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学科主题: 临床医学
题名:
The epidemiology and resuscitation effects of cardiopulmonary arrest among hospitalized children and adolescents in Beijing: An observational study
作者: Zeng, Jiansheng1; Qian, Suyun1; Zheng, Mingqiong1; Wang, Yin2; Zhou, Gaojun3; Wang, Haiyan4
关键词: In-hospital Utstein style ; Cardiopulmonary arrest ; Cardiopulmonary resuscitation ; Survival ; Children ; Adolescents
刊名: RESUSCITATION
发表日期: 2013-12-01
DOI: 10.1016/j.resuscitation.2013.08.007
卷: 84, 期:12, 页:1685-1690
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Critical Care Medicine ; Emergency Medicine
研究领域[WOS]: General & Internal Medicine ; Emergency Medicine
关键词[WOS]: AMERICAN-HEART-ASSOCIATION ; HEALTH-CARE-PROFESSIONALS ; CARDIAC-ARREST ; UTSTEIN-STYLE ; CARDIORESPIRATORY ARREST ; RECOMMENDED GUIDELINES ; STROKE-FOUNDATION ; SOUTHERN-AFRICA ; SURVIVAL ; STATEMENT
英文摘要:

Aim: To investigate the epidemiology and resuscitation effects of cardiopulmonary arrest among hospitalized children and adolescents in Beijing.

Methods: A prospective multicentre study was conducted in four hospitals in urban/suburban areas of Beijing. Patients aged 1 month-18 years with cardiopulmonary arrest and received cardiopulmonary resuscitation (CPR) who were consecutively hospitalised during the study period (1 September 2008-31 December 2010) were enrolled. Data was collected and analyzed using the "in-hospital Utstein style". Neurological outcome was assessed with the pediatric cerebral performance category (PCPC) among patients who survived.

Result: 201 of 108,673 hospitalized patients (0.18%) had cardiopulmonary arrest during their hospitalization. Of these, 174 patients underwent CPR. The most common causes of cardiopulmonary arrest were the diseases of respiratory system (29.3%) and circulatory system (19.0%). The most common initial rhythm was bradycardia (72.4%). About 108 patients (62.1%) had restoration of spontaneous circulation (ROSC). Forty-nine patients (28.2%) survived to hospital discharge, 25 (14.5%) survived 6 months post discharge, and 21 (12.1%) survived 1 year post discharge. Out of the 21 patients who survived 1 year after hospital discharge, 18 had good neurological outcome. Multivariate logistic regression analysis showed age, duration of CPR and endotracheal intubation performed before cardiopulmonary arrest were independent factors of cardiopulmonary resuscitation effect.

Conclusion: The prevalence of in-hospital cardiopulmonary arrest in children and adolescents is low. The long-term result of children and adolescents survived from cardiopulmonary resuscitation is quite good. Age, CPR duration and endotracheal intubation performed before cardiopulmonary arrest were independent factors of cardiopulmonary resuscitation effect. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

语种: 英语
所属项目编号: 2007-1031
项目资助者: Capital Medical Development Scientific Research Foundation
WOS记录号: WOS:000328655500019
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54638
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Beijing Aerosp Gen Hosp, Dept Pediat, Beijing, Peoples R China
2.Capital Med Univ, Beijing Childrens Hosp, Pediat Intens Care Unit, Beijing 100045, Peoples R China
3.Peking Univ, Hosp 1, Pediat Intens Care Unit, Beijing 100871, Peoples R China
4.Shunyi Dist Maternal & Children Hlth Ctr, Dept Pediat, Beijing, Peoples R China

Recommended Citation:
Zeng, Jiansheng,Qian, Suyun,Zheng, Mingqiong,et al. The epidemiology and resuscitation effects of cardiopulmonary arrest among hospitalized children and adolescents in Beijing: An observational study[J]. RESUSCITATION,2013,84(12):1685-1690.
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