Almutairi Mohammed K, Alqirnas Muhannad Q, Altwim Abdullah Mohammed, Alhamadh Moustafa S, Alkhashan Munira, Aljahdali Nouf, Albdah Bayan
Department of Emergency Medicine, King Abdullah Specialized Children Hospital, Riyadh, SAU.
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Cureus. 2023 May 28;15(5):e39598. doi: 10.7759/cureus.39598. eCollection 2023 May.
BACKGROUND/OBJECTIVE: Traumatic cardiac arrest (TCA) is the cessation of cardiac pumping activity secondary to blunt or penetrating trauma. The aim of this study is to identify the outcomes of traumatic cardiac arrest in pediatric patients within the local community and report the causes and resuscitation management for the defined cases.
This was a retrospectively conducted cohort study that took place in King Abdulaziz Medical City (KAMC) and King Abdullah Specialized Children Hospital (KASCH) from 2005 to 2021, Riyadh, Kingdom of Saudi Arabia. The study population involved pediatric patients aged 14 years or less who were admitted to our Emergency Department (ED) and had a traumatic cardiac arrest in the ED.
There were 26,510 trauma patients, and only 56 were eligible for inclusion. More than half (60.71%, n= 34) of the patients were males. Patients aged four years or less constituted 51.79% (n= 29) of the included cases. The majority of patients were Saudis (89.29%, n= 50). The majority of the patients had cardiac arrest prior to ED admission (78.57%, n= 44). The majority (89.29%, n= 50) had a GCS of 3 at ED arrival. The most frequently observed first cardiac arrest rhythm was asystole, followed by pulseless electrical activity and ventricular fibrillation, accounting for 74.55%, 23.64%, and 1.82%, respectively.
Pediatric TCA is high acuity. Children who experience TCA have dreadful outcomes, and survivors can suffer serious neurological impairments. We provided the experience of one of the largest trauma centers in Saudi Arabia to standardize the approach for managing TCA and, hopefully, improve its outcomes.
背景/目的：创伤性心脏骤停（TCA）是指继发于钝性或穿透性创伤的心脏泵血活动停止。本研究的目的是确定当地社区儿科创伤性心脏骤停患者的预后，并报告特定病例的病因及复苏管理情况。
这是一项回顾性队列研究，于2005年至2021年在沙特阿拉伯利雅得的阿卜杜勒阿齐兹国王医疗城（KAMC）和阿卜杜拉国王专科医院（KASCH）进行。研究人群包括14岁及以下因创伤入住我们急诊科（ED）并在急诊科发生创伤性心脏骤停的儿科患者。
共有26510例创伤患者，仅有56例符合纳入标准。超过一半（60.71%，n = 34）的患者为男性。4岁及以下患者占纳入病例的51.79%（n = 29）。大多数患者为沙特人（89.29%，n = 50）。大多数患者在入院前就已发生心脏骤停（78.57%，n = 44）。大多数（89.29%，n = 50）患者在到达急诊科时格拉斯哥昏迷评分（GCS）为3分。最常观察到的首次心脏骤停心律是心脏停搏，其次是无脉电活动和心室颤动，分别占74.55%、23.64%和1.82%。
儿科创伤性心脏骤停病情危急。经历创伤性心脏骤停的儿童预后不佳，幸存者可能会遭受严重的神经功能障碍。我们提供了沙特阿拉伯最大的创伤中心之一的经验，以规范创伤性心脏骤停的管理方法，并有望改善其预后。
