Cardiopulmonary resuscitation in children with in-hospital and out-of-hospital cardiopulmonary arrest: Multicenter study from Turkey

KENDİRLİ, TANIL; Erkek, Nilgün; Köroǧlu, Tolga; YILDIZDAŞ, RIZA; Bayrakçi, Benan; Güzel, Ahmet; Çitak, Agop; Demirkol, Demet; AĞIN, Hasan; Arslanköylü, Ali; KUTLU, Nurettin; TUYGUN, Nilden; Paksu, Muhammet; Anil, Ayşe; Kalkan, Gökhan; DUMAN, MURAT; Dündaröz, Ruşen; Aşilioǧlu, Nazik; Yaman, Ayhan; ÖDEK, ÇAĞLAR; Tekin, Deniz; Dursun, Oǧuz; ŞEVKETOĞLU, Esra; Kesici, Selman; Ateş, Can; Gördü, Zülfikar; YILMAZ, HAYRİ; Ince, Erdal; Karaböcüoǧlu, Metin

doi:10.1097/pec.0000000000000337

Cardiopulmonary resuscitation in children with in-hospital and out-of-hospital cardiopulmonary arrest: Multicenter study from Turkey

KENDİRLİ T., Erkek N., Köroǧlu T., YILDIZDAŞ R. D., Bayrakçi B., Güzel A., ...Daha Fazla

Pediatric Emergency Care, cilt.31, sa.11, ss.748-752, 2015 (SCI-Expanded, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 31 Sayı: 11
Basım Tarihi: 2015
Doi Numarası: 10.1097/pec.0000000000000337
Dergi Adı: Pediatric Emergency Care
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Sayfa Sayıları: ss.748-752
Anahtar Kelimeler: cardiopulmonary arrest, cardiopulmonary resuscitation, mortality
Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objectives: The objectives of this study were to determine the causes, location of cardiopulmonary arrest (CPA) in children, and demographics of cardiopulmonary resuscitation (CPR) in Turkish pediatric emergency departments and pediatric intensive care units (PICUs) and to determine survival rates and morbidities for both in-hospital and out-of-hospital CPA. Methods: This multicenter descriptive study was conducted prospectively between January 15 and July 15, 2011, at 18 centers (15 PICUs, 3 pediatric emergency departments) in Turkey. Results: During the study period, 239 children had received CPR. Patients' average age was 42.4 (SD, 58.1) months. The most common cause of CPA was respiratory failure (119 patients [49.8%]). The location of CPA was the PICU in 168 (68.6%), hospital wards in 43 (18%), out-ofhospital in 24 (10%), and pediatric emergency department in 8 patients (3.3%). The CPR duration was 30.7 (SD, 23.6) minutes (range, 1-175 minutes) and return of spontaneous circulation was achieved in 107 patients (44.8%) after the first CPR. Finally, 58 patients (24.2%) were discharged from hospital; survival rates were 26% and 8% for in-hospital and out-ofhospital CPA, respectively (P = 0.001). Surviving patients' average length of hospital stay was 27.4 (SD, 39.2) days. In surviving patients, 19 (32.1%) had neurologic disability. Conclusion: Pediatric CPA in both the in-hospital and out-of-hospital setting has a poor outcome.