Characteristics and outcome of pediatric in-hospital cardiopulmonary resuscitation
10.3760/cma.j.issn.1673-4912.2013.06.007
- VernacularTitle:儿童院内心肺复苏结局及分析
- Author:
Xin ZHANG
;
Xing LI
;
Ying WANG
- Publication Type:Journal Article
- Keywords:
Cardiopulmonary arrest;
Cardiopulmonary resuscitation;
Outcome
- From:
Chinese Pediatric Emergency Medicine
2013;20(6):580-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the present situation and outcome of cardiopulmonary resuscitation (CPR) for pediatric in-hospital cardiopulmonary arrest and to analyze the prognostic risk factors.Methods Data were collected from October 2008 till October 2011 using Ustein style.Patients older than 28 days who received CPR were evaluated.Returning of spontaneous circulation(ROSC) more than 24 hours was the primary outcome.Neurological outcome was assessed by pediatric cerebral performance categories half year after discharge.Results Of the 36 patients,15 (41.7％) achieved sustained ROSC.Seven (19.4％) patients survived to discharge.Single factor analysis indicated that the beginning heart rhythm,defibrillation and original disease were significantly different between the two groups(P ＜0.05).The beginning heart rote of the patient in ROSC ＞ 24 h group was mostly sinus bradycardia.Patients who need defibrillation had bad prognosis.Patients with heart disease had a lower rate of ROSC ＞ 24 h.At half year follow-up study,4 patients had 1 or 2 score,1 patient had 4 and 1 had 5 score in the pediatric cerebral performance categories scales.Condusion The successful rate of CPR in our hospital was the same as that in developed country.The beginning heart rhythm,defibrillation and original disease were associated with the outcome.Most of the patients who survived to discharge had a good neurological outcome.
