FACTORS ASSOCIATED WITH THE CLINICAL OUTCOMES OF PAEDIATRIC CARDIAC ARREST RESUSCITATION IN VIETNAM NATIONAL CHILDREN'S HOSPITAL

Ngô Anh Vinh1,, Lại Thuỳ Thanh1
1 Vietnam National Children's Hospital

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Abstract

Objectives: The goal of this study was to find out what factors influence the outcomes of cardiac arrest resuscitation in children. Methods and subjects: From June 2018 to June 2019, a cross-sectional descriptive study was conducted on 102 children suffering cardiac arrest at Vietnam National Children's Hospital. Results: The life support success rate (return of spontaneous circulation) was higher in the group that had been monitored with a monitor than in the group that without a monitor (70.1% and 33.3%), (p<0.05). The life-support success rate was higher in the non-vasopressor group than in the vasopressor-treated group (67.7% and 61.5%) and the intubated group was higher than in the non-intubation (65.6% and 63.2%) but the difference was not statistically significant (p>0.05). The group that received less than three Adrenaline doses had a lower mortality rate than the group that received more than three doses (0 % and 53.7%). The mortality rate was lowest in the group that received CPR for less than 10 minutes and highest in the group that received CPR for more than 30 minutes, has a statistically significant difference between two groups (p < 0.05). With a statistically significant difference (p < 0.05), the mortality rate was highest in the bradycardia group (91.7%) and lowest in the asystole group (52.3%). The factors related to the result in multivariate analysis were intravenous Adrenaline administration and CPR duration (p < 0.05). Conclusion: The duration of CPR and the injection of intravenous Adrenaline are two parameters that influence the outcome of CPR resuscitation.

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References

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