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[Cardiac arrest in children. Causes and future after cardiopulmonary resuscitation]
E Hartemann1, D Floret, J C Berthier
1Service d'urgence et de réanimation, Hôpital Debrousse, Lyon, France.
Insights
Pediatric cardiorespiratory arrest (CRA) survival rates are similar to adults. Early recognition and monitoring of at-risk children can improve outcomes following cardiopulmonary resuscitation (CPR).
Area of Science:
- Pediatric Emergency Medicine
- Cardiology
- Critical Care Medicine
Context:
- Retrospective analysis of 133 pediatric patients experiencing cardiorespiratory arrest (CRA) over 24 months.
- Investigated outcomes following cardiopulmonary resuscitation (CPR) in various hospital settings.
- CRA occurred outside the hospital (96), in hospital wards (11), and pediatric intensive care units (PICU) (26).
Purpose:
- To evaluate the survival rates and neurological outcomes of pediatric patients undergoing CPR for cardiorespiratory arrest.
- To identify factors influencing survival and neurological recovery in pediatric CRA cases.
- To compare outcomes across different locations where CRA occurred.
Summary:
- 60 children (44%) responded to initial resuscitation.
- 15% of patients (20) survived until discharge, with 9% (12) achieving good neurological outcomes.
- The highest success rates for CPR were observed in patients experiencing CRA within the PICU.
Impact:
- Pediatric survival rates post-resuscitation are comparable to adult rates.
- Highlights the critical need for early identification and continuous monitoring of pediatric patients at risk of CRA.
- Suggests potential for improved pediatric resuscitation outcomes through proactive risk management and timely intervention.
Abstract:
A 24 months retrospective study was carried out to investigate 133 patients with an unexpected cardiorespiratory arrest (CRA). Cardiopulmonary resuscitation (CPR) was undertaken in all cases. 96 patients suffered CRA outside of hospital, 11 patients in the wards of the hospital, and 26 in the pediatric intensive care unit (PICU). Sixty children (44%) responded to initial resuscitation and 20 patients (15%) survived after discharge, 12 (9%) of them with a good neurologic outcome. The best results were obtained in patients with an CRA in the PICU. The results of this study suggest that survival among resuscitated children is not better than that among adults, but can be improved with early recognition and monitoring of children at risk.