ĐẶC ĐIỂM DỊCH TỄ HỌC LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ Ở TRẺ EM NGỪNG TUẦN HOÀN TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Objective: To study the clinical epidemiological characteristics and treatment results in children with cardiac arrest at the National Children's Hospital. Methods: A cross-sectional study in children over 1 month of age with cardiac arrest at the National Children's Hospital during 6/2018-5/2019. Results: Study on 102 patients with cardiac arrest: Male/female ratio is 1.04, patients in urban areas are more than in rural areas, mainly in the age group under 1 year old (43.1%), the prevalence of underlying diseases accounted for 56.9%, of which cardiovascular diseases accounted for the highest rate (34.5%). The primary site of cardiac arrest occurred in the emergency department (49%) and the intensive care unit (43.1%), intra-hospital cardiac arrest (68,.6%) and out-hospital cardiac arrest (31.4%). Clinical manifestations before cardiac arrest require respiratory support (92.1%), circulatory failure (78.6%), and unconsciousness (92.2%). Manifestations of cardiac arrhythmias in cardiac arrest were mainly due to asystole (95.1%). Patients successfully resuscitated after cardiac arrest were 64.7% but the rate of death (44,1%) and withdraw of treatment (31.4%). Conclusion: Cardiac arrest is more common in the age group under 1 year, accompanied by underlying disease, mostly cardiovascular disease, usually occurs in emergency department, mainly asystole and very high mortality.