Cardiac Arrest in Children: Relation to Resuscitation and Outcome

Objective To determine the outcome of cardiac arrest in pediatric intensive care unit in relation to event variables. Methods The study included children with cardiac arrest who required resuscitation in pediatric intensive care unit over 1 y period. Two outcome variables were measured. The first wa...

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Bibliographic Details
Published in:Indian journal of pediatrics 2015-07, Vol.82 (7), p.612-618
Main Authors: Eltayeb, Azza A., Monazea, Eman M., Elsayeh, Khaled I.
Format: Article
Language:English
Subjects:
Adolescent
Cardiopulmonary Resuscitation
Child
Child, Preschool
Female
Gynecology
Heart Arrest - mortality
Heart Arrest - therapy
Humans
Infant
Intensive Care Units, Pediatric
Male
Medicine
Medicine & Public Health
Original Article
Patient Discharge - statistics & numerical data
Pediatrics
Retrospective Studies
Survival Rate
Treatment Outcome
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Summary:Objective To determine the outcome of cardiac arrest in pediatric intensive care unit in relation to event variables. Methods The study included children with cardiac arrest who required resuscitation in pediatric intensive care unit over 1 y period. Two outcome variables were measured. The first was success [return of spontaneous circulation (ROSC)] and the second was survival to discharge from pediatric intensive care unit. Results Out of 700 admissions, 172 (24.6 %) patients developed cardiac arrest that required resuscitation. Return of spontaneous circulation was achieved in 78 cases (45.3 %), 25 patients (14.5 %) survived to discharge and 94 patients (54.7 %) did not respond to resuscitations. Success and survival rates were significantly higher in cases resuscitated for ≤ 20 min than in cases resuscitated for > 20 min (100 % and 33.3 % vs. 32.4 % and 10.1 % respectively). Success and survival rates were better in patients undergoing mechanical ventilation than those not (48.1 % and 17.8 % vs. 37.2 % and 4.7 % respectively). Defibrillation was successful in 10 cases (25 %) and survival was in 1 case (0.5 %) and out of survivors, 80 % had good neurological outcome. Conclusions The frequency of inhospital cardiac arrest was 24.6 % where 45.3 % of them achieved successful resuscitation. The duration of cardiopulmonary resuscitation (
ISSN:0019-5456
0973-7693
DOI:10.1007/s12098-014-1669-z