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Post-resuscitative clinical features in the first hour after achieving sustained ROSC predict the duration of survival in children with non-traumatic out-of-hospital cardiac arrest by Yan-Ren Lin; Chao-Jui Li; Tung-Kung Wu; Yu-Jun Chang; Shih-Chang Lai; Tzu-An Liu; Ming-Hau Hsiao; Chu-Chung Chou; Chin-Fu Chang is a Medicine article available to read on EtoBox.
What is Post-resuscitative clinical features in the first hour after achieving sustained ROSC predict the duration of survival in children with non-traumatic out-of-hospital cardiac arrest about?
Aim of the study: Although sustained return of spontaneous circulation (ROSC) can be initially established after resuscitation from non-traumatic out-of-hospital cardiac arrest (OHCA) in some children, many of the children lose spontaneous circulation during hospital stay and do not survive to discharge. The aim of this study was to determine the clinical features during the first hour after ROSC that may predict survival to hospital discharge. Methods: We retrospectively evaluated the medical records of 228 children who presented to the emergency department without spontaneous circulation following non-traumatic OHCA during the period January 1996 to December 2008. Among these children, 80 achieved sustained ROSC for at least 20 min. The post-resuscitative clinical features during the first hour after achieving sustained ROSC that correlated with survival, median duration of survival, and death were analyzed. Results: Among the 80 children who achieved sustained ROSC for at least 20 min, 28 survived to hospital discharge and 6 had good neurologic outcomes (PCPC scale = 1 or 2). Post-resuscitative clinical features associated with survival included sinus cardiac rhythm (p = 0.012),
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- Author
- Yan-Ren Lin; Chao-Jui Li; Tung-Kung Wu; Yu-Jun Chang; Shih-Chang Lai; Tzu-An Liu; Ming-Hau Hsiao; Chu-Chung Chou; Chin-Fu Chang
- Publisher
- Elsevier Science; Elsevier ; Elsevier BV (ISSN 0300-9572)
- Published
- 2010
- Language
- EN
- Field
- Medicine (Health Sciences)