Survival Trends in Pediatric In-Hospital Cardiac Arrests An Analysis From Get With The Guidelines-Resuscitation
Survival Trends in Pediatric In-Hospital Cardiac Arrests An Analysis From Get With The Guidelines-Resuscitation
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DOI：
10.1161/circoutcomes.112.967968
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发表时间：
2013-01-01
影响因子：
6.9
通讯作者：
Chan, Paul S.
中科院分区：
文献类型：
--
作者：
Girotra, Saket;Spertus, John A.;Chan, Paul S.
背景-尽管不断努力提高儿科复苏的质量，但尚不清楚院内心脏骤停儿童的存活率是否有所改善。方法和结果--2000至2009年间，我们确定了儿童(参与3年，每年5例)符合国家GET指南-复苏登记。采用多变量Logistic回归分析存活至出院的时间趋势。我们还探讨了存活率的趋势是否可归因于急性复苏或复苏后护理的改善，并检查了幸存者的神经功能障碍的趋势。在12家医院的1031名儿童中，874名儿童(84.8%)最初的心脏骤停节律是停搏和无脉性电活动(84.8%)，157名儿童(15.2%)是室颤和无脉性室性心动过速(15.2%)，随着时间的推移，由于无脉性电活动而发生的心脏骤停有所增加(P
Background-Despite ongoing efforts to improve the quality of pediatric resuscitation, it remains unknown whether survival in children with in-hospital cardiac arrest has improved.Methods and Results-Between 2000 and 2009, we identified children (3 years of participation and >5 cases annually within the national Get With The Guidelines-Resuscitation registry. Multivariable logistic regression was used to examine temporal trends in survival to discharge. We also explored whether trends in survival were attributable to improvement in acute resuscitation or postresuscitation care and examined trends in neurological disability among survivors. Among 1031 children at 12 hospitals, the initial cardiac arrest rhythm was asystole and pulseless electrical activity in 874 children (84.8%) and ventricular fibrillation and pulseless ventricular tachycardia in 157 children (15.2%), with an increase in cardiac arrests due to pulseless electrical activity over time (P for trend