Abstract
Study objective: To evaluate the risk factors associated with bathtub submersion injury and their relationship to child abuse and neglect.Design: Retrospective chart review. Setting: An urban children's hospital. Participants: Any child sustaining a bathtub near-drowning over the 10-year period from 1982 to 1992. Interventions: None. Results: Twenty-one patients were treated for bathtub near-drownings during the 10-year period, accounting for 24% of all submersion injuries. A significant number (67%) had historic and/or physical findings suspicious for abuse or neglect, including incompatible history for the injury, other physical injuries, previous child abuse reports, psychiatric history of the caretaker, and/or psychosocial concerns noted in the chart. The mortality rate of 42% was significant. No demographic characteristics identified the children at risk. Conclusion: Many children who are injured in the bathtub suffer from abuse or neglect. Medical evaluation should include social work consultation and a search for other accompanying injuries. [Lavelle JM, Shaw KN, Seidl T, Ludwig S: Ten-year review of pediatric bathtub near-drownings: Evaluation for child abuse and neglect. Ann Emerg Med March 1995;25:344-348.]
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