Thursday, May 30, 2019

Clinical Survey and Predictors of Outcomes of Pediatric Out-of-Hospital Cardiac Arrest Admitted to the Emergency Department



Pediatric out-of-hospital cardiac arrest (OHCA) is a rare event associated with poor outcomes.1 The incidence of OHCA varies among countries, ranging from 2.28 to 18.0/100,000 person-years1,2,3,4,5,6,7,8,9,10,11,12. Previously, the survival to hospital discharge (STHD) rate of pediatric OHCA was 2–6%4,5,13,14,15 and with the advance of pediatric emergency medicine, this has improved to 17.6–40.2%16,17,18. For those who survive, only 1–4% of them have good neurological outcomes4,5,13,14,15. Poor outcomes of pediatric OHCA have been related to patient, cardiac event, resuscitation, and post-resuscitation care factors19. Managing pediatric OHCA efficiently is a vital challenge for physicians in the emergency department (ED). Information on factors associated with post-OHCA prognosis can facilitate improvement in pre- and in-ED care; improving survival with good neurological outcomes20. Identification and documentation of aspects other than epidemiological variables of pediatric OHCA are of great importance for developing a treatment plan and determining proper preventive measures. This study assessed the clinical characteristics, prior to and during admission to the ED, associated with clinical outcomes including sustained return of spontaneous circulation (SROSC), STHD, and neurological outcomes of pediatric OHCA in an ED.



















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