Incidence and Outcomes of Cardiopulmonary Resuscitation in PICUs.

نویسندگان

  • Robert A Berg
  • Vinay M Nadkarni
  • Amy E Clark
  • Frank Moler
  • Kathleen Meert
  • Rick E Harrison
  • Christopher J L Newth
  • Robert M Sutton
  • David L Wessel
  • John T Berger
  • Joseph Carcillo
  • Heidi Dalton
  • Sabrina Heidemann
  • Thomas P Shanley
  • Athena F Zuppa
  • Allan Doctor
  • Robert F Tamburro
  • Tammara L Jenkins
  • J Michael Dean
  • Richard Holubkov
  • Murray M Pollack
چکیده

OBJECTIVES To determine the incidence of cardiopulmonary resuscitation in PICUs and subsequent outcomes. DESIGN, SETTING, AND PATIENTS Multicenter prospective observational study of children younger than 18 years old randomly selected and intensively followed from PICU admission to hospital discharge in the Collaborative Pediatric Critical Care Research Network December 2011 to April 2013. RESULTS Among 10,078 children enrolled, 139 (1.4%) received cardiopulmonary resuscitation for more than or equal to 1 minute and/or defibrillation. Of these children, 78% attained return of circulation, 45% survived to hospital discharge, and 89% of survivors had favorable neurologic outcomes. The relative incidence of cardiopulmonary resuscitation events was higher for cardiac patients compared with non-cardiac patients (3.4% vs 0.8%, p <0.001), but survival rate to hospital discharge with favorable neurologic outcome was not statistically different (41% vs 39%, respectively). Shorter duration of cardiopulmonary resuscitation was associated with higher survival rates: 66% (29/44) survived to hospital discharge after 1-3 minutes of cardiopulmonary resuscitation versus 28% (9/32) after more than 30 minutes (p < 0.001). Among survivors, 90% (26/29) had a favorable neurologic outcome after 1-3 minutes versus 89% (8/9) after more than 30 minutes of cardiopulmonary resuscitation. CONCLUSIONS These data establish that contemporary PICU cardiopulmonary resuscitation, including long durations of cardiopulmonary resuscitation, results in high rates of survival-to-hospital discharge (45%) and favorable neurologic outcomes among survivors (89%). Rates of survival with favorable neurologic outcomes were similar among cardiac and noncardiac patients. The rigorous prospective, observational study design avoided the limitations of missing data and potential selection biases inherent in registry and administrative data.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Outcomes of cardiopulmonary resuscitation in the emergency department

Objective: Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in the prevention of death or delaying it in a person with cardiac arrest. In this regard, demographic information about patients who need CPR is vital. Methods: In this cross-sectional study patients with cardiopulmonary arrest or arrhythmias admitted to Imam Reza and Sina ed...

متن کامل

A Study of the Outcomes and Effective Factors on Cardiopulmonary Resuscitation in an Educational Hospital

Background and aims: Cardiopulmonary resuscitation (CPR) success rate is an important issue for allhealthcare facilities. In the present study, success rate and related factors were assessed in a hospitalin Iran.Methods: This descriptive-correlational study was conducted in 2017. By using the conveniencesampling, 156 patients were selected. Variables based on the In-Hosp...

متن کامل

Survival after In-Hospital Cardiopulmonary Resuscitation in a Major Referral Center during 2001-2008

Despite efforts to save more people suffering from in-hospital cardiac arrest, rates of survival after in-hospital cardiopulmonary resuscitation (CPR) are no better today than they were more than a decade ago. This study was undertaken to assess the demographics, clinical parameters and outcomes of patients undergoing CPR by the code blue team at our center during 2001 to 2008. Data were collec...

متن کامل

Survival and outcomes following cardiopulmonary resuscitation; a descriptive study in Iran

Objective: Cardiopulmonary resuscitation (CPR) has been known in its present form since 1960. Different studies have reported variable outcomes among different countries. Therefore, the purpose of this study was to assess the rate of CPR success and the survival rate in managing cardiac arrest among patients in an educational medical center. Methods: Th...

متن کامل

Parental presence and visiting policies in Italian pediatric intensive care units: a national survey.

OBJECTIVE To investigate parental presence and visiting policies in Italian pediatric intensive care units (PICUs). DESIGN : Descriptive survey. SETTING All 34 Italian PICUs. PATIENTS Patients were not involved in this work. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS A questionnaire was sent to the unit heads. Response rate was 100%. Median daily visiting time for parents was 3...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Critical care medicine

دوره 44 4  شماره 

صفحات  -

تاریخ انتشار 2016