TY - JOUR
T1 - Cardiopulmonary resuscitation in children with in-hospital and out-of-hospital cardiopulmonary arrest
T2 - Multicenter study from Turkey
AU - Kendirli, Tanil
AU - Erkek, Nilgün
AU - Köroǧlu, Tolga
AU - Yildizdaş, Dinçer
AU - Bayrakçi, Benan
AU - Güzel, Ahmet
AU - Çitak, Agop
AU - Demirkol, Demet
AU - Aǧin, Hasan
AU - Arslanköylü, Ali Ertuǧ
AU - Kutlu, Nurettin Onur
AU - Tuygun, Nilden
AU - Paksu, Muhammet Şükrü
AU - Anil, Ayşe Berna
AU - Kalkan, Gökhan
AU - Duman, Murat
AU - Dündaröz, Ruşen
AU - Aşilioǧlu, Nazik
AU - Yaman, Ayhan
AU - Ödek, Çaǧlar
AU - Tekin, Deniz
AU - Dursun, Oǧuz
AU - Şevketoǧlu, Esra
AU - Kesici, Selman
AU - Ateş, Can
AU - Gördü, Zülfikar
AU - Yilmaz, Hayri Levent
AU - Ince, Erdal
AU - Karaböcüoǧlu, Metin
N1 - Publisher Copyright:
© Copyright 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/11
Y1 - 2015/11
N2 - 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.
AB - 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.
KW - Cardiopulmonary arrest
KW - Cardiopulmonary resuscitation
KW - Mortality
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U2 - 10.1097/PEC.0000000000000337
DO - 10.1097/PEC.0000000000000337
M3 - Article
C2 - 26535496
AN - SCOPUS:84988950140
SN - 0749-5161
VL - 31
SP - 748
EP - 752
JO - Pediatric emergency care
JF - Pediatric emergency care
IS - 11
ER -