First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults
First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults
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DOI：
10.1001/jama.295.1.50
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发表时间：
2006-01-04
影响因子：
120.7
通讯作者：
Berg, RA
中科院分区：
文献类型：
--
作者：
Nadkarni, VM;Larkin, GL;Berg, RA
成人心脏骤停通常是由室颤(VF)或无脉性室性心动过速(VT)引起的，其预后优于停搏或无脉搏电活动(PEA)。目的验证这样一种假设，即与成人相比，儿童因室性心动过速或无脉性室速而发生的院内心脏骤停相对较少，因此生存结果更差。设计、环境和患者一项来自美国和加拿大253家医院2000年1月1日至2004年3月30日期间心脏骤停的多中心登记(国家心肺复苏登记处)的前瞻性观察研究。共有36 902名成人(=18岁)和880名儿童(
Context Cardiac arrests in adults are often due to ventricular fibrillation (VF) or pulse-less ventricular tachycardia (VT), which are associated with better outcomes than asystole or pulseless electrical activity (PEA). Cardiac arrests in children are typically asystole or PEA.Objective To test the hypothesis that children have relatively fewer in-hospital cardiac arrests associated with VF or pulseless VT compared with adults and, therefore, worse survival outcomes.Design, Setting, and Patients A prospective observational study from a multicenter registry (National Registry of Cardiopulmonary, Resuscitation) of cardiac arrests in 253 US and Canadian hospitals between January 1, 2000, and March 30, 2004. A total of 36 902 adults (>= 18 years) and 880 children (