FACTORS ASSOCIATED WITH THE CLINICAL OUTCOMES OF PAEDIATRIC CARDIAC ARREST RESUSCITATION IN 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.
Article Details
Keywords
associated factors, emergency outcomes, cardiac arrest, pediatrics
References
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