8404Children's National Hospital, Washington, DC, USA.
Indiana University School of Medicine, Riley 548952Hospital for Children at Indiana University Health, Indianapolis, IN, USA.
World J Pediatr Congenit Heart Surg. 2022 Jul;13(4):475-481. doi: 10.1177/21501351221100791.
Nearly half of children experiencing cardiac arrest following cardiac surgery do not survive hospital discharge and patients who survive often experience significant neurological impairment. Additionally, increased resource utilization following cardiac arrest translates into adverse logistical and financial consequences. Although some studies have identified patient characteristics that increase the risk of cardiac arrest after pediatric cardiac surgery, modifiable risk factors, which could provide a foundation for effective prevention strategies, have been elusive. This scoping review explores the current knowledge surrounding risk factors associated with cardiac arrest in children following cardiac surgery and provides recommendations for future research.
近一半在心脏手术后发生心脏骤停的儿童无法在出院时存活,而存活的患者通常经历严重的神经功能损伤。此外,心脏骤停后资源利用的增加会导致不利的后勤和财务后果。虽然一些研究已经确定了增加小儿心脏手术后心脏骤停风险的患者特征,但可改变的危险因素,可为有效的预防策略提供基础,一直难以捉摸。本范围综述探讨了与心脏手术后儿童心脏骤停相关的危险因素的现有知识,并为未来的研究提供了建议。