Patients Treated by the Danish Emergency Medical Services Following Non-drowning Water Rescues From 2016 to 2023

Not yet recruiting

• Conditions: Submersion or Drowning Due to Fall From Gangplank, Swimmer Injured; Submersion or Drowning Due to Ship Sinking, Docker or Stevedore Injured; Submersion or Drowning Due to Fall Overboard, Docker or Stevedore Injured; Drowning; Drowning, Near; Submersion; Submersion or Drowning Due to Boat Overturning, Swimmer Injured; Submersion - Accidental; Submersion or Drowning Due to Being Washed Overboard; Submersion or Drowning Due to Being Thrown Overboard
• Interventions: Other: Submersion or immersion in liquid

• Registration Number: NCT06327893
• Lead Sponsor: Prehospital Center, Region Zealand

Brief Summary

Since 2015, all Danish prehospital EMS have used the nationwide Prehospital Electronic Medical Record (PEMR). In 2023, the investigators developed the Danish Drowning Formula (DDF), a text-search algorithm designed to search the unstructured text fields in the electronic medical records with comprehensive search criteria to identify all potential water-related incidents. This protocol describes the first study to analyse the prehospital data from a nationwide Danish cohort of patients treated by the EMS from 2016 to 2023 following non-drowning aquatic rescues.

Detailed Description

Purpose The purpose of this study is to establish recommendations towards specific educational, preventative, or rescue strategies to reduce the number of aquatic rescues in Denmark (e.g., campaigns targeting high-risk groups, or fencing, allocating rescue equipment, or establishing lifeguard stations in high-risk areas). This may not only enhance prevention of aquatic rescues but also decrease the mortality and the total number of drowning incidents in Denmark.

Objectives The primary objective is to estimate the yearly incidence of patients treated by the Danish EMS following a non-drowning aquatic rescue from 2016 to 2023 and calculate the aquatic rescue to drowning ratio. The secondary objectives are to characterise the rescues (e.g., lay rescuer or professional rescuer, use of equipment) and to report the spatial distribution.

Study design This study is a nationwide registry-based study with data from the Danish nationwide PEMR from 2016 to 2023.

Methods Since 2015, all Danish prehospital EMS have used the nationwide Prehospital Electronic Medical Record (PEMR). In 2023, the investigators developed the Danish Drowning Formula (DDF), a text-search algorithm designed to search the unstructured text fields in the electronic medical records with comprehensive search criteria to identify all potential water-related incidents. This study will be the first to analyse the prehospital data from a nationwide Danish cohort of patients treated by the EMS from 2016 to 2023 following non-drowning aquatic rescues.

Study Timeline

• Status Verified: 2024-03
• Study First Submitted: 2024-03-18
• Study First Submitted QC: 2024-03-18
• Last Update Submitted: 2024-03-18
• Study First Posted: 2024-03-25
• Last Update Posted: 2024-03-25
• Study Start: 2024-05-01
• Primary Completion: 2025-05-01
• Study Completion: 2025-05-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 3000

Inclusion Criteria

• All the patients registered in the Danish Prehospital Electronic Medical Record from 2016-2023 will be screened by the Danish Drowning Formula and the medical records containing one or more trigger words will be extracted for manual validation.
• All records where the patient was immersed or submersed in liquid but did not experience mild, moderate, or severe respiratory impairment following the drowning process will be included.

Exclusion Criteria

• All records where the patient was immersed or submersed in liquid and did experience mild, moderate, or severe respiratory impairment following the drowning process).
• All records where the patient was not immersed or submersed in liquid.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Aquatic rescue	Submersion or immersion in liquid	Patients treated by the Danish EMS following an aquatic rescue performed by lay or professional rescuers are identified from the Danish PEMR using the Danish Drowning Formula (DDF) and extensive manual validation.

Primary Outcome Measures

Name	Time	Method
The annual incidence rate.	From 2016 to 2023.	The incidence rate will be reported as the annual number of cases per 100,000 person-years.
The annual incidence.	From 2016 to 2023.	The incidence will be reported as the annual number of cases.

Secondary Outcome Measures

Name	Time	Method
The spatial distribution of aquatic rescues on a map of Denmark.	From 2016-2023.	Each incident will be presented with a single entry based on the geographical coordinates of the incident.

Trial Locations

Locations (1)

Prehospital Center; 🇩🇰 Næstved, Region Zealand, Denmark