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Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Utstein style reporting of in-hospital paediatric cardiopulmonary resuscitation
P Suominen1, K T Olkkola, V Voipio
1Department of Paediatric Anaesthesia and Intensive Care, Hospital for Children and Adolescents, University of Helsinki, Finland. pertti.suominen@huch.fi
Insights
Pediatric in-hospital cardiac arrest is uncommon, with a 17.8% survival rate following cardiopulmonary resuscitation (CPR). Shorter CPR duration was linked to better survival outcomes in hospitalized children.
Area of Science:
- Pediatric critical care medicine
- Resuscitation science
Background:
- In-hospital cardiac arrest (IHCA) in children is a critical event.
- Understanding the incidence and outcomes of IHCA is vital for improving pediatric emergency care.
Purpose of the Study:
- To analyze pediatric in-hospital cardiac arrest data using the Utstein style criteria.
- To evaluate the effectiveness of cardiopulmonary resuscitation (CPR) in hospitalized children.
Main Methods:
- A retrospective 5-year case series was conducted.
- Data were collected from all patients who experienced cardiopulmonary arrest at a tertiary-care children's hospital.
- The Paediatric Utstein Style was adapted for reporting.
Main Results:
- 227 pediatric patients experienced cardiopulmonary arrest; CPR was initiated in 118 (52.0%).
- The 1-year survival rate after CPR was 17.8%.
- Shorter duration of external CPR emerged as the strongest predictor of survival.
Conclusions:
- In-hospital CPR in children is infrequent, with survival rates comparable to previous studies.
- The Paediatric Utstein Style is a feasible tool for reporting IHCA data in pediatric populations.
Study Objective:
To report paediatric in-hospital cardiac arrest data according to Utstein style and to determine the effectiveness of cardiopulmonary resuscitation (CPR) in hospitalized children.
Design:
Retrospective 5-year case series.
Setting:
Urban, tertiary-care children's hospital.
Participants:
All patients who sustained cardiopulmonary arrest.
Results:
Altogether 227 patients experienced a cardiopulmonary arrest during the study period, 109 (48.0%) were declared dead without attempted resuscitation, and CPR was initiated in 118 (52.0%). The incidence of cardiac arrest was 0. 7% of all hospital admissions and 5.5% of PICU admissions; the incidence of CPR attempts was 0.4 and 2.5%, respectively. Most of the CPR attempts (64.4%) took place in the PICU and the most frequent aetiology was cardiovascular (71.2%). The 1-year survival rate was 17.8%. Short duration of external CPR was the best prognostic factor associated with survival. With few exceptions, the Paediatric Utstein Style was found to be applicable for reporting retrospective data from in-hospital cardiac arrests in children.
Conclusions:
In-hospital cardiopulmonary resuscitation was shown to be an uncommon event in children; the survival rate was similar to earlier studies.
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