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Cardiac Arrest in Children: Relation to Resuscitation and Outcome

Azza A Eltayeb1, Eman M Monazea, Khaled I Elsayeh

  • 1Department of Pediatrics, Children University Hospital, Assiut University, Asyut, Egypt, azeltayeb@hotmail.com.

Indian Journal of Pediatrics
|January 22, 2015
PubMed

Insights

Pediatric intensive care unit cardiac arrest outcomes improved with shorter resuscitation times and mechanical ventilation. Shorter cardiopulmonary resuscitation (<20 min) and mechanical ventilation indicate better success and survival rates for pediatric cardiac arrest patients.

Area of Science:

  • Pediatric Critical Care Medicine
  • Cardiology
  • Emergency Medicine

Background:

  • In-hospital cardiac arrest (IHCA) in pediatric intensive care units (PICUs) presents significant management challenges.
  • Understanding factors influencing resuscitation success and survival is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the outcomes of cardiac arrest in a pediatric intensive care unit.
  • To identify key variables associated with resuscitation success and survival.

Main Methods:

  • Retrospective analysis of pediatric patients experiencing cardiac arrest requiring resuscitation in the PICU over a one-year period.
  • Measured outcomes included return of spontaneous circulation (ROSC) and survival to PICU discharge.
  • Analyzed the impact of resuscitation duration and mechanical ventilation on outcomes.

Main Results:

  • Cardiac arrest occurred in 24.6% of 700 PICU admissions, with 45.3% achieving ROSC.
  • Survival to discharge was 14.5%.
  • Resuscitation success and survival rates were significantly higher for durations ≤20 minutes compared to >20 minutes (100% vs. 32.4% success; 33.3% vs. 10.1% survival). Patients on mechanical ventilation had better success (48.1%) and survival (17.8%) rates than those not ventilated (37.2% and 4.7%).

Conclusions:

  • In-hospital cardiac arrest in the PICU has a notable frequency (24.6%), with successful resuscitation achieved in 45.3% of cases.
  • Cardiopulmonary resuscitation duration (<20 minutes) and the use of mechanical ventilation are significant positive indicators for both resuscitation success and patient survival.
Abstract

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