Dec 13, 2005

Outcome of out-of-hospital cardiorespiratory arrest in children

Pediatric Emergency Care
Jesús López-HerceSpanish Study Group of Cardiopulmonary Arrest in Children

Abstract

To analyze the characteristics and outcome of out-of-hospital cardiorespiratory arrest in children in Spain. Secondary analysis of data from a prospective, multicenter study analyzing cardiorespiratory arrest in children. Ninety-five children between 7 days and 16 years with cardiorespiratory arrest. Data were recorded according to the Utstein style. The outcome variables were the sustained return of spontaneous circulation (initial survival), and survival at 1 year (final survival). Neurologic and general performance outcome was assessed by the Pediatric Cerebral Performance Category (PCPC) scale and the Pediatric Overall Performance Category (POPC) scale. Initial survival was 47.3% and 1-year survival was 26.4%. Mortality was higher in children younger than 1 year. Survival of patients with respiratory arrest (82.1%) was significantly higher than survival of cardiac arrest victims (14.4%). Patients who were initially resuscitated by laypersons or paramedics had higher survival (53.6%) than those who were initially resuscitated by doctors and/or nurses (15.2%) (P < 0.01). Mortality was higher in the patients who presented slow rhythms (asystole, severe bradycardia) or pulseless electrical activity than in those presenting vent...Continue Reading

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Citations

Mentioned in this Paper

Ventricular Fibrillation
Bradycardia
Emergency Care
Respiratory Arrest
Brain
Survival Analysis
Logistic Regression
Basic Cardiac Life Support
Respiratory Failure
Repeated Rounds of Survey

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