Bathtub drownings are a significant cause of mortality in the pediatric population. Infants and preambulatory children are disproportionately affected, and several studies have suggested that preventative campaigns have been ineffective in the prevention of such deaths. To obtain a better understanding of the factors associated with bathtub drownings, a retrospective review of autopsy records over a 20-year period (1984-2003) was performed. Eighteen consecutive cases of bathtub drownings were identified in 8 males and 10 females (ratio, 0.8; P = 0.6374). The age ranged from 6 months to 70 months (mean, 17 months; median, 11 months), and most cases occurred in infants aged 12 months or less (72%). Males tended to be older than females (mean, 23 months versus 11 months; P = 0.1889). Associated factors included inadequate adult supervision (89%), cobathing (39%), the use of infant bath seats (17%), and coexistent medical disorders predisposing the infant or child to the drowning episode (17%). The pathologic findings included a frothy exudate (28%), pleural effusion (28%), and increased lung weight (61%). All toxicologic samples submitted for analysis were negative. The present study highlights the factors associated with bathtub drownings and may aid in the prevention of such deaths in the pediatric population.
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机译：浴缸溺水是造成小儿死亡的重要原因。婴儿和门诊儿童受到的影响不成比例，一些研究表明，预防运动对预防此类死亡无效。为了更好地了解与溺水有关的因素，我们对20年间（1984-2003年）的尸检记录进行了回顾性回顾。在8例男性和10例女性中确定了18例连续的浴缸溺水病例（比率，0.8; P = 0.6374）。年龄从6个月至70个月不等（平均17个月;中位11个月），大多数病例发生在12个月或更短的婴儿中（72％）。男性往往比女性大（平均23个月对11个月; P = 0.1889）。相关因素包括成人监督不充分（89％），婴儿洗澡（39％），使用婴儿浴椅（17％）以及并存的医学疾病使婴儿或儿童容易溺水（17％）。病理结果包括泡沫状渗出液（28％），胸腔积液（28％）和肺增重（61％）。提交进行分析的所有毒理学样品均为阴性。本研究突出了与溺水有关的因素，并可能有助于预防此类死亡。
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