Predictors of cardio pulmonary resuscitation outcome in postoperative cardiac children

BACKGROUND: Outcomes of cardiopulmonary resuscitation (CPR) in children with congenital heart disease have improved and many children have survived after an in-hospital cardiac arrest

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 28(2016), 4 vom: 28. Okt., Seite 244-8
1. Verfasser: Nasser, Bana Agha (VerfasserIn)
Weitere Verfasser: Idris, Julinar, Mesned, Abdu Rahman, Mohamad, Tageldein, Kabbani, Mohamed S, Alakfash, Ali
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2016
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Cardiopulmonary resuscitation Pediatric cardiac surgery
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520 |a BACKGROUND: Outcomes of cardiopulmonary resuscitation (CPR) in children with congenital heart disease have improved and many children have survived after an in-hospital cardiac arrest 
520 |a AIM: The purpose of this study is to determine predictors of poor outcome after CPR in critical children undergoing cardiac surgery 
520 |a METHODS: We conducted a retrospective chart review and data analysis of all CPR records and charts of all postoperative cardiac children who had a cardiac arrest and required resuscitation from 2011 until 2015. Demographic, pre-operative, and postoperative data were reviewed and analyzed 
520 |a RESULTS: During the study period, 18 postoperative pediatric cardiac patients had CPR. Nine of them had return of spontaneous circulation and survived (50%). On average CPR was required on the 3(rd) postoperative day. Univariate analysis demonstrated that poor outcome was associated with higher lactic acid measured 4-6 hours prior to arrest (p = 0.045; p = 0.02) coupled with higher heart rate (p = 0.031), lower O2 saturation (p = 0.01), and lower core body temperature (p = 0.019) recorded 6 hours before arrest. Nonsurvival required longer resuscitation duration and more epinephrine doses (p < 0.05) 
520 |a CONCLUSION: Higher heart rate, lower core body temperature, lower O2 saturation, and higher lactic acid measured 6 hours before arrest are possible predictors of poorer outcome and mortality following CPR in postoperative cardiac children 
650 4 |a Journal Article 
650 4 |a Cardiopulmonary resuscitation 
650 4 |a Pediatric cardiac surgery 
700 1 |a Idris, Julinar  |e verfasserin  |4 aut 
700 1 |a Mesned, Abdu Rahman  |e verfasserin  |4 aut 
700 1 |a Mohamad, Tageldein  |e verfasserin  |4 aut 
700 1 |a Kabbani, Mohamed S  |e verfasserin  |4 aut 
700 1 |a Alakfash, Ali  |e verfasserin  |4 aut 
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773 1 8 |g volume:28  |g year:2016  |g number:4  |g day:28  |g month:10  |g pages:244-8 
856 4 0 |u http://dx.doi.org/10.1016/j.jsha.2015.12.002  |3 Volltext 
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