Pediatric cardiac arrest in the emergency department: Outcome is related to the time of admission

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dc.contributor.authorYurtseven, A.
dc.contributor.authorTuran, C.
dc.contributor.authorAkarca, F.K.
dc.contributor.authorSaz, E.U.
dc.date.accessioned2020-12-01T11:52:02Z
dc.date.available2020-12-01T11:52:02Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives: Nights and weekends represent a potentially high-risk time for pediatric cardiac arrest (CA) patients in emergency departments. Data regarding night or weekend arrest and its impact on outcomes is controversial. The purpose of this study was to determine the relationship between cardiopulmonary resuscitation during the various emergency department shifts and survival to discharge. Methods: We conducted a retrospective, observational study of patients who had visited our Emergency Department for CAs from January 2014 to December 2016. Medical records and patient characteristics of 67 children with CA were retrieved from patient admission files. Results: The mean age was 54.7±7.3 months and 59% were male. Rates of survival to discharge 35% (11/31) within working hours’ vs. out of working hours 3% (1/36). Among the CAs presenting to the emergency department, the survival rates were higher for working hours than for non-working hours (OR: 37.6 (2.62-539.7), p: 008). The rate of return of spontaneous circulation within working hours was higher than that of non-working hours (71% vs.19%) (p<0.001). Patients who received chest compression for more than 10 minutes had the lowest survival rate (2%) (p<0.001), whereas better outcome was associated with in-hospital CA, younger age (less than 12 months) and respiratory failure. Conclusion: Survival rates from pediatric CAs were significantly lower during non-working hours. Poor outcome was associated with prolonged cardiopulmonary resuscitation, out of hospital CA and older age. © 2019, Professional Medical Publications. All rights reserved.en_US
dc.identifier.doi10.12669/pjms.35.5.487
dc.identifier.endpage1440en_US
dc.identifier.issn1682-024X
dc.identifier.issn1682-024Xen_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1434en_US
dc.identifier.urihttps://doi.org/10.12669/pjms.35.5.487
dc.identifier.urihttps://hdl.handle.net/11454/61403
dc.identifier.volume35en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherProfessional Medical Publicationsen_US
dc.relation.ispartofPakistan Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency medicineen_US
dc.subjectOutcomesen_US
dc.subjectPediatricsen_US
dc.subjectResuscitationen_US
dc.subjectTime of admissionen_US
dc.titlePediatric cardiac arrest in the emergency department: Outcome is related to the time of admissionen_US
dc.typeArticleen_US

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