Eltayeb Azza A, Monazea Eman M, Elsayeh Khaled I
Department of Pediatrics, Children University Hospital, Assiut University, Asyut, Egypt,
Indian J Pediatr. 2015 Jul;82(7):612-8. doi: 10.1007/s12098-014-1669-z. Epub 2015 Jan 22.
To determine the outcome of cardiac arrest in pediatric intensive care unit in relation to event variables.
The study included children with cardiac arrest who required resuscitation in pediatric intensive care unit over 1 y period. Two outcome variables were measured. The first was success [return of spontaneous circulation (ROSC)] and the second was survival to discharge from pediatric intensive care unit.
Out of 700 admissions, 172 (24.6 %) patients developed cardiac arrest that required resuscitation. Return of spontaneous circulation was achieved in 78 cases (45.3 %), 25 patients (14.5 %) survived to discharge and 94 patients (54.7 %) did not respond to resuscitations. Success and survival rates were significantly higher in cases resuscitated for ≤ 20 min than in cases resuscitated for > 20 min (100 % and 33.3 % vs. 32.4 % and 10.1 % respectively). Success and survival rates were better in patients undergoing mechanical ventilation than those not (48.1 % and 17.8 % vs. 37.2 % and 4.7 % respectively). Defibrillation was successful in 10 cases (25 %) and survival was in 1 case (0.5 %) and out of survivors, 80 % had good neurological outcome.
The frequency of inhospital cardiac arrest was 24.6 % where 45.3 % of them achieved successful resuscitation. The duration of cardiopulmonary resuscitation (<20 min) and mechanical ventilation were an indicator for better success and survival rates.
确定儿科重症监护病房中心脏骤停与事件变量相关的结果。
该研究纳入了在1年期间需要在儿科重症监护病房进行复苏的心脏骤停患儿。测量了两个结果变量。第一个是成功[自主循环恢复（ROSC）]，第二个是从儿科重症监护病房存活出院。
在700例入院患者中，172例（24.6%）发生了需要复苏的心脏骤停。78例（45.3%）实现了自主循环恢复，25例（14.5%）存活出院，94例（54.7%）对复苏无反应。复苏时间≤20分钟的患者的成功率和存活率显著高于复苏时间>20分钟的患者（分别为100%和33.3% vs. 32.4%和10.1%）。接受机械通气的患者的成功率和存活率高于未接受机械通气的患者（分别为48.1%和17.8% vs. 37.2%和4.7%）。除颤成功10例（25%），存活1例（0.5%），在存活者中，80%有良好的神经学转归。
院内心脏骤停的发生率为24.6%，其中45.3%实现了成功复苏。心肺复苏持续时间（<20分钟）和机械通气是成功率和存活率更高的指标。
