PMID: 10421178Jul 27, 1999Paper

Cardiopulmonary resuscitation in pediatric trauma patients: survival and functional outcome

The Journal of Trauma
G LiG D Kelen

Abstract

Although injury is the leading cause of cardiac arrests in children older than 1 year, few studies have examined the survival and functional outcome of cardiopulmonary resuscitation (CPR) in pediatric trauma patients. A historical cohort of 957 trauma patients younger than 15 years who received CPR at the scene of injury or at the admitting hospital was constructed on the basis of the National Pediatric Trauma Registry. The rate of survival to discharge and factors related to survival were examined. Functional impairments were documented for surviving patients. The overall survival rate was 23.5%. With adjustment for the Injury Severity Score, the risk of fatality after CPR increased for children with systolic blood pressure below 60 mm Hg at admission (odds ratio [OR] 24.5, 95% confidence interval [CI] 8.6-69.3), for those who were comatose at admission (OR, 4.7; 95% CI, 1.9-11.6), for those with penetrating injury (OR, 4.4; 95% CI, 1.5-13.3), and for those with CPR initiated at the hospital (OR, 2.4; 95% CI, 1.5-3.9). Surviving patients stayed in hospitals for an average of 24.3 days; at discharge, 64% had at least one impairment in the functional activities of daily living. Survival outcome of CPR in pediatric trauma patient...Continue Reading

References

Apr 1, 1991·Annals of Emergency Medicine·L B BeckerG T Kondos
May 1, 1990·The Journal of Trauma·H R ChampionS Schwaitzberg
Feb 1, 1989·Journal of Pediatric Surgery·J J TepasK Butler
Jun 1, 1988·Critical Care Medicine·E A Rozenbaum, L Shenkman
Jul 1, 1987·Annals of Emergency Medicine·P E LitwinR O Cummins
Oct 1, 1987·Annals of Emergency Medicine·A ZaritskyK Kuehl
Dec 1, 1967·The American Journal of Cardiology·A L JohnsonT E Wood
Dec 1, 1984·American Journal of Diseases of Children·D E TorphyB M Thompson
May 1, 1983·Annals of Emergency Medicine·J K LewisM K Witte
Nov 1, 1983·Annals of Emergency Medicine·M EisenbergA Hallstrom
Mar 1, 1980·American Journal of Public Health·M EisenbergT Hearne
Nov 1, 1995·Emergency Medicine Clinics of North America·C W Barton, J E Manning
Dec 1, 1994·Resuscitation·G P KimmanM L Simoons
Jul 9, 1960·JAMA : the Journal of the American Medical Association·W B KOUWENHOVENG G KNICKERBOCKER

Citations

Feb 5, 2004·Journal of the American College of Surgeons·Zsolt T Stockinger, Norman E McSwain
Apr 18, 2007·Pediatric Emergency Care·Mary Bennett, Niranjan Kissoon
Jun 9, 2006·World Journal of Emergency Surgery : WJES·C Clay Cothren, E E Moore
Jul 10, 2012·Critical Care : the Official Journal of the Critical Care Forum·Jörn ZwingmannPeter C Strohm
Jan 13, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Valerie J De MaioCanAm Pediatric Study Group
Nov 26, 2005·Annals of Emergency Medicine·Aaron DonoghueCanAm Pediatric Cardiac Arrest Investigators
Dec 29, 2000·The Journal of Trauma·J A MurrayD Gaspard
Sep 29, 2000·Critical Care Medicine·A D Slonim
Feb 23, 2010·The Journal of Trauma·Lars Widdel, Ken R Winston
Dec 16, 2005·The Journal of Trauma·H Gill Cryer
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Clay Cothren BurlewWalter L Biffl
Feb 27, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·James R ChristensenTherapeutic Hypothermia after Pediatric Cardiac Arrest (THAPCA) Trial Investigators
Oct 4, 2006·Current Opinion in Anaesthesiology·D J Cottrell, P A Seidman
Jul 12, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Raymond PitettiMananda S Bhende
Feb 24, 2001·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·A D PerronT Huynh
May 29, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lennart van ZellemCorinne Buysse

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Spatio-Temporal Regulation of DNA Repair

DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Separation Anxiety

Separation anxiety is a type of anxiety disorder that involves excessive distress and anxiety with separation. This may include separation from places or people to which they have a strong emotional connection with. It often affects children more than adults. Here is the latest research on separation anxiety.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.