Epidemiology of fatal and non-fatal unintentional childhood drowning in Malaysia-analyses of hospital-based registry data from 2000 to 2022.

IF 1.1 4区 医学 Q2 PEDIATRICS
Haziqah Itqan Alias, Malanashita Ganeson, Maizatil Elina Binti Abdul Hamid, Rushdi Bin Mohamad Khir, Chandrashekhar T Sreeramareddy
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引用次数: 0

Abstract

Childhood drowning is a major cause of morbidity and mortality with significant economic and social implications, especially in low- and middle-income countries. Despite this, there is a lack of good-quality epidemiological data on childhood drowning. We report the epidemiology of fatal and non-fatal unintentional childhood drowning in Malaysia between the years 2000 and 2022. Data about childhood drowning were obtained from a hospital-based registry gathered by the National Health Informatics Centre, the Ministry of Health, Malaysia. Child population data were downloaded from the Malaysian Census. Overall incidence rates (IRs), case fatality rates (CFRs), and IR and CFR by age, sex, race, and region were calculated. Binary logistic regression was used to determine the factors associated with fatality. Between the years 2000 and 2022, a total of 4247 cases of drowning were reported. IR was significantly higher among children aged 0-9, boys, Bumiputera, and the East Coast and Borneo regions. Overall CFR was 3.7%. Age, year of hospitalization, and Bumiputera were associated with CFR. The site of drowning was unspecified in 84% of cases, while for those recorded, natural water sources and swimming pools accounted for most sites. While the annual incidence of drowning has remained nearly constant throughout the years, the fatality rate has increased between 2010 and 2022. Our report provides leads for further research data requirements to understand childhood drowning epidemiology better and improve preventive measures.

马来西亚致死性和非致死性意外儿童溺水的流行病学——对2000年至2022年医院登记数据的分析
儿童溺水是发病和死亡的一个主要原因,具有重大的经济和社会影响,特别是在低收入和中等收入国家。尽管如此,仍缺乏关于儿童溺水的高质量流行病学数据。我们报告了2000年至2022年间马来西亚致命和非致命无意儿童溺水的流行病学。关于儿童溺水的数据来自马来西亚卫生部国家卫生信息中心收集的基于医院的登记册。儿童人口数据是从马来西亚人口普查下载的。计算总发病率(IRs)、病死率(CFRs)以及按年龄、性别、种族和地区划分的IR和CFR。采用二元逻辑回归确定与病死率相关的因素。在2000年至2022年期间,总共报告了4247起溺水事件。在0-9岁儿童、男孩、土著、东海岸和婆罗洲地区,IR明显更高。总体CFR为3.7%。年龄、住院年份和土著与CFR相关。在84%的溺水案例中,未指明溺水地点,而在有记录的案例中,自然水源和游泳池占大多数地点。虽然溺水的年发生率多年来几乎保持不变,但在2010年至2022年期间,死亡率有所上升。我们的报告为进一步研究数据需求提供了线索,以便更好地了解儿童溺水流行病学并改进预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Tropical Pediatrics
Journal of Tropical Pediatrics 医学-热带医学
CiteScore
4.00
自引率
0.00%
发文量
97
审稿时长
6-12 weeks
期刊介绍: The Journal of Tropical Pediatrics provides a link between theory and practice in the field. Papers report key results of clinical and community research, and considerations of programme development. More general descriptive pieces are included when they have application to work preceeding elsewhere. The journal also presents review articles, book reviews and, occasionally, short monographs and selections of important papers delivered at relevant conferences.
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