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.
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.
Authors: Vinay M Nadkarni; Gregory Luke Larkin; Mary Ann Peberdy; Scott M Carey; William Kaye; Mary E Mancini; Graham Nichol; Tanya Lane-Truitt; Jerry Potts; Joseph P Ornato; Robert A Berg Journal: JAMA Date: 2006-01-04 Impact factor: 56.272
Authors: Peter A Meaney; Bentley J Bobrow; Mary E Mancini; Jim Christenson; Allan R de Caen; Farhan Bhanji; Benjamin S Abella; Monica E Kleinman; Dana P Edelson; Robert A Berg; Tom P Aufderheide; Venu Menon; Marion Leary Journal: Circulation Date: 2013-06-25 Impact factor: 29.690
Authors: A Zaritsky; V Nadkarni; M F Hazinski; G Foltin; L Quan; J Wright; D Fiser; D Zideman; P O'Malley; L Chameides Journal: Ann Emerg Med Date: 1995-10 Impact factor: 5.721
Authors: J López-Herce Cid; P Domínguez Sampedro; A Rodríguez Núñez; C García Sanz; A Carrillo Alvarez; C Calvo Macías; J M Bellón Cano Journal: An Pediatr (Barc) Date: 2006-11 Impact factor: 1.500
Authors: T Mussack; P Biberthaler; C Gippner-Steppert; K G Kanz; E Wiedemann; W Mutschler; M Jochum Journal: Resuscitation Date: 2001-05 Impact factor: 5.262