The epidemiology of cardiac arrest in children and young adults
The epidemiology of cardiac arrest in children and young adults
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DOI：
10.1016/s0300-9572(03)00108-4
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发表时间：
2003-08-01
期刊：
影响因子：
6.5
通讯作者：
Herlitz, J
中科院分区：
文献类型：
--
作者：
Engdahl, J;Axelsson, Å;Herlitz, J
目的：描述院外心脏骤停的儿童和年轻人的流行病学。患者：1980至2000年间在哥德堡社区尝试复苏的所有院外心脏骤停患者。方法：对1980年10月31日至2000年10月31日期间，经急诊医疗服务系统(EMS)抢救成功并尝试复苏的心脏骤停病例进行报告和随访，直至出院。结果：在5505例心脏骤停患者中，有5290例(96%)获得了年龄信息。其中儿童98例(2%)，青壮年(18~35岁)197例(4%)，成人4995例(94%)。儿童和年轻人与成年人的不同之处在于，他们不太经常目睹心脏骤停，救护车工作人员较少发现室颤/心动过速，也较少被判断为有潜在的心脏病因学。在儿童中，只有5%的人活着出院，相比之下，年轻人和成年人的这一比例分别为8%和9%。在幸存者中，出院时的脑功能分类(CPC)评分往往不同，38%的年轻人CPC评分为I(无神经功能障碍)，而成年人中这一比例为52%。结论：院外心脏骤停的儿童和年轻人在病因和观察到的初始心律失常方面与成人不同。儿童的结果尤其糟糕，而年轻人的结果与成年人相似。(C)2003年，爱思唯尔爱尔兰有限公司出版。
Aim: To describe the epidemiology of children and young adults suffering from out-of-hospital cardiac arrest. Patients: All patients suffering from out-of-hospital cardiac arrest in whom, resuscitation efforts were attempted in the community of Goteborg between 1980 and 2000. Methods: Between 31 October 1980 and 31 October 2000, all consecutive cases of cardiac arrest in which the emergency medical service (EMS) system responded and attempted resuscitation were reported and followed-up to discharge from hospital. Results: Among 5505 cardiac arrests information on age was available in 5290 cases (96%). Of these 5290 cases 98 (2%) were children (age 0-17 years), 197 (4%) were young adults (age 18-35 years) and the remaining 4995 (94%) were adults (age > 35 years). Children and young adults differed from adults by suffering from a witnessed arrest less frequently, being found by the ambulance crew in ventricular fibrillation/tachycardia less frequently and being judged as having an underlying cardiac aetiology less frequently. Of the children only 5% were discharged from hospital alive compared with 8% for young adults and 9% for adults. Among survivors the cerebral performance categories (CPC) score at discharge tended to differ with 38% of young adults registering a CPC score of I (no neurological deficit) compared with 52% among adults. Conclusion: Children and young adults suffering from out-of-hospital cardiac arrest differed from adults in terms of aetiology and observed initial arrhythmia. Children had a particularly bad outcome whereas young adults had a similar outcome as adults. (C) 2003 Published by Elsevier Ireland Ltd.