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Erschienen in:
01.07.2015 | Original Article
Cardiac Arrest in Children: Relation to Resuscitation and Outcome
Erschienen in: Indian Journal of Pediatrics | Ausgabe 7/2015
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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 (<20 min) and mechanical ventilation were an indicator for better success and survival rates.