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Medicina Universitaria

2007, Number 36

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Med Univer 2007; 9 (36)

Cardiopulmonary arrest survival in a pediatric intensive care unit

Solís RA, Garza AA, Uribe GNT

Language: Spanish
References: 16
Page: 117-122
PDF size: 104.65 Kb.


ABSTRACT

Background: The survival of patients admitted in a Pediatric Intensive Care Unit (PICU) that suffer a cardiopulmonary arrest (CPA) varies in the literature from 6% to 64%.
Objective: To estimate the survival of patients who suffer from a CPA event in the PICU in a tertiary care public hospital and evaluate the demographic characteristics and factors associated to these events.
Method: Observational, descriptive, retrospective and transversal study. The charts of the patients admitted to the PICU during one year, that had presented an episode of CPA were reviewed. Age, gender, admission days, time between admission and the first CPA, base diagnosis, number of CPAs per patient, basic or advanced CPR application, direct cause of CPA, time elapsed between each CPA event, hospital shift, previous CPA events before admittance, use of amines, PRISM-12 and 24 scores, outcome of survival or death.
Results: In 41 patients there were 74 CPA events, an incidence of 28.8 CPAs per 100 admitted, general survival of 80.7%, survival to the CPA event of 48.6%. Hospitalization of 7.4 days ± 10.6, 5.4 days between admittance and CPA event, 51 months medium age, male infants predominantly. Diagnosis upon admission: neurologic, main causes of CPA were respiratory problems, amines were used in 60.8%, 94.5% received advanced CPR, average PRISM-24 17.4 ± 7.9.
Conclusions: The worst prognosis factors were: less hospital admittance days, first CPA in the first 24 hours of being admitted, having a new CPA less than 24 hours after the previous one, and to require advanced CPR.


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