Predictors of Mortality in Pediatrics Cardiopulmonary Resuscitation:Observational Multicenter Study
Purpose: This study aimed to identify predictors of mortality related to the quality of CPR, victims’ pre-CPR characteristics, and the resuscitation characteristics.
Design and Method: A descriptive observational design with a non-active approach was used. Data collectors observed the implementation of CPR then recorded the parameters of interest against a pre-structured checklist. A total of 242 CPR events were observed. The study took place in three medical centers in Jordan.
Results: The study showed that victims whose CPR took place in the emergency room and those admitted with cardiac and respiratory diseases were more likely to resume spontaneous breathing and circulation.
Conclusion: Early identification of patients at high risk for mortality would help to reduce the rate of mortality through quick response and proper resuscitation.
- Meert KL, Delius R, Slomine BS, et al., One Year Survival and Neurologic Outcomes after Pediatric Open-Chest Cardiopulmonary Resuscitation (Commentary). The Annals of thoracic surgery. 2019.
- Yang D, Ha SG, Ryoo E, Choi JY, Kim HJ. Multimodal assessment using early brain CT and blood pH improve prediction of neurologic outcomes after pediatric cardiac arrest. Resuscitation. 2019;137:7-13.
- Hunt EA, Raymond TT, Jackson KW, Marino BS, Shaffner DH. Cardiopulmonary Resuscitation (CPR) in Children With Heart Disease. Critical Heart Disease in Infants and Children. Philadelphia, PA: Elsevier; 2019:984-992.
- Brown S, Brogan T, McMullan D, Roberts J. 1545: Higher-than-expected Rates Of Survival After Pediatric Recurrent Cardiac Arrest. Critical care medicine. 2019;47(1):748.
- Matamoros M, Rodriguez R, Callejas A, et al., In-hospital pediatric cardiac arrest in Honduras. Pediatric emergency care. 2015;31(1):31-35.
- Rathore V, Bansal A, Singhi SC, Singhi P, Muralidharan J. Survival and neurological outcome following in-hospital paediatric cardiopulmonary resuscitation in North India. Paediatrics and international child health. 2016;36(2):141-147.
- Nasser BA, Idris J, Mesned AR, Mohamad T, Kabbani MS, Alakfash A. Predictors of cardio pulmonary resuscitation outcome in postoperative cardiac children. Journal of the Saudi Heart Association. 2016;28(4):244-248.
- Kaki AM, Alghalayini KW, Alama MN, et al., An audit of in-hospital cardiopulmonary resuscitation in a teaching hospital in Saudi Arabia: A retrospective study. Saudi journal of anaesthesia. 2017;11(4):415-420.
- Ahmadi AR, Aarabi MY. Postoperative cardiac arrest in children with congenital heart abnormalities. ARYA atherosclerosis. 2013;9(2):145-149.
- Edwards-Jackson N, North K, Chiume M, et al., Outcomes of in-hospital paediatric cardiac arrest from a tertiary hospital in a low-income African country. Paediatrics and international child health. 2019:1-5.
- Sutton RM, Reeder RW, Landis W, et al., Chest compression rates and pediatric in-hospital cardiac arrest survival outcomes. Resuscitation. 2018;130:159-166.
- IGME U. United Nations Inter-agency Group for Child Mortality Estimation : Levels and Trends in Child Mortality: report 2017. New York, NY2017.
- Erdfelder E, Faul F, Buchner A. GPOWER: A general power analysis program. Behavior research method, instruments, & computers. 1996;28(1):1‑11.
- AHA AHA. 2015 American Heart Association Guidelines Update for CPR and ECC eBook. Dallas,TX: American Heart Association 2015.
- Statistical Package for the Social Sciences (SPSS) [computer program]. Armonk, NY: IBM; 2012.
- López-Herce J, Del Castillo J, Matamoros M, et al., Post return of spontaneous circulation factors associated with mortality in pediatric in-hospital cardiac arrest: a prospective multicenter multinational observational study. Critical Care. 2014;18(607):1-14.
- Dhillon GS, Lasa JJ, Aggarwal V, Checchia PA, Bavare AC. Cardiac Arrest in the Pediatric Cardiac ICU: Is Medical Congenital Heart Disease a Predictor of Survival? Pediatric Critical Care Medicine. 2019;20(3):233-242.
Abstract Views: 5
PDF Views: 0