Perioperative cardiac arrest and its mortality in children. A 9-year survey in a Brazilian tertiary teaching hospital

Summary Background:  The incidence of perioperative cardiac arrest and mortality in children is higher than in adults. This survey evaluated the incidence, causes, and outcome of perioperative cardiac arrests in a pediatric surgical population in a tertiary teaching hospital between 1996 and 2004. M...

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Published in:Pediatric anesthesia 2006-08, Vol.16 (8), p.860-866
Main Authors: GOBBO BRAZ, LEANDRO, BRAZ, JOSÉ REINALDO CERQUEIRA, MÓDOLO, NORMA SUELI PINHEIRO, NASCIMENTO, PAULO DO, BRUSHI, BRUNO AUGUSTO MOURA, RAQUEL DE CARVALHO, LÍDIA
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Anesthesia
Anesthesia - adverse effects
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Brazil
cardiac arrest
Child
Child, Preschool
Emergencies
Female
Heart Arrest - epidemiology
Heart Arrest - etiology
Heart Arrest - mortality
Hospital Mortality
Hospitals, Teaching
Humans
Incidence
Infant
Infant, Newborn
Intraoperative Complications - epidemiology
Intraoperative Complications - etiology
Intraoperative Complications - mortality
Male
Medical sciences
outcomes
Risk Factors
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Summary:Summary Background:  The incidence of perioperative cardiac arrest and mortality in children is higher than in adults. This survey evaluated the incidence, causes, and outcome of perioperative cardiac arrests in a pediatric surgical population in a tertiary teaching hospital between 1996 and 2004. Methods:  The incidence of cardiac arrest during anesthesia was identified from an anesthesia database. During the study period, 15 253 anesthetics were performed in children. Data collected included patient demographics, surgical procedures (elective, urgent, or emergency), ASA physical status classification, anesthesia provider information, type of surgery, surgical areas, and outcome. All cardiac arrests were reviewed and grouped by the cause of arrest and death into one of four groups: totally anesthesia‐related, partially anesthesia‐related, totally surgery‐related, or totally child disease or condition‐related. Results:  There were 35 cardiac arrests (22.9 : 10 000) and 15 deaths (9.8 : 10 000). Major risk factors for cardiac arrest were neonates and children under 1 year of age (P 
ISSN:1155-5645
1460-9592
DOI:10.1111/j.1460-9592.2006.01876.x