Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study
The aim of this study was to evaluate the demographic characteristics of children who experienced out-of-hospital cardiopulmonary arrest (CPA), and to assess the impact of the bystander cardiopulmonary resuscitation (CPR) on the survival rate of witnessed arrests and the effects of the arrest and C...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2018-10-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/893 |
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| author | Funda Kurt Benan Bayrakcı Özlem Tekşam Deniz Tekin Okşan Derinöz Emine Polat Sinan Oğuz Ayşe Gültekingil Çağlar Ödek Nilden Tuygun Murat Derbent Gökhan Kalkan Şanlıay Şahin Halise Akça Selman Kesici Ramiz Coskun Gündüz Tanıl Kendirli Emine Suskan |
| author_facet | Funda Kurt Benan Bayrakcı Özlem Tekşam Deniz Tekin Okşan Derinöz Emine Polat Sinan Oğuz Ayşe Gültekingil Çağlar Ödek Nilden Tuygun Murat Derbent Gökhan Kalkan Şanlıay Şahin Halise Akça Selman Kesici Ramiz Coskun Gündüz Tanıl Kendirli Emine Suskan |
| author_sort | Funda Kurt |
| collection | DOAJ |
| description |
The aim of this study was to evaluate the demographic characteristics of children who experienced out-of-hospital cardiopulmonary arrest (CPA), and to assess the impact of the bystander cardiopulmonary resuscitation (CPR) on the survival rate of witnessed arrests and the effects of the arrest and CPR durations on the neurological outcomes. This multicenter, retrospective study included a total of 182 patients who underwent CPR for out-of-hospital CPA between January 2008 and December 2012 at six centers in Ankara, Turkey. The median [interquartile range (IQR)] age was 22 (5-54) months; 60.4% of the patients were males, and 44% were younger than one year of age. The witnessed arrest rate was 75.8% (138/182) and the rate of bystander CPR was 13.9% (13/93). In these patients the rate of the return of spontaneous circulation (ROSC) was higher (76.9%). Following resuscitation in the patients for whom the spontaneous circulation was able to be returned, the median (IQR) duration of arrest was 5 (1- 15) min, while it was 15 (5-40) min for the remaining patients (p < 0.001). The ROSC rate was 94.9% in patients who underwent CPR for less than 20 min and 22% in patients requiring CPR longer than 20 min (p < 0.001). Survival to hospital discharge was 14.3%. Of these patients, 57.7% experienced neurological disability. The short duration of an arrest and the presence of CPR are both critical for survival. We suggest that a witness to the CPA, performing early and efficient CPR, yields better results.
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| format | Article |
| id | doaj-art-a42b9760090d48259b8e74437bc31fd6 |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2018-10-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-a42b9760090d48259b8e74437bc31fd62025-08-20T03:01:14ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212018-10-0160510.24953/turkjped.2018.05.004Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort studyFunda Kurt0Benan Bayrakcı1Özlem Tekşam2Deniz Tekin3Okşan Derinöz4Emine Polat5Sinan Oğuz6Ayşe Gültekingil7Çağlar Ödek8Nilden Tuygun9Murat Derbent10Gökhan Kalkan11Şanlıay Şahin12Halise Akça13Selman Kesici14Ramiz Coskun Gündüz15Tanıl Kendirli16Emine Suskan17Division of Pediatric Emergency Medicine, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey.Division of Pediatric Intensive Care Unit, Hacettepe University Faculty of Medicine, Ankara, Turkey.Division of Pediatric Emergency Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara Turkey.Division of Pediatric Emergency Medicine, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Pediatric Emergency Medicine, Gazi University Faculty of Medicine, Ankara, Turkey.Department of Pediatrics, Dr Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara Turkey.Division of Pediatric Emergency Medicine, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Pediatric Emergency Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara Turkey.Division of Pediatric Intensive Care Unit, Department of Pediatrics, Ankara University Faculty of Medicine.Division of Pediatric Emergency Medicine, Dr Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.Division of Pediatric Emergency Medicine, Başkent University Faculty of Medicine, Ankara, Turkey.Division of Pediatric Intensive Care Unit, Gazi University Faculty of Medicine, Ankara, Turkey.Department of Pediatrics, Ankara Children's Hematology Oncology Training and Research Hospital.Division of Pediatric Emergency Medicine, Dr Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.Division of Pediatric Intensive Care Unit, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Pediatrics, Ankara Children's Hematology Oncology Training and Research Hospital.Division of Pediatric Intensive Care Unit, Department of Pediatrics, Ankara University Faculty of Medicine.Division of Pediatric Emergency Medicine, Ankara University Faculty of Medicine, Ankara, Turkey. The aim of this study was to evaluate the demographic characteristics of children who experienced out-of-hospital cardiopulmonary arrest (CPA), and to assess the impact of the bystander cardiopulmonary resuscitation (CPR) on the survival rate of witnessed arrests and the effects of the arrest and CPR durations on the neurological outcomes. This multicenter, retrospective study included a total of 182 patients who underwent CPR for out-of-hospital CPA between January 2008 and December 2012 at six centers in Ankara, Turkey. The median [interquartile range (IQR)] age was 22 (5-54) months; 60.4% of the patients were males, and 44% were younger than one year of age. The witnessed arrest rate was 75.8% (138/182) and the rate of bystander CPR was 13.9% (13/93). In these patients the rate of the return of spontaneous circulation (ROSC) was higher (76.9%). Following resuscitation in the patients for whom the spontaneous circulation was able to be returned, the median (IQR) duration of arrest was 5 (1- 15) min, while it was 15 (5-40) min for the remaining patients (p < 0.001). The ROSC rate was 94.9% in patients who underwent CPR for less than 20 min and 22% in patients requiring CPR longer than 20 min (p < 0.001). Survival to hospital discharge was 14.3%. Of these patients, 57.7% experienced neurological disability. The short duration of an arrest and the presence of CPR are both critical for survival. We suggest that a witness to the CPA, performing early and efficient CPR, yields better results. https://turkjpediatr.org/article/view/893cardiac arrestcardiopulmonary resuscitationout-of-hospitalpediatrics |
| spellingShingle | Funda Kurt Benan Bayrakcı Özlem Tekşam Deniz Tekin Okşan Derinöz Emine Polat Sinan Oğuz Ayşe Gültekingil Çağlar Ödek Nilden Tuygun Murat Derbent Gökhan Kalkan Şanlıay Şahin Halise Akça Selman Kesici Ramiz Coskun Gündüz Tanıl Kendirli Emine Suskan Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study The Turkish Journal of Pediatrics cardiac arrest cardiopulmonary resuscitation out-of-hospital pediatrics |
| title | Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study |
| title_full | Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study |
| title_fullStr | Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study |
| title_full_unstemmed | Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study |
| title_short | Outcome of out-of-hospital cardiopulmonary arrest in children: A multicenter cohort study |
| title_sort | outcome of out of hospital cardiopulmonary arrest in children a multicenter cohort study |
| topic | cardiac arrest cardiopulmonary resuscitation out-of-hospital pediatrics |
| url | https://turkjpediatr.org/article/view/893 |
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