目的:浮潜是一种流行的水生活动,可能导致致命和非致命的溺水。然而,对伤害的规模知之甚少,影响风险的因素和预防策略。这篇综述评估了当前关于浮潜相关溺水的文献,目的是评估现有数据。改进安全性建议,降低全球死亡率负担。
方法:对英语同行评审文献的系统回顾,1980年1月1日至2020年10月31日期间发布的西班牙语和葡萄牙语是使用PRISMA指南进行的。CINAHL完成,Embase,Medline(Ovid),PubMed,SafetyLit,搜索SportDiscus和灰色文献,以确定报告致命和非致命浮潜相关溺水发生率的研究,或相关的危险因素,预防策略,治疗或伤亡特征。使用NIH质量评估工具评估质量。
结果:纳入43项研究(26项报告人群数据,17个案例系列),其中27项(62.8%)研究报告了来自澳大利亚的数据。据报道,发病率约占与海洋有关的溺水总数的8%。案例系列记录了17年来的144人死亡。常见的伤亡特征包括男性(82.6%),先前存在的心脏病(59.4%),没有经验的游客(73%)(71.0%),缺乏好友系统(89.6%)。确定的两个高危人群是有预先存在医疗条件的老年成年游客和当地居民,经验丰富的鱼叉。制定了22项专家建议,以提高与个人有关的浮潜者的安全性,旅游公司,政府机构和潜水组织。
结论:浮潜相关的溺水并非罕见,根据现有数据,有很多机会来提高这项活动的安全性。
OBJECTIVE: Snorkelling is a popular aquatic activity which may result in fatal and non-fatal drowning. However, little is known about the scale of injury, factors impacting risk and strategies for prevention. This
review assesses the current literature on snorkelling-related drowning with the aim of assessing available data, improving safety recommendations and reducing the global mortality burden.
METHODS: A systematic
review of peer-reviewed literature in English, Spanish and Portuguese language published between 1 January 1980 and 31 October 2020 was conducted using the PRISMA guidelines. CINAHL Complete, Embase, Medline (Ovid), PubMed, SafetyLit, SportDiscus and grey literature were searched to identify studies reporting the incidence of fatal and non-fatal snorkelling-related drowning, or associated risk factors, prevention strategies, treatments or casualty characteristics. Quality was assessed using the NIH Quality Assessment Tool.
RESULTS: Forty-three studies were included (26 reporting population data, 17 case series), of which 27 (62.8%) studies reported data from Australia. Incidence was reported as about 8% of total
ocean-related drownings. Case series documented 144 fatalities over 17 years. Frequent casualty characteristics include male (82.6%), pre-existing heart disease (59.4%), tourists (73%) who were inexperienced (71.0%), and lack of a buddy system (89.6%). Two at-risk profiles identified were older adult tourists with pre-existing medical conditions and local, experienced spearfishers. Twenty-two expert recommendations were developed to improve the safety of snorkellers related to individuals, tourism companies, government agencies and diving organisations.
CONCLUSIONS: Snorkelling-related drownings are not infrequent, and there are many opportunities to improve the safety of this activity based on available data.