructured":"Niamsanit S, Thamlikitkul S, Sittichanbuncha Y, Watcharotone S, et al. The epidemiology and outcomes of hospitalized drowning in Thailand: a nationwide study. Scand J Trauma Resusc Emerg Med. 2024;32:41.","journal-title":"Scand J Trauma Resusc Emerg Med."},{"key":"e_1_3_1_19_2","doi-asserted-by":"crossref","first-page":"1467478","DOI":"10.3389\/fpubh.2024.1467478","article-title":"Effectiveness of interventions to prevent drowning among children: a scoping review","volume":"12","author":"Ashraf L","year":"2024","unstructured":"Ashraf L, Rahman A, Franklin RC, Peden AE. Effectiveness of interventions to prevent drowning among children: a scoping review. 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