Analysis on predictive factors of survival to in-hospital children with post-cardiorespiratory arrest
10.3760/cma.j.issn.1673-4912.2010.01.010
- VernacularTitle:住院患儿发生心跳呼吸骤停复苏后存活率的预测因素分析
- Author:
Yi XIN
;
Weina SONG
;
Qing CHU
;
Daihong WAN
;
Aimin LI
- Publication Type:Journal Article
- Keywords:
Cardiorespiratory arrest;
Cardiopulmonary resuscitation;
Survival;
Predictive factors
- From:
Chinese Pediatric Emergency Medicine
2010;17(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify predictive factors of survival to in-hospital children with post-cardiorespiratory arrest.Methods Eighty-seven patients who had cardiorespiratory arrest(CRA)and received cardiopulmonary resuscitation(CPR)were reviewed from January 2006 to December 2008.The clinical data was analyzed to identify predictive factors of survival by Pearson X~2 test and multivariate and unconditioned Logistic regression analysis.Results Forty-three of eighty-seven cases received return of spontaneous circulation,the initial sunvival rate was 48.3%,31(35.6%)cases survived for 24 hours,19(21.8%)cases survived to hospital discharge.Primary diseases and complications,the type of arrest,tracheal intubation or not,the duration of CPR,the dose of adrenaline,the body temperature post-resuscitation for 24 hours,the glucose post resuscitation for 6 hours and complications were obviously associated with both initial and long-term survival.Logistic regression analysis revealed that primary diseases and the duration of CPR were predictive factors of both survival for 24 hours and hospital discharge,additionally,the body temperature post-resuscitation for 24 hours were predictive factor of survival to hospital discharge.Conclusion Initial and long-term survival rate of in-hospital children with post-resuscitation was both low.Primary diseases and complications,good quality CPR and management of post-resuscitation affect survival,especially primary diseases and the duration of CPR may predict initial survival and primary diseases,the duration of CPR and the body temperature post-resuscitation for 24 hours may predict long-term survival.
