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Table 4 Emergency Department (ED) Care and Hospital Resource Utilization for Near-Drowning Patients

From: Pattern of presenting complaints recorded as near-drowning events in emergency departments: a national surveillance study from Pakistan

Care and Resource Information

True near-drowning (n = 40)

Intentional Injuries (n = 40)

Total (n = 133)*

  

N (%)

N (%)

N (%)

Mode of Arrival

Ambulance

1 (2.5)

4 (10.0)

6 (5.0)

 

Non-Ambulance

40 (97.5)

32 (80.0)

113 (95.0)

Type of Visit

First Visit

39 (97.5)

38 (95.0)

99 (96.1)

 

Follow-up Visit

1 (2.5)

2 (5.0)

4 (3.9)

Triage

Done

0 (0.0)

6 (15.0)

17 (15.3)

 

Not done

35 (87.5)

33 (82.5)

94 (84.7)

Disposition**, ***

Discharged from ED

34 (85.0)

32 (80.0)

87 (81.3)

 

Admitted to ward

3 (7.5)

1 (2.5)

15 (14.9)

Type of Care Provider - Sum***

Paramedic

12 (30.0)

29 (72.5)

60 (50.8)

 

House officer/intern

15 (37.5)

15 (37.5)

54 (45.8)

 

PG trainee/resident

9 (22.5)

6 (15.0)

20 (16.9)

 

Medical officer

35 (87.5)

30 (78.0)

83 (70.3)

 

Nurse/midwife

32 (80.0)

14 (35.0)

62 (52.5)

 

Attending physician

1 (2.5)

1(2.5)

5 (4.2)

Treatment Provided - Sum**, ****

CPR

11 (27.5)

10 (25.0)

21 (17.8)

 

Dressing/Debridement

23 (57.5)

21 (52.5)

54 (45.8)

 

Antibiotics

17 (42.5)

16 (40.0)

43 (36.4)

 

Tetanus toxoid injection

12 (30.0)

14 (35.0)

32 (27.1)

 

Painkillers

29 (72.5)

23 (57.5)

88 (74.6)

 

Suturing/staples

3 (7.5)

10 (25.0)

14 (11.9)

 

Other

18 (45.0)

16 (40.0)

45 (30.1)

  1. Note: Chi-square test could not be applied (for mode of arrival, type of visit and triage, cells with value <5; for disposition, type of care provider and treatment provided, they are summary of multiple responses.)
  2. Abbreviations: ED - Emergency Department; ICU - Intensive Care Unit; CCU - Critical Care Unit; HDU - High Dependency Unit; CT scan - computed tomography scan; CPR - cardiopulmonary resuscitation; I&D - Incision and Drainage of wound; IQR - interquartile range.
  3. * Missing: 39.8% for intention variable; 10.5% for Mode of Arrival variable; 22.6% for Type of Visit variable; 16.5% for Triage variable; 19.5% for Disposition-Combinations variable; 27.8% for Cost of treatment variable.
  4. ** Disposition: Discharged - "discharged from ED and follow up planned" or "discharged from ED and return if required"; Admitted to - "admitted to ward", "admitted to ICT/CCU/HDU" or "detained for observation"
  5. *** Summary of multiple responses, therefore % provided was for individual category, and cannot add up to 100%
  6. **** Other types of treatment provided: IV fluids (18, 15.3%), Plaster/cast (15, 12.7%), Ionotropes/pressors (2, 1.7%), ASV & ARV (10, 8.4%).