Primary or Secondary Fatal Drowning? A Registry-based Study Analysing Autopsy Reports From Patients Registered in the Danish Prehospital Drowning Data
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 700
- 试验地点
- 1
- 主要终点
- Autopsy rate
研究概览
简要总结
According to WHO's rules, any death certificate must state the underlying cause of death and contributory causes of death may also be stated.
Differentiating between primary and secondary drowning is difficult, as information preceding the drowning incident is rarely available. Yet, knowing the most frequent causes of secondary drowning may provide useful information to healthcare professionals working in prehospital Emergency Medical Services, as this may affect prehospital treatment.
详细描述
The annual death statistics are based solely on the underlying cause of death, that is the disease or condition which started the process that led to death. The conditions that directly caused the death are also to be stated by the physician on the death certificate and may be included in the statistics. In research projects, data on those contributory causes of death may be drawn from the register. It is now the medical doctor who has verified the death and issued the death certificate indicating the underlying and contributory causes of death, who also classifies these causes in accordance with ICD-10 and fills in the coded data on the electronic death certificate. The Danish Register of Causes of Death is, thus, updated without central validation of the classification and relies entirely on the coding done by individual physicians.
This study aims to characterise fatal drowning incidents as primary or secondary drownings and report the frequencies of secondary drowning causes.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All drowning patients registered in the Danish Prehospital Drowning Data AND
- •Having a fatal outcome within 30 days after the drowning incident AND
- •Having a valid civil registration number in the Danish Prehospital Drowning Data
- •Being able to link data from the Danish Register of Causes of Death
排除标准
- •Patients alive 30 days after the drowning incident
- •Patients with an invalid civil registration number in the Danish Prehospital Drowning Data
- •Patients where data cannot be retrieved from the Danish Register of Causes of Death
结局指标
主要结局
Autopsy rate
时间窗: Data is extracted on patients registered in the Danish Prehospital Drowning Data from 2016-2023.
Calculated as the number of autopsy reports divided by the number of fatal drowning incidents registered in the Danish Prehospital Drowning Data.
Secondary fatal drowning rate
时间窗: Data is extracted on patients registered in the Danish Prehospital Drowning Data from 2016-2023.
Calculated as the number of autopsy reports stating drowning as the contributory cause of death OR not stating drowning as a contributory cause of death divided by the number of fatal drowning incidents registered in the Danish Prehospital Drowning Data.
Primary fatal drowning rate
时间窗: Data is extracted on patients registered in the Danish Prehospital Drowning Data from 2016-2023.
Calculated as the number of autopsy reports stating drowning as the underlying cause of death divided by the number of fatal drowning incidents registered in the Danish Prehospital Drowning Data.
次要结局
未报告次要终点
研究者
Niklas Breindahl
Principal Investigator
Prehospital Center, Region Zealand