Journal of health research in community

Introduction& Purpose: Drowning is a major cause of unintentional childhood mortality. This study aimed to evaluate epidemiologic and clinical features of children hospitalized for drowning in Shahid Motahari Hospital, Urmia, during ten years.
Methods: In this cross-sectional study, 89 children under 18 years admitted between 2013 and 2023 were assessed. Demographics, accident details, clinical indicators (GCS, CPR, intubation, inotrope use, PICU, body temperature), and laboratory findings (pH, glucose) were analyzed.
Results: Of 89 patients, 61 (68.5%) were boys and 28 (31.5%) girls. Mortality was 54.1% in boys and 71.4% in girls. Most deaths occurred in natural water sites (83.6%). Among 30 CPR cases, 24 (80%) died. All intubated (22.5%) and inotrope-receiving patients (22.5%) died. Hypothermia was present in 56 (62.9%), of whom 52 (92.9%) died. Non-survivors had lower GCS, pH, and glucose compared to survivors.
Conclusion: Pediatric drowning in northwest Iran carries high mortality. Epidemiologic context and initial clinical parameters are key prognostic factors, highlighting the importance of preventive strategies and early management.