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Text
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<a href="http://doi.org/10.1007/s00134-001-1188-z" target="_blank" rel="noreferrer">http://doi.org/10.1007/s00134-001-1188-z</a>
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Title
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One-year survival and neurological outcome after pediatric cardiopulmonary resuscitation
Publisher
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Intensive Care Medicine
Date
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2002
Subject
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Child; Female; Humans; Male; Logistic Models; Resuscitation Orders; Survival Analysis; Predictive Value of Tests; Disability Evaluation; adolescent; Preschool; infant; retrospective studies; Outcomes; cardiopulmonary resuscitation; mortality
Creator
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Horisberger T; Fischer E; Fanconi S
Description
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OBJECTIVE: Reported survival after cardiopulmonary resuscitation (CPR) in children varies considerably. We aimed to identify predictors of 1-year survival and to assess long-term neurological status after in- or outpatient CPR. DESIGN: Retrospective review of the medical records and prospective follow-up of CPR survivors. SETTING: Tertiary care pediatric university hospital. PATIENTS AND METHODS: During a 30-month period, 89 in- and outpatients received advanced CPR. Survivors of CPR were prospectively followed-up for 1 year. Neurological outcome was assessed by the Pediatric Cerebral Performance Category scale (PCPC). Variables predicting 1-year survival were identified by multivariable logistic regression analysis. INTERVENTIONS: None. RESULTS: Seventy-one of the 89 patients were successfully resuscitated. During subsequent hospitalization do-not-resuscitate orders were issued in 25 patients. At 1 year, 48 (54%) were alive, including two of the 25 patients with out-of-hospital CPR. All patients died, who required CPR after trauma or near drowning, when CPR began >10 min after arrest or with CPR duration >60 min. Prolonged CPR (21-60 min) was compatible with survival (five of 19). At 1 year, 77% of the survivors had the same PCPC score as prior to CPR. Predictors of survival were location of resuscitation, CPR during peri- or postoperative care, and duration of resuscitation. A clinical score (0-15 points) based on these three items yielded an area under the ROC of 0.93. CONCLUSIONS: Independent determinants of long-term survival of pediatric resuscitation are location of arrest, underlying cause, and duration of CPR. Long-term survivors have little or no change in neurological status.
2002
Identifier
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<a href="http://doi.org/10.1007/s00134-001-1188-z" target="_blank" rel="noreferrer">10.1007/s00134-001-1188-z</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2002
Adolescent
Backlog
Cardiopulmonary Resuscitation
Child
Disability Evaluation
Fanconi S
Female
Fischer E
Horisberger T
Humans
Infant
Intensive Care Medicine
Journal Article
Logistic Models
Male
Mortality
Outcomes
Predictive Value of Tests
Preschool
Resuscitation Orders
Retrospective Studies
Survival Analysis