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Scientifica - Volume 2016 2016, Article ID 9648140, 8 pages -

Research Article

Pediatric Department, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Iran

Pediatric Department, Abuzar Hospital, Ahvaz Jundishapur University of Medical Sciences, Iran

Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Iran

Department of Anesthesiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Medical Research Center, Jundishapur Health Development Co., Tehran, Iran

Received 26 December 2015; Revised 7 April 2016; Accepted 19 April 2016

Academic Editor: Michael S. Firstenberg

Copyright © 2016 Shideh Assar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Research Objective. This study determined the outcome of cardiopulmonary resuscitation CPR after in-hospital cardiac arrest and factors influencing it in two training hospitals in Ahvaz. Method. Patients hospitalized in the pediatric wards and exposed to CPR during hospital stay were included in the study September 2013 to May 2014. The primary outcome of CPR was assumed to be the return of spontaneous circulation ROSC and the secondary outcome was assumed to be survival to discharge. The neurological outcome of survivors was assessed using the Pediatric Cerebral Performance Category PCPC method. Results. Of the 279 study participants, 138 patients 49.4% showed ROSC, 81 patients 29% survived for 24 hours after the CPR, and 33 patients 11.8% survived to discharge. Of the surviving patients, 16 48.5% had favorable neurological outcome. The resuscitation during holidays resulted in fewer ROSC. Multivariate analysis showed that longer CPR duration, CPR by junior residents, growth deficiency, and prearrest vasoactive drug infusion were associated with decreased survival to discharge . Infants and patients with respiratory disease had higher survival rates. Conclusion. The rate of successful CPR in our study was lower than rates reported by developed countries. However, factors influencing the outcome of CPR were similar. These results reflect the necessity of paying more attention to pediatric CPR training, postresuscitation conditions, and expansion of intensive care facilities.





Autor: Shideh Assar, Mohsen Husseinzadeh, Abdul Hussein Nikravesh, and Hannaneh Davoodzadeh

Fuente: https://www.hindawi.com/



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