• Medicina intensiva · Apr 2016

    Survival and neurological status after out-of-hospital cardiac arrest in the pediatric population in Andalusia.

    • F Rosell-Ortiz, F J Mellado-Vergel, J B López-Messa, P Fernández-Valle, M M Ruiz-Montero, I González-Lobato, M Martínez-Lara, S Vergara-Pérez, I Vivar-Díaz, Á García-Alcántara, and J García del Águila.
    • Empresa Pública de Emergencias Sanitarias, Almería, España; Grupo de cuidados cardiológicos en emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía (EPES), Almería, España. Electronic address: frosell@al.epes.es.
    • Med Intensiva. 2016 Apr 1; 40 (3): 163-8.

    ObjectiveLittle is known about the evolution and long-term neurological status of pediatric patients who survive out-of-hospital cardiac arrest. Our aim is to describe long-term survival and neurological status.DesignRetrospective observational study, based on the Andalusian Register of out-of-hospital Cardiac Arrest.SettingPre-hospital Care.PatientsThe study included patients aged 0-15 years between January 2008 and December 2012.InterventionsPatients follow up.VariablesPrehospital and hospital care variables were analyzed and one-year follow-up was performed, along with a specific follow-up of survivors in June 2014.ResultsOf 5069 patients included in the register, 125 (2.5%) were aged ≤15 years. Cardiac arrest was witnessed in 52.8% of cases and resuscitation was performed in 65.6%. The initial rhythm was shockable in 7 (5.2%) cases. Nearly half (48.8%) the patients reached the hospital alive, of whom 20% did so while receiving resuscitation maneuvers. Only 9 (7.2%) patients survived to hospital discharge; 5 showed ad integrum recovery and 4 showed significant neurological impairment. The 5 patients with complete recovery continued their long-term situation. The remaining 4 patients, although slight improvement, were maintained in situation of neurological disability.ConclusionsSurvival after out-of-hospital cardiac arrest in pediatric patients was low. The long-term prognosis of survivors with good neurological recovery remains, although improvement in the rest was minimal.Copyright © 2015 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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